Hussan Jehan, Gul Laiba, Ali Mehran, Ali Afroz, Khattak Nimra, Ali Laiba, Ambreen Abida, Khan Muhammad, Khan Muhammad Baryal, Wasim Cyrus, Ullah Rafi
Community Medicine, Khyber Medical College, Peshawar, Pakistan.
Khyber Medical College, Peshawar, Pakistan
BMJ Open. 2025 Apr 7;15(4):e094667. doi: 10.1136/bmjopen-2024-094667.
The study was conducted to determine the immunisation status of children under 2 years of age, assess the determinants of non-immunisation and evaluate the association between immunisation status and various sociodemographic factors.
A cross-sectional questionnaire-based study was conducted at the outpatient department of Khyber Teaching Hospital, Peshawar, over a period of 4 months. A convenience sampling technique was used and the sample size was calculated using the WHO sample size formula, resulting in n=363. A semistructured questionnaire was used to measure the primary outcome, which was the immunisation status of children under 2 years of age. Immunisation data were verified through vaccination cards to ensure accuracy and minimise recall bias. The questionnaire also collected information on sociodemographic factors, including maternal education, place of residence and household income. Statistical analysis was done at the end of the study using SPSS (V.25).
According to the vaccination card, it was found that 43.3% of the children were fully immunised, 32.5% of the children were partially immunised and the percentage of unimmunised children was 24.2.
We found that the immunisation status of children was not satisfactory. Sustained efforts are required to achieve universal coverage of immunisation. Significant interventions are required, especially in areas that are more rural and less educated.
开展本研究以确定2岁以下儿童的免疫状况,评估未接种疫苗的决定因素,并评估免疫状况与各种社会人口学因素之间的关联。
在白沙瓦开伯尔教学医院门诊部进行了一项为期4个月的基于问卷调查的横断面研究。采用便利抽样技术,并使用世界卫生组织样本量公式计算样本量,得出n = 363。使用半结构化问卷来衡量主要结果,即2岁以下儿童的免疫状况。通过疫苗接种卡核实免疫数据,以确保准确性并尽量减少回忆偏倚。问卷还收集了包括母亲教育程度、居住地点和家庭收入在内的社会人口学因素信息。研究结束时使用SPSS(第25版)进行统计分析。
根据疫苗接种卡,发现43.3%的儿童已完全接种疫苗,32.5%的儿童部分接种疫苗,未接种疫苗的儿童比例为24.2%。
我们发现儿童的免疫状况并不理想。需要持续努力以实现免疫接种的普遍覆盖。需要采取重大干预措施,特别是在农村地区和受教育程度较低的地区。