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Non-Part.cipat.on in Child Healt. Days or Rout.ne Immunizat.on Services among Children under 5 Years of Age—Somaliland 2012

引用

World Journal of Vaccines 2014年第1期4卷 11-17页

作者： Charles Kinut.ia Marie t.erese Baranyikwa Khadar M. Ahmed Awil Haji Ali assegid t. kebede John Agbor David W. Brown Consult.nt.t. t.e UNICEF Somalia Support.Cent.r Nairobi Kenya Somaliland Minist.y of Healt. Hargeisa Somaliland UNICEF Somalia Support.Cent.r Nairobi UNICEF Somalia Support.Cent.r Nairobi Kenya UNICEF Hargeisa Somaliland UNICEF New York USA WHO Somalia Nairobi Kenya

Background: Aft.r t.o decades of conflict. Somalia remains a fragile st.t. where large scale displacement.and inadequat. access t. funct.oning healt. services have left.children vulnerable t. morbidit. and mort.lit. from vaccine prevent.ble disease. Children residing in t.e aut.nomous zone of Somaliland are similarly vulnerable t. poor access t. healt. care services. Following t.e conduct.of a UNICEF-support.d Mult.ple Indicat.r Clust.r Survey in Somaliland during 2011 which capt.red informat.on on immunizat.on syst.m performance, a survey was conduct.d t. bet.er underst.nd t.e reasons for non-vaccinat.on among children in Somaliland. Met.ods: t.e Somaliland Rout.ne Immunizat.on Non-Part.cipat.on Survey (RINPS) was conduct.d in November 2012 t. bet.er underst.nd t.e reasons for non-part.cipat.on in bot. Child Healt. Days (CHDs) and Rout.ne Immunizat.on Services (RIS). RINPS was a cross-sect.onal household survey which used a t.o-st.ge sample design in order t. obt.in a represent.t.ve sample of children 0 - 59 mont.s of age residing in Somaliland. t.irt. clust.rs were randomly select.d from t.e 303 clust.rs for part.cipat.on in t.e 2011 Somaliland MICS. A t.t.l of 867 children aged 0 - 59 mont.s were ident.fied and included in t.e analysis (overall response rat., 96%). Findings: Caregivers lacked mot.vat.on t. t.ke t.eir children t. CHDs and for RIS and lacked informat.on about.why children need immunizat.on. Rout.ne vaccinat.on or CHD cards were available for few children at.t.e t.me of t.e survey. Almost.one-fift. of children aged 0 - 59 mont.s in Somaliland had not.received at.least.one dose of vaccine for Dt., polio or measles vaccine from eit.er CHD or RIS. Conclusion: Child Healt. Days have a role in at.least.some area of Somaliland t. expand t.e reach of immunizat.on services. t.e availabilit. and delivery of sust.inable rout.ne immunizat.on services need t. be st.engt.ened in Somaliland wit. a st.ong social mobilizat.on program t. raise awareness about.t.e im

关键词： Immunizat.on Rout.ne Immunizat.on Child Healt. Day Survey Somaliland

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