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Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study

机译:儿童疫苗接种的及时性及其在比哈尔的决定性因素:基于社区的研究

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The effectiveness of immunisation depends on its timely administration. With delay, the duration of susceptibility of child and chances of disease outbreak is increased. In developing countries, it is further aggravated by poor socio-economic status and inadequate health care facility. No data for timeliness of vaccination available of Bihar.Aim: To study the timeliness of vaccination, drop-out rates and the association of timeliness of vaccination with demographic characteristics of household.Materials and Methods: A cross-sectional study was conducted in the month of January and February, 2019, on 12-23 months old children in 59 low-performing blocks of Bihar. Cluster-random sampling was done for selection of villages and house order was calculated for selection of children. Data collection was done using mobile-based application. Timeliness and median age at vaccination was calculated and association was calculated using chi-square.Results: Although, vaccination coverage was high, only 20% were vaccinated timely. Timely vaccination was maximum for Bacillus-Calmette Guerin (BCG); 75% and Measles Containing Vaccine (MCV); 86% and low for first dose of Penta (35%). Timely vaccination was associated with male gender, urban setting, birth at health care facility and low birth order. The study reports 5.8% drop-out rate for BCG-MCV series.Conclusion: Along with vaccination coverage, its timeliness should also be improved. Strengthening of health care facility must be ensured to improve timeliness.
机译:免疫的有效性取决于其及时给药。随着延迟,增加了儿童易感性的持续时间和疾病爆发的机会。在发展中国家,由于社会经济地位差和医疗保健设施不足,进一步加剧。没有用于疫苗接种的时间性的数据。目的:研究疫苗接种,爆裂率和疫苗接种的及时性与家庭人口统计特征的及时性的性质。材料和方法:横截面研究在2019年1月和2月,12-23个月的59个低性能的比哈尔群中进行了研究。为选择村庄和房屋命令进行了群集随机抽样进行了计算,以便选择儿童。数据收集是使用基于移动的应用程序完成的。计算疫苗接种时的及时性和中位年龄,使用Chi-Square计算关联。结果:虽然疫苗接种覆盖率高,但仅接种20%的疫苗。芽孢杆菌 - 钙化突(BCG)最大限度地疫苗接种; 75%和含有疫苗的麻疹(MCV);第一次Penta(35%)的86%和低。及时疫苗接种与男性性别,城市环境,医疗保健设施出生和低出生令相关。该研究报告了BCG-MCV系列的5.8%辍学率。结论:随着疫苗接种覆盖率,其及时性也应得到改善。必须确保加强医疗保健设施,以改善及时性。

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