American Journal of Microbiology and Immunology
Articles Information
American Journal of Microbiology and Immunology, Vol.2, No.2, Mar. 2017, Pub. Date: Jun. 15, 2017
Gaps and Lapse in Population Based Childhood Vaccination Coverage, Lessons Learned for Building National Capacity
Pages: 1-10 Views: 802 Downloads: 383
[01] Manal Omran Taryam, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[02] Waleed Al Faisal, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[03] Hamid Hussein, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[04] Ahmed Wasfy, Dubai Health Authority, Dubai, UAE.
[05] Ali Al Salaq, Dubai Statistics Center, Dubai, UAE.
The best way to protect children from 14 serious childhood diseases is to maintain the recommended immunization periodicity and administer all of the recommended immunizations by age. A number of barriers to immunization have been identified as the primary reasons. Overall, parents and caregivers believe that vaccines are necessary to prevent disease and are important to children’s health, but a common misconception is that multiple vaccines can overwhelm the immune system. The study aims to study the immunization coverage among childhood population in Dubai, and to identify the gaps and lapse in immunizations process in Dubai. Dubai Household Health Survey was conducted in 2014 as a Cross-sectional, multistage, stratified, Cluster survey. Houses were visited to obtain detailed information on the different health-related issues, one of them is vaccination coverage. According to Dubai Statistical center, the total population of Dubai at the end of 2014 was 2327350 (males 1613175, females 714175) (UAE 212000, Expatriates 2115350). Children aged below five years of age were investigated for immunization coverage according to expanded immunization national program requirements. All children vaccination registry booklet were inspected and questionnaire with socio-demographic as well as other health related set of data were collected by well-trained data collectors from the field. Data were analysed using SPSS 21. The study revealed that the total vaccination coverage rate for the children below 5 years of age with EPI vaccine requirements in Dubai (Both Male and Female, UAE nationals and Expatriate) was 83.1% as shown by table 1, about 83.5% for Emirati and 82.5% coverage for expatriate. The total coverage rate among Emirati males was 81.8%, while among Emirati females it was 85.1%, while it was equally distributed as per male and female coverage rate among Expatriates (82.5%). The study concluded that there are still significant gaps and lapse in immunization coverage regardless of the huge health system efforts to targeting children population with adequate and recommended vaccines. Increased anxiety about the effects and pain associated with multiple injections may be the causes behind those gaps. Additionally, the large number of routine vaccines has made it increasingly difficult for parents to track and ensure adequate, timely administration. Frequent catch up vaccination campaigns needs to be activated to bridging the gaps in immunizations coverage along with strengthening the immunization surveillance system.
Gaps, Vaccination, Building National Capacity
[01] Centers for Disease Control and Prevention. Summary of notifiable diseases—United States, 2010. MMWR Morb Mortal Wkly Rep. 2013; 59: 1-104.
[02] Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009. Health Styles survey. Pediatrics. 2011; 127 (suppl 1): S92-S99.
[03] Gellin BG, Maibach EW, Marcuse EK. Do parents understand immunizations? A national telephone survey. Pediatrics. 2000; 106(5): 1097-1102.
[04] Offit PA, Quarles J, Gerber MA, et al. Addressing parents’ concerns: do multiple vaccines overwhelm or weaken the infant’s immune system? Pediatrics. 2002; 109(1): 124-129.
[05] Marshall GS. The Vaccine Handbook: A Practical Guide for Clinicians. New York, NY: Lippincott, Williams and Wilkins; 2003.
[06] Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine-Preventable Diseases. 11th ed. Atkinson W, Wolfe S, Hamborsky J, McIntyre L, editors. Washington, DC: Public Health Foundation; 2009.
[07] Richards JL, Wagenaar BH, Van Otterloo J. Nonmedical exemptions to immunization requirements in California: a 16-year longitudinal analysis of trends and associated community factors. Vaccine. 2013; 31(29): 3009-3013. 10.1016/j.vaccine.2013.04.053.
[08] Omer SB, Pan WK, Halsey NA, et al. Nonmedical exemptions to school immunization requirements: © Shutterstock secular trends and association of state policies with pertussis incidence. JAMA. 2006; 296(14): 1757-1763.
[09] Flanagan-Klygis EA, Sharp L, Frader JE. Dismissing the family who refuses vaccines: a study of pediatrician attitudes. Arch Pediatr Adolesc Med. 2005; 159(10): 929-934.
[10] World Health Organization (WHO). The global vaccine action plan 2011–2020. Geneva: WHO. 2013.
[11] WHO and UNICEF. Oman: WHO and UNICEF estimates of immunization coverage, 2015 revision July 6, 2016; page 14.
[12] World Health Organization (WHO). Global immunization data. Geneva: WHO. 2014; Available July 2014. data.pdf.
[13] World Health Organization (WHO). The global vaccine action plan 2011–2020. Geneva: WHO. 2013.
[14] Moaissi JC, Kabuka J, Mitingi D, Levine OS, Scott JAG. Spatial and socio-demographic predictors of time-to-immunization in a rural area in Kenya: Is equity attainable?. 2010; 28(35): 5725-30.
[15] Mansuri FA, Baig LA. Assessment of immunization service in perspective of both the recipients and the providers: a reflection from focus group discussions. J Ayub Med Coll Abbottabad 2003 Jan-Mar; 15(1): 14-18.
[16] Owais A, Hanif B, Siddiqui AR, Agha A, Zaidi AK. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan. BMC Public Health 2011; 11: 239.
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