Touré Abdoulaye, Camara Ibrahima, Camara Alioune, Sylla Mariama, Sow Mamadou S, Keita Alpha K
Chaire de Sante Publique, Département des Sciences Pharmaceutiques, Université Gamal Abdel Nasser, Conakry, Guinea.
Centre de Recherche et de Formation en Infectiologie de Guinée (CERFIG), Université Gamal Abdel Nasser, Conakry, Guinea.
S Afr J Infect Dis. 2021 Aug 26;36(1):261. doi: 10.4102/sajid.v36i1.261. eCollection 2021.
The Expanded Program on Immunisation has made it possible to prevent more than 3 million deaths in children under 5 years. The objectives of this study were to estimate the vaccination coverage of children from 0 to 59 months and identify factors associated with incomplete vaccination coverage.
A cross-sectional study was carried out in a dispensary in Conakry, Guinea between January and February 2020. Sociodemographic and vaccination information was collected from mothers of 380 randomly select children aged 0 to 59 months. Information on immunisation coverage was gathered from records vaccination cards and maternal reports. Logistic regression was used to identify factors independently associated with incomplete immunisation coverage.
Most (66.5%) children aged < 12 months were up-to-date with their vaccinations. Factors associated with incomplete vaccination in this age group included: unavailability of vaccination cards (adjusted odds ratio [aOR] 7.58; 95% confidence interval [CI]: 2.56-22.44) and lack of prenatal consultation attendance (aOR 2.93; 95% CI: 1.15-7.48). In contrast only 19.8% (95% CI: 13.9-26.7) of children aged 12-59 months were fully immunised. Factors associated with incomplete vaccination coverage in children aged 12-59 months included high birth order (aOR 10.23; 95% CI: 2.06-19.43), and lack of prenatal consultation attendance (aOR 5.34; 95% CI: 1.48-19.23).
Child immunisation coverage is low in Guinea. These results highlight the need to develop strategies based on an integrated approach to overcome obstacles to childhood immunisation in Guinea.
扩大免疫规划已使5岁以下儿童死亡人数减少300多万。本研究的目的是估计0至59个月儿童的疫苗接种覆盖率，并确定与疫苗接种覆盖率不完整相关的因素。
2020年1月至2月在几内亚科纳克里的一家诊疗所开展了一项横断面研究。从380名随机抽取的0至59个月儿童的母亲那里收集社会人口学和疫苗接种信息。从疫苗接种卡记录和母亲报告中收集免疫接种覆盖率信息。采用逻辑回归确定与免疫接种覆盖率不完整独立相关的因素。
大多数（66.5%）12个月以下儿童的疫苗接种是及时的。该年龄组与疫苗接种不完整相关的因素包括：没有疫苗接种卡（调整优势比[aOR]7.58；95%置信区间[CI]：2.56 - 22.44）以及未参加产前咨询（aOR 2.93；95% CI：1.15 - 7.48）。相比之下，12至59个月儿童中只有19.8%（95% CI：13.9 - 26.7）完全免疫。12至59个月儿童疫苗接种覆盖率不完整相关的因素包括出生顺序高（aOR 10.23；95% CI：2.06 - 19.43）以及未参加产前咨询（aOR 5.34；95% CI：1.48 - 19.23）。
几内亚儿童免疫接种覆盖率较低。这些结果凸显了制定基于综合方法的策略以克服几内亚儿童免疫接种障碍的必要性。
