Impact of vaccine stock-outs on infant vaccination coverage : a hospital-based survey from South Africa
| Autor: | Carine Dochez, M. Jeffrey Mphahlele, Gloria Mmoledi, Ntombenhle Ngcobo, Rosemary J. Burnett, L. Mapaseka Seheri |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Vaccination Coverage
Health (social science) 030231 tropical medicine Population medicine.disease_cause Pneumococcal conjugate vaccine South Africa 03 medical and health sciences 0302 clinical medicine Infant vaccination Surveys and Questionnaires Rotavirus Environmental health Humans Medicine 030212 general & internal medicine education Stock (geology) Vaccines education.field_of_study Immunization Programs business.industry Vaccination Public Health Environmental and Occupational Health Infant General Medicine Hospital based Vaccination coverage Human medicine business medicine.drug |
| Zdroj: | International health |
| ISSN: | 1876-3413 |
| Popis: | Introduction National population-based immunization coverage surveys provide data for validating official administrative coverage figures. However, these costly and logistically challenging surveys are conducted infrequently. This hospital-based records review determined coverage of birth-dose vaccines, fully immunized under 1-y-old coverage (FIC) of 12- to 59-mo-old children; and the reasons for missed vaccinations. Methods Rotavirus surveillance in South Africa is based on under-5-y-old children being treated for diarrhoea, and includes photocopying the official vaccination document and collecting data on reasons for missed vaccinations. These data were captured from all 508 records collected from 2011 to 2014, and subjected to descriptive statistical analysis. Results Bacille Calmette Guérin coverage was 99%; oral polio vaccine birth dose (OPV(0)) coverage was 99%. Coverage for 12- to 59-mo-olds ranged from 75% for the pneumococcal conjugate vaccine third dose to 99% for OPV(0). Several instances of subsequent doses being recorded without prior doses being received resulted in a FIC of 55%. In total, 207 vaccinations were missed by 88 children. Vaccine stock-outs were responsible for 62% of missed vaccinations. Conclusions Efforts to improve vaccine stock management at facility and district levels should be implemented, and should include vaccinator training and supervision to eliminate vaccine stock-outs and missed vaccination opportunities. |
| Databáze: | OpenAIRE |
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