Bisvigou Ulrick Jolhy, Ngoungou Edgard Brice, Rogombe Steeve Minto'o, Nzondo Sydney Maghendji, Ibinga Euloge
Département d'Épidémiologie, Biostatistiques et Informatique Médicale, Santé Publique, Médecine du Travail et Médecine Légale, Faculté de Médecine, Université des Sciences de la Santé, Libreville, Gabon.
Unité de Recherche en Épidémiologie des Maladies Chroniques et Santé Environnement, Faculté de Médecine, Université des Sciences de la Santé, Libreville, Gabon.
Pan Afr Med J. 2024 Nov 8;49:71. doi: 10.11604/pamj.2024.49.71.41612. eCollection 2024.
de nombreuses connaissances erronées dans les communautés de Makoukou nécessitent d'être corrigées par le PEV, afin d'intégrer une culture de vaccination.
the root causes of vaccine hesitancy in communities must be determined in order to address them. Analyzing the knowledge, attitudes, and perceptions of parents could help explain the poor performance of the Expanded Program on Immunization (EPI).
a household survey was conducted in the city of Makokou in October 2021. The questionnaire covered five areas of vaccination: access, accessibility, information, acceptance and activation. A descriptive analysis followed by logistic regression was performed to measure the effect of vaccine acceptance.
a total of 486 people, from urban (66%) and rural (34%) areas, were surveyed. Participants ranged in age from 18 to 86 years old, with an average age of 28.5±11.3 years, and a sex ratio of 0.69. The number of dependent children ranged from 0 to 21, with an average of 1.3 children. The majority of respondents (61.9%) were unaware of the EPI; the most recognized disease was tetanus (37%) and the main source of information was family discussion (40.5%). The main issues at vaccination centers were waiting times (51.9%), lack of information (26.7%) and poor reception (20.2%). Nearly half (48%) did not trust government vaccines. Male gender, rural living environment, difficulty in accessing the centers, and lack of information were the main factors associated with vaccine acceptance in Ogooué-Ivindo.
numerous misconceptions in the communities of Makokou need to be corrected by the EPI to foster a culture of vaccination.
马库库社区存在许多错误认知，需要通过扩大免疫规划（EPI）加以纠正，以融入疫苗接种文化。
必须确定社区中疫苗犹豫的根本原因，以便加以解决。分析家长的知识、态度和认知有助于解释扩大免疫规划（EPI）的不佳表现。
2021年10月在马科库市进行了一项家庭调查。问卷涵盖疫苗接种的五个方面：可及性、可达性、信息、接受度和积极性。进行描述性分析，随后进行逻辑回归，以衡量疫苗接受度的影响。
共调查了486人，来自城市（66%）和农村（34%）地区。参与者年龄在18至86岁之间，平均年龄为28.5±11.3岁，性别比为0.69。受抚养子女数量从0至21个不等，平均为1.3个孩子。大多数受访者（61.9%）不了解扩大免疫规划（EPI）；最广为人知的疾病是破伤风（37%），主要信息来源是家庭讨论（40.5%）。疫苗接种中心的主要问题是等待时间（51.9%）、信息不足（26.7%）和接待不佳（20.2%）。近一半（48%）的人不信任政府疫苗。男性、农村居住环境、前往接种中心困难以及信息不足是与奥果韦-伊温多省疫苗接受度相关的主要因素。
马库库社区的许多误解需要通过扩大免疫规划（EPI）加以纠正，以培育疫苗接种文化。
