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Measuring COVID-19 vaccination coverage: an enhanced age-adjusted two-step foating catchment area model

Infectious Diseases of Poverty 2021年第5期10卷 84-84页

作者： Alireza Mohammadi Abolfazl Mollalo Robert Bergquist Behzad Kiani 不详 Department of Medical Informatics School of MedicineMashhad University of Medical SciencesMashhadIran

Background:There are only limited studies on access to COVID-19 vaccines and identifying the most appropriate health centres for performing vaccination in metropolitan *** study aimed to measure potential spatial access to COVID-19 vaccination centres in Mashhad,the second-most populous city in ***:The 2021 age structure of the urban census tracts was integrated into the enhanced two-step foating catchment area model to improve *** model was developed based on three diferent access scenarios:only public hospitals,only public healthcare centres and both(either hospitals or healthcare centres)as potential vaccination *** weighted decision-matrix and analytic hierarchy process,based on four criteria(*** area,accessibility index,capacity of vaccination centres and distance to main roads),were used to choose potential vaccination centres looking for the highest suitability for *** Moran’s index(GMI)was used to measure the spatial autocorrelation of the accessibility index in diferent scenarios and the proposed ***:There were 26 public hospitals and 271 public healthcare centres in the study *** the exclusive use of public healthcare centres for vaccination can provide the highest accessibility in the eastern and north-eastern parts of the study area,our fndings indicate that including both public hospitals and public healthcare centres provide high accessibility to vaccination in central urban ***,a combination of public hospitals and public healthcare centres is recommended for efcient vaccination *** value of GMI for the proposed model(accessibility to selected vaccination centres)was calculated as 0.53(Z=162.42,Pvaccination ***:The periphery and poor areas of the city had the least access to COVID-19 vaccination *** spatia

关键词： COVID-19 Spatial accessibility Spatial inequality Two-step foating catchment area vaccination coverage Iran

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Assessment of the vaccination Status of Children Aged 6 to 30 Months in a Tertiary Level Health Care Center in Côte d’Ivoire

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Open Journal of Pediatrics 2024年第3期14卷 536-546页

作者： Yenan John Patrick Kpangni Jean Bertrand Yao Kouassi Christian Yeboua Yao Kossonou Roland Aka-Tanoh Koko Aude Hélène Avi-Siallou Christelle Honorine Asse Kouadio Vincent Department of Pediatrics University Teaching Hospital of Bouake Bouake Ivory Coast Unit Pediatric Surgery University Teaching Hospital of Bouake Bouake Ivory Coast

Introduction: vaccination coverage in Côte d’Ivoire over the period 2011 to 2015 was below the target of 95% for all antigens. The objective of this study was to analyze the vaccination status of children aged 6 to 30 months with a view to improving vaccination coverage. Patients and Methods: This was a descriptive cross-sectional study which took place from June to September 2018 in a tertiary health center, focusing on children aged 6 to 30 months with a correctly completed health record. The parameters studied were sex, age, educational level of mothers, dates of vaccine administration and reason for missed vaccination opportunities. Results: We retained 212 children. The sex ratio was 1.21 and 93% had received the BCG vaccine before the age of 1 month. The average ages of combined and co-administered vaccines for the 1st and 2nd doses were 7.66 ± 3.81 and 12.88 ± 3.95 weeks, respectively. The median was 16.57 weeks for the 3rd dose. The proportion of vaccinated subjects was greater than 90% for the BCG vaccine and the 3 doses of combined vaccines, and 77% for the yellow fever and measles vaccines. The reasons for non-vaccination were attributable to the children’s parents and health facilities. Conclusion: Improving vaccination coverage requires regular supply of vaccines to centers, and the involvement of all health professionals, community and religious leaders in the vaccination awareness process.

关键词： Children vaccination coverage Missed Opportunities

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Prevalence and factors associated with pentavalent vaccination:a cross-sectional study in Southern China

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Infectious Diseases of Poverty 2023年第5期12卷 32-44页

作者： Jianing Xu Yujie Cui Chuican Huang Yuanyuan Dong Yunting Zhang Lichun Fan Guohong Li Fan Jiang School of Public Health Shanghai Jiao Tong University School of Medicine227 South Chong Qing RoadShanghai 200025China China Hospital Development Institute Shanghai Jiao Tong UniversityShanghaiChina Department of Child Health Care Hainan Women and Children’s Medical CenterHaikouChina Child Health Advocacy Institute National Children’s Medical CenterShanghai Children’s Medical CenterSchool of MedicineShanghai Jiao Tong UniversityShanghaiChina Department of Developmental and Behavioral Pediatrics National Children’s Medical CenterShanghai Children’s Medical CenterSchool of MedicineShanghai Jiao Tong University227 South Chong Qing RoadShanghai 200025China Pediatric Translational Medicine Institute National Children’s Medical CenterShanghai Children’s Medical CenterSchool of MedicineShanghai Jiao Tong UniversityShanghaiChina Shanghai Center for Brain Science and Brain-Inspired Technology ShanghaiChina

Background Immunization is one of the most far-reaching and cost-effective strategies for promoting good health and saving lives.A complex immunization schedule,however,may be burdensome to parents and lead to reduced vaccine compliance and ***,it is critical to develop combination vaccines to reduce the number of injections and simplify the immunization *** study aimed to investigate the current status of the pentavalent diphtheria-tetanus-acellular pertussis inactivated poliomyelitis andHaemophilus influenzae type B conjugate(DTaP-IPV/Hib)vaccination in Southern China as well as explore the factors in the general population associated with uptake and the differences between urban and rural *** A cross-sectional study was conducted with recently enrolled kindergarten students in Hainan Province between December 2022 and January *** study employed a stratified multistage cluster random sampling *** regarding the demographic characteristics and factors that influence decisions were collected from the caregivers of children via an online *** logistic regression was used to determine the factors associated with the status of DTap-IPV/Hib *** Of the 4818 valid responses,95.3%of children were aged 3-4 years,and 2856(59.3%)held *** rates of the DTaP-IPV/Hib vaccine,from 1 to 4 doses,were 24.4%,20.7%,18.5%,and 16.0%,*** who are concerned about vaccine efficacy[adjusted odds ratio(aOR)=1.53,95%confidence interval(CI):1.30-1.79],the manufacturer(aOR=2.05,95%CI:1.69-2.49),and a simple immunization schedule(aOR=1.26,95%CI:1.04-1.54)are factors associated with a higher likelihood of vaccinating children against DTaP-IPV/*** addition,caregivers in urban areas showed more concern about the vaccine price(P=0.010)and immunization schedule(P=0.022)in regard to vaccinating *** The DTaP-IPV/Hib vaccine coverage rate in Hainan Provinc

关键词： Early child development Pentavalent Diphtheria-tetanus-acellular pertussis inactivated poliomyelitis and Haemophilus influenzae type B vaccine vaccination coverage Influencing factor China

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Inequity in the global distribution of monkeypox vaccines

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World Journal of Clinical Cases 2023年第19期11卷 4498-4503页

作者： Marcos Roberto Tovani-Palone Neel Doshi Paolo Pedersini Department of Research Analytics Saveetha Dental College and HospitalsSaveetha Institute of Medical and Technical SciencesChennai 600077India Department of Medicine Pravara Institute of Medical SciencesAhmednagar 413736India IRCCS Fondazione Don Carlo Gnocchi Milan 20148Italy

Monkeypox(mpox)has been a public health emergency of international concern that emerged in mid-2022 and has spread to 110 *** clinical findings of the disease vary according to the seriousness of the *** its case fatality risk has not been high,a significant percentage of patients require *** this context,local initiatives were taken to extend the limited supply of vaccines against the disease;however,such measures have not been sufficient to contain the spread of cases and ensure an equitable distribution of health *** a result,endemic regions of low-income countries continue to have insufficient access to mpox *** this and considering the global scope of the disease,there is still little discussion in the literature about the difficulties in achieving adequate vaccination coverage rates for the target population of *** this article,we briefly discussed general aspects of the disease,including its surveillance,the current global context of challenges for mpox vaccination,and issues on global allocation of health resources as well as proposed related recommendations.

关键词： Monkeypox Smallpox vaccine Health inequities vaccination coverage vaccination hesitancy Healthcare financing

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Factors Influencing Routine vaccination of Children of Mothers Live-Stock Retailers in the Markets of Yaoundé

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World Journal of Vaccines 2016年第2期6卷 23-33页

作者： Nguefack Dongmo Félicitée Tassadong Christiane Dongmo Roger Tatah Sandra Fodoung Wamba Danny Stève Chiabi Andreas Kago Innocent Kobela Marie Faculty of Medicine and Biomedical Sciences University of Yaoundé Yaoundé Cameroon Gynaeco-Obstetric and Pediatric Hospital of Yaoundé Yaoundé Cameroon Higher Institute for Health Sciences University of the Mountains Bangangté Cameroon District Hospital of Efoulan Yaoundé Cameroon Faculty of Health Sciences University of Bameda Bambili Cameroon

Background: The job of mothers though having a positive impact on the family could be detrimental to children’s health due to her unavailability. Methodology: A cross-sectional study was carried out from March to August 2014. Mothers of children aged 11 - 48 months were interviewed to determine factors which could influence the vaccination of their children. Results: A total of 265 mothers were interviewed. Despite their occupations, they completely vaccinated all of their children. The vaccination coverage of tracer antigens (third dose of DPT/HiB/HepB) was high 97.7% as well as the proportion of children completely vaccinated (91.7%). A mastery of the vaccination calendar of the site, and resumption of activities when the children were more than 4 months old, significantly influenced the completion of vaccination. Only 6 children (2.3%) were not correctly or incompletely vaccinated. The reason given by their mothers were: the lack of time (45.0%), the adverse effects of vaccines (27.0%), forgetfulness (18%), and shortage of vaccines supplies (5.0%). Conclusions: Occupation was not a hindrance to the vaccination of children of live-stock retailers. The problem of absent or incomplete vaccination could be overcome by improving the strategies of social mobilisation, permitting the sensitisation of mothers hesitant to vaccinate their children. A regular supply of vaccines will reduce the missed opportunities, thus maintaining high vaccination coverage in this social group.

关键词： vaccination coverage Factors Complete Occupation Mothers Children

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Impact of Hepatits B vaccination as an Important Indicator for Immunization Program in Albania

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Journal of Life Sciences 2014年第2期8卷 115-119页

作者： Erida Nelaj Mirela Lika Silva Bino Department of Epidemiology and Control of Infectious Disease Institute of Public Health Tirana 1007 Albania Department of Biology Faculty of Natural Sciences Tirana University Tirana 1016 Albania

Albania has been a country with a high prevalence of hepatitis B virus. Hepatitis B vaccine has been introduced nationwide in Albanian Immunization Program in 1994. Hepatitis B is given at birth, as a separate antigen, followed by three doses at 2, 4 and 6 months, where Hepatitis B, starting from 2009, is part of pentavalent vaccine of DTP-HepB-Hib. The aim of this study was to evaluate Immunization Program with Hepatitis B vaccination in order to prove program efficacy, increase public confidence in immunizations and advocate for sustainable immunization programs. Methodology was based on three components such as Immunization coverage surveys, serologic surveys and surveillance for acute cases of Hepatitis B. Results of this study showed that vaccination coverage is really high, more than 95% all over the country and with drop-out rates less than 10%. Anti-HBs levels in immunized children were very high in comparison with unimmunized ones. Incidence of HBV in children 0-14 years old is almost zero. Such results tell us that Hepatitis B vaccination is one of the most fruitful strategies for long term control of Hepatitis B disease.

关键词： Hepatitis B immunization vaccination coverage Anti-HBs HBV incidence.

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Impact of hepatitis B vaccination among children in Guangdong Province,China

Impact of hepatitis B vaccination among children in Guangdon...

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作者：肖建鹏 Jikai Zhang Chenggang Wu Xiaoping Shao Guowen Peng Zhiqiang Peng Wenjun Ma Yonghui Zhang Huizhen Zheng Guangdong Provincial Center for Disease Control and Prevention

Objective:To evaluate the impact of the universal infant hepatitis B vaccination program on hepatitis B virus(HBV) infection in Guangdong ***:In 2006,a serosurvey was conducted in Guangdong Province among children aged vaccination history were collected by a questionnaire and a review of the vaccination records,and serum specimens were tested for hepatitis B surface antigen(HBsAg),antibody to hepatitis B core antigen(anti-HBc),and antibody to hepatitis B surface antigen(anti-HBs) by EL1 *** prevalence rate of HBV serological markers and the rate of immunization coverage in this survey were compared with those of the 1992 and2002 ***:A total of 1967 children aged coverage of hepatitis B vaccine were 92.40%and 70.84%,respectively,among children born during the period *** prevalence of HBsAg was significantly lower among fully immunized children(1.99%) than among unvaccinated children(5.56%).Condusions:Guangdong Province has successfully integrated the hepatitis B vaccine into routine immunization programs and this has had a very significant impact on decreasing the HBsAg carrier rate among children.

关键词： Prevalence Hepatitis B vaccination vaccination coverage

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