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评估曼尼普尔东地区麻疹-风疹运动的疫苗接种覆盖率:一项横断面研究。

Evaluation of vaccination coverage of measles-rubella campaign in Imphal East District, Manipur: A cross-sectional study.

机构信息

Associate Professor, Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India.

Assistant Professor, Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India.

出版信息

Indian J Public Health. 2020 Apr-Jun;64(2):173-177. doi: 10.4103/ijph.IJPH_361_19.

Abstract

BACKGROUND

In India, the measles-rubella (MR) vaccination campaign was conducted with the purpose of vaccinating all children of 9 months-15 years of age with a single dose of MR vaccine. However, it encountered various challenges which may hamper with the coverage.

OBJECTIVES

This study was conducted to evaluate the recently conducted MR campaign in Manipur pertaining to its coverage and factors for not vaccinating.

METHODS

The cross-sectional study was conducted in Imphal East district of Manipur during May and June 2018 among 1551 children from two communities. The study tool was adapted from the rapid convenience monitoring tool of the WHO. Descriptive statistics were generated, and multivariable logistic regression analysis was performed with vaccination status as dependent with selected independent variables.

RESULTS

Among the study children, 38% were in the age group of 5-10 years, males constituting 51.3%. Only two-third (68.8%) of the children had received the MR vaccine, coverage among Muslim children was 40.4% only, and 6.5% of the respondents reported some forms of adverse events following immunization. Children from the Meitei community were (odds ratio: 14.35, 95% confidence interval: 10.22-20.16) significantly more likely to receive the MR vaccination as compared to children belonging to the Muslim community (P = 0.001).

CONCLUSION

Vaccination coverage of only 68.8% highlighted the need for increased sensitization and involvement of local and religious leaders in generating necessary awareness for improved coverage of the campaign.

摘要

背景

在印度,开展麻疹-风疹(MR)疫苗接种运动,旨在为所有 9 个月至 15 岁的儿童接种一剂 MR 疫苗。然而,该运动遇到了各种挑战,可能会影响接种覆盖率。

目的

本研究旨在评估印度曼尼普尔邦最近开展的麻疹-风疹疫苗接种运动,评估其覆盖范围以及未接种疫苗的原因。

方法

2018 年 5 月至 6 月,在曼尼普尔邦因帕尔东区对来自两个社区的 1551 名儿童进行了横断面研究。研究工具改编自世界卫生组织的快速便利监测工具。采用描述性统计方法,并对以接种状况为因变量的选择自变量进行多变量逻辑回归分析。

结果

在所研究的儿童中,38%的年龄在 5-10 岁之间,其中男性占 51.3%。只有三分之二(68.8%)的儿童接种了麻疹-风疹疫苗,穆斯林儿童的覆盖率仅为 40.4%,6.5%的受访者报告了接种疫苗后的一些不良反应。与穆斯林社区的儿童相比,Meitei 社区的儿童(比值比:14.35,95%置信区间:10.22-20.16)更有可能接种麻疹-风疹疫苗(P=0.001)。

结论

只有 68.8%的接种覆盖率表明需要加强宣传,并让当地和宗教领袖参与,以提高运动的认识,从而提高覆盖率。

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