Moïsi Jennifer C, Kabuka Jonathan, Mitingi Dorah, Levine Orin S, Scott J Anthony G
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Vaccine. 2010 Aug 9;28(35):5725-30. doi: 10.1016/j.vaccine.2010.06.011. Epub 2010 Jun 27.
We conducted a vaccine coverage survey in Kilifi District, Kenya in order to identify predictors of childhood immunization. We calculated travel time to vaccine clinics and examined its relationship to immunization coverage and timeliness among the 2169 enrolled children (median age: 12.5 months). 86% had vaccine cards available, >95% had received three doses of DTP-HepB-Hib and polio vaccines and 88% of measles. Travel time did not affect vaccination coverage or timeliness. The Kenyan EPI reaches nearly all children in Kilifi and delays in vaccination are few, suggesting that vaccines will have maximal impact on child morbidity and mortality.
我们在肯尼亚基利菲区开展了一项疫苗接种覆盖率调查，以确定儿童免疫接种的预测因素。我们计算了前往疫苗接种诊所的出行时间，并研究了其与2169名登记儿童（中位年龄：12.5个月）的免疫接种覆盖率和及时性之间的关系。86%的儿童有疫苗接种卡，超过95%的儿童接种了三剂白喉、破伤风、百日咳、乙型肝炎和b型流感嗜血杆菌联合疫苗以及脊髓灰质炎疫苗，麻疹疫苗接种率为88%。出行时间并未影响疫苗接种覆盖率或及时性。肯尼亚扩大免疫规划几乎覆盖了基利菲的所有儿童，疫苗接种延迟情况很少，这表明疫苗将对儿童发病率和死亡率产生最大影响。
