Díaz-Ortega José Luis, Cruz-Hervert Luis Pablo, Ferreira-Guerrero Elizabeth, Ferreyra-Reyes Leticia D, Delgado-Sánchez Guadalupe, de Lourdes García-García María
Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
Salud Publica Mex. 2018 May-Jun;60(3):338-346. doi: 10.21149/8812.
To assess vaccination coverage in children under seven years of age.
Study based on the Halfway National Health and Nutrition Survey (Ensanut MC 2016).
Full vaccination coverage in children <1 year was 51.7%, (range: 67.6% [pentavalent (PV)] to 93.9% [BCG]), in those aged 12-23 months was 53.9% (range: 68.5% [MMR] to 98.3% [BCG]) and in those 24-35 months was 63.2% (range: 85.3% [pneumococcal]) to 98.6% [BCG]). In children aged six years, the coverage of 1 MMR dose was 97.8% and 50.7% for two doses. Only 2.2% of six year olds were not vaccinated. Variables associated with incomplete schedule were age of 2-5 months, mother being under 20 years of age or maternal language indigenous.
The vaccination program needs to improve recruitment of newborns and their follow-up until they complete their immunization schedule, taking advantage of the local contacts with health services to vaccinate them.
评估7岁以下儿童的疫苗接种覆盖率。
基于全国中途健康与营养调查(Ensanut MC 2016)开展研究。
1岁以下儿童的全程疫苗接种覆盖率为51.7%(范围:五价疫苗(PV)为67.6%至卡介苗(BCG)为93.9%),12至23个月龄儿童为53.9%(范围:麻疹、腮腺炎、风疹联合疫苗(MMR)为68.5%至卡介苗为98.3%),24至35个月龄儿童为63.2%(范围:肺炎球菌疫苗为85.3%至卡介苗为98.6%)。在6岁儿童中,1剂MMR疫苗的接种覆盖率为97.8%,2剂的接种覆盖率为50.7%。只有2.2%的6岁儿童未接种疫苗。与接种程序不完整相关的变量包括2至5个月龄、母亲年龄在20岁以下或母语为本地语言。
疫苗接种计划需要改善新生儿的招募及其后续跟踪,直至他们完成免疫接种程序,利用与卫生服务机构的本地联系为他们接种疫苗。