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巴布亚新几内亚农村父母对 0-11 月龄儿童疫苗接种知识及接种率的调查分析——基于基督教卫生服务机构提供的数据

Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea - analysis of data provided by Christian health services.

机构信息

Health Promotion Department, Poznan University of Medical Sciences, Fredry 10, 61-701, Poznan, Poland.

Faculty of Medicine and Health Sciences, Divine Word University, Madang, Papua New Guinea.

出版信息

BMC Infect Dis. 2021 Jan 30;21(1):130. doi: 10.1186/s12879-021-05824-2.

Abstract

UNLABELLED

Knowledge among the rural parents about the vaccinations and vaccination coverage of children in the first year of life in Papua New Guinea - analysis of data provided by Christian Health Services.

BACKGROUND

This analysis aimed to assess rural parents' knowledge about the diseases prevented by vaccinations and establish vaccination coverage in PNG.

METHODS

Knowledge of vaccinations was checked through a standard questionnaire (five closed questions). We analyzed data on vaccination coverage from 2016 to 2018 from all Catholic health facilities. Analyzed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life. Coverage was calculated based on the number of vaccines used compared to the number of eligible children. Analyzed vaccinations were the pentavalent vaccine (DTaP-HiB-HepB) and measles vaccine given in the first year of life.

RESULTS

Fifty-six parents, including 52 mothers and four fathers, participated in the interview. Many parents (46%) understood that the vaccine prevents diseases. During the analyzed period, 25,502 doses of measles vaccine were given, 31,428 children were vaccinated with the pentavalent vaccine. In 2016, the measles vaccine coverage rate was 26.6 and 33.4% for the pentavalent vaccine. In 2017, measles and pentavalent vaccines' coverage rate was 12.5 and 16.6%, respectively. There were significant differences in immunization coverage between provinces. A decreasing trend in the number of administered vaccinations was observed.

CONCLUSION

The results of this analysis demonstrate that in PNG, the majority of children are not fully immunized. There are significant differences in the vaccination coverage between provinces. As protection from diseases is low, there is a very high risk of an outbreak of the vaccine-preventable disease in the community. Delivery of vaccinations in PNG encounters many barriers, from access to healthcare services to natural disasters and inter-tribial conflicts.

摘要

未加标签

巴布亚新几内亚农村父母对儿童一岁内疫苗接种和接种率的认知 - 基督教健康服务数据分析。

背景

本分析旨在评估农村父母对疫苗可预防疾病的认知,并确定巴布亚新几内亚的疫苗接种率。

方法

通过标准问卷(五个封闭式问题)检查疫苗接种知识。我们分析了 2016 年至 2018 年所有天主教卫生机构的数据,了解接种率。分析的疫苗包括一岁内接种的五联疫苗(DTaP-HiB-HepB)和麻疹疫苗。根据使用的疫苗数量与合格儿童数量的比例计算覆盖率。分析的疫苗包括一岁内接种的五联疫苗(DTaP-HiB-HepB)和麻疹疫苗。

结果

56 名父母(包括 52 名母亲和 4 名父亲)参加了访谈。许多父母(46%)知道疫苗可以预防疾病。在所分析的期间,共接种了 25502 剂麻疹疫苗,31428 名儿童接种了五联疫苗。2016 年,麻疹疫苗覆盖率为 26.6%,五联疫苗覆盖率为 33.4%。2017 年,麻疹和五联疫苗的覆盖率分别为 12.5%和 16.6%。各省之间的免疫接种覆盖率存在显著差异。接种疫苗数量呈下降趋势。

结论

本分析结果表明,在巴布亚新几内亚,大多数儿童没有完全接种疫苗。各省之间的疫苗接种率存在显著差异。由于疾病的保护率较低,社区爆发疫苗可预防疾病的风险非常高。巴布亚新几内亚的疫苗接种工作面临许多障碍,包括获得医疗保健服务、自然灾害和部落间冲突。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c940/7847142/bf17c8e56bba/12879_2021_5824_Fig1_HTML.jpg

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