Chiabi Andreas, Nguefack Félicitée D, Njapndounke Florine, Kobela Marie, Kenfack Kelly, Nguefack Séraphin, Mah Evelyn, Nguefack-Tsague Georges, Angwafo Fru
Yaounde Gynaeco-Obstetric and Pediatric Hospital, Yaounde, Cameroon.
Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
BMC Pediatr. 2017 Dec 19;17(1):206. doi: 10.1186/s12887-017-0954-1.
Vaccination is a major, but simple and cost effective public health intervention in the prevention of infectious diseases, especially in children. Nowadays, many children still miss scheduled vaccines in the Extended Program of Immunization (EPI) or are being vaccinated after the recommended ages.This study was aimed at assessing vaccination completeness and timeliness in children aged 0 to 11 months attending the vaccination clinic of the Yaounde Gynaeco-Obstetric and Pediatric Hospital.
This was an observational cross-sectional study over a period of 3 months (1st February to 30th April 2016). 400 mothers were interviewed and their children's vaccination booklets analyzed. Information on the children and the parents was collected using a pretested questionnaire. Data analysis was done using SPSS version 20 software. Bivariate and multivariate analysis with logistic regression was done to assess the determinants of completeness and timeliness.
A total of 400 mother-infant pairs were sampled. The vaccination completeness rate was 96.3%. This rate varied between 99.50% for BCG and 94.36% for IPV. Most of the children were born at the Yaounde Gynaeco-Obstetric and Pediatric hospital where they were regularly receiving their vaccines. The proportion of correctly vaccinated infants was 73.3%. The most differed vaccines were BCG, PCV13 and IPV. Factors influencing immunization completeness were the father's profession and the mother's level of education.
Despite the high immunization coverage, some children did not complete their EPI vaccines and many of them took at least one vaccine after the recommended age.
疫苗接种是预防传染病的一项重要但简单且具有成本效益的公共卫生干预措施，对儿童尤为如此。如今，许多儿童仍未接种扩大免疫规划（EPI）中的计划疫苗，或在推荐年龄之后才接种疫苗。本研究旨在评估在雅温得妇产科和儿科医院接种门诊就诊的0至11个月儿童的疫苗接种完整性和及时性。
这是一项为期3个月（2016年2月1日至4月30日）的观察性横断面研究。对400名母亲进行了访谈，并分析了她们孩子的疫苗接种手册。使用经过预测试的问卷收集有关儿童及其父母的信息。使用SPSS 20版软件进行数据分析。采用逻辑回归进行双变量和多变量分析，以评估完整性和及时性的决定因素。
共抽取了400对母婴样本。疫苗接种完成率为96.3%。该比率在卡介苗的99.50%和脊髓灰质炎灭活疫苗的94.36%之间有所不同。大多数儿童在雅温得妇产科和儿科医院出生，他们在那里定期接种疫苗。正确接种疫苗的婴儿比例为73.3%。差异最大的疫苗是卡介苗、13价肺炎球菌结合疫苗和脊髓灰质炎灭活疫苗。影响免疫接种完整性的因素是父亲的职业和母亲的教育水平。
尽管免疫接种覆盖率很高，但一些儿童未完成其EPI疫苗接种，其中许多儿童在推荐年龄之后至少接种了一种疫苗。
