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Article
Proportion and Determinants of Incomplete Vaccination among Children Aged Less than Two Years in Baghdad City

Authors: ,Faris Al-Lami --- Loai S. Fadil
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 2 Pages: 169-173
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Immunization is the most important public health advance of the 20th century and the most cost-effective and a life-saving intervention. The public health initiative is to get 90% of the nation's children adequately immunized before their third birthday. OBJECTIVE: To determine the proportion and determinants of incomplete vaccination among a sample of children aged less than two years in Baghdad city. Design: A cross sectional study. Setting: A random sample of 11 Primary Health Care Centers in Baghdad city. Data Collection time: Feb/1st-May/31st / 2008 SUBJECTS AND METHODS: A systematic random sample of 562 children aged less than two years, living in Baghdad city, and attended the selected Primary Health Care Centers for various health complaints apart from immunization. Vaccination status of children was verified for their age and according to the national Expanded Program of Immunization. RESULTS: The proportion of incomplete vaccination was18.8%; 0.5% were completely non-vaccinated. The proportion of incomplete vaccination increased with increasing age (P=0.000). Males showed higher proportion of incomplete vaccination (24.1%) than females (14.2%) (P =0.003). The major proportion of incomplete vaccination was among children of illiterate mothers (43%) (P =0.000). The main causes of incomplete vaccination were immigration problem (46.23%), security problem (29.25%), and parent’s related problem (15%), and other causes (9%). CONCLUSION: Around one of every five children aged less than two years in Baghdad was incompletely vaccinated; immigration and security obstacles were the main causes of incomplete vaccination


Article
Incomplete Vaccination among Children below Two Years in a sample of urban Primary Health Care Centers at Al-Karkh Baghdad City

Authors: Lamia Dhia AlDeen --- Lena Mustafa Abbas
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2016 Volume: 29 Issue: 3 Pages: 139-145
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Vaccines are among the most cost effective tools available for preventing some infectious diseases and their possible complications and squeals. A target of (90%) of immunization coverage is necessary for sustained control of vaccine preventable diseases.Objectives of The Study: To determine the reasons of incomplete vaccination as well as to identify factors that contributed to missed opportunities for vaccination among children less than two years of age in Baghdad city. Method: A cross sectional study with an analytic element, was conducted in the period from the beginning of March to the end of July 2015. A convenient sample of. Data were collected from a sample of children attending the Primary Health Care Centers (PHCCs) in Al-Karkh Baghdad city for immunization by a direct interview with their mothers using a special structural questionnaire sheets, the immunization card was utilized to check for completeness of immunization schedule for each child.Results: A sample of 820 children was collected. The proportion of incomplete vaccination was (22.3%). Males showed higher proportions of incomplete vaccination (55.7%) than females (44.3%). There were direct and indirect reasons for incomplete vaccination, the main direct reasons were Social events and busy family (63.4%), change the place of residence; internal and external displacement (35.5%), and child illness (24.6%). Indirect reasons include low mother`s and father`s education, and large family size. Missed opportunities for vaccination represent (15.8%) and were mainly due to sick child or unavailable vaccine. (Children might have more than one reason)Conclusion: The study revealed that the percentage of vaccination was higher than that found in Iraq at 2015, but still did not reach the level of the developed countries.

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