Sante Publique. 2021 Oct 28;Vol. 33(3):435-443. doi: 10.3917/spub.213.0435.
Despite several initiatives by the Moroccan health ministry to protect migrants' rights to health services, the vaccination of migrant children remains a public health issue.
The objective of this study was to measure the vaccination coverage and identify the factors associated with the non-completion of vaccination of sub-Saharan migrant children under 5 years of age in the city of Casablanca.
Based on an analytical cross-sectional study, snow-ball sampling was conducted and a questionnaire was given to sub-Saharan migrant mothers of children under 5. The results of the descriptive analyses and the Chi test led to the elaboration of a predictive model through a multivariate logistic regression. The information collected included socio-demographic characteristics, factors linked to accessibility to vaccination services, the mothers' knowledge and perception of vaccination.
Approximately 57% of sub-Saharan migrant children under 5 were incompletely or non-vaccinated. The factors significantly associated with vaccination status after the multivariate analysis were the mothers' educational levels (4.895 [1.907-12.562]), professional status (0.411 |0.206-0.821]), knowledge about the advantage of vaccination (0.035 [0.004-0.309]), the vaccination calendar (6.854 [3.172-14.813]), the waiting period (0.115 [0.051-0.261]), administrative barriers (7.572 |2.004-28.617]) and psychological barriers (0.086 [0.043-0.170]).
The vaccination status of migrant children under 5 years of age in the city of Casablanca remains a public health issue and requires better healthcare coverage in order to improve the vaccination situation in this vulnerable population.
尽管摩洛哥卫生部采取了多项举措来保护移民获得医疗服务的权利，但移民儿童的疫苗接种仍然是一个公共卫生问题。
本研究的目的是测量疫苗接种覆盖率，并确定与卡萨布兰卡市5岁以下撒哈拉以南移民儿童未完成疫苗接种相关的因素。
基于一项分析性横断面研究，采用滚雪球抽样法，并向5岁以下儿童的撒哈拉以南移民母亲发放问卷。描述性分析和卡方检验的结果通过多变量逻辑回归得出了一个预测模型。收集的信息包括社会人口学特征、与疫苗接种服务可及性相关的因素、母亲对疫苗接种的知识和认知。
约57%的5岁以下撒哈拉以南移民儿童未完全接种或未接种疫苗。多变量分析后与疫苗接种状况显著相关的因素有母亲的教育水平（4.895 [1.907 - 12.562]）、职业状况（0.411 [0.206 - 0.821]）、对疫苗接种优势的了解（0.035 [0.004 - 0.309]）、疫苗接种时间表（6.854 [3.172 - 14.813]）、等待时间（0.115 [0.051 - 0.261]）、行政障碍（7.572 [2.004 - 28.617]）和心理障碍（0.086 [0.043 - 0.170]）。
卡萨布兰卡市5岁以下移民儿童的疫苗接种状况仍然是一个公共卫生问题，需要更好的医疗覆盖，以改善这一弱势群体的疫苗接种情况。
