Gap in measles vaccination coverage among children aged 9 months to 10 years in Ho Chi Minh City, Viet Nam, 2014
10.5365/wpsar.2017.8.2.001
- Author:
Hoang Quoc Cuong
1
;
Ho Xuan Nguyen
1
;
Pham Van Hau
1
;
Nguyen Le Khanh Ha
1
;
Phan Trong Lan
1
;
Anthony Mounts
2
;
Tran Minh Nhu Nguyen
3
Author Information
1. Pasteur Institute, Ho Chi Minh City, Viet Nam
2. Centers for Disease Control and Prevention, Viet Nam
3. World Health Organization, Viet Nam
- Publication Type:Journal Article
- Keywords:
measles;
vaccination coverage
- From:
Western Pacific Surveillance and Response
2019;10(4):39-45
- CountryWHO-WPRO
- Language:English
-
Abstract:
Introduction:When Viet Nam launched the Expanded Programme on Immunization in 1981, it covered six vaccines, including measles. Subsequently, Viet Nam experienced a marked reduction in measles infections. A nationwide measles epidemic occurred in April 2014 and an investigation found that 86% of affected children aged 9 months to 10 years were not fully vaccinated; therefore, understanding the reasons for not vaccinating could improve vaccination coverage.
Methods:We performed a cross-sectional study to determine vaccination coverage and reasons for non-vaccination among children aged 9 months to 10 years in six districts in Ho Chi Minh City with the highest number of measles cases in 2014. Measles vaccination status of the youngest child in each household was determined and reasons for non-vaccination were investigated. A χ2 test and multiple logistic regression were used to identify independent predictors of full vaccination.
Results:In total, 207 children were enrolled during the study period in 2014. Full measles vaccination coverage was 55% in these households, and 73% of parents were aware of the importance of measles vaccination to protect their children. We found that the father’s education level (under high school versus high school and above) and the site where the survey was conducted were significantly associated with vaccination status.
Conclusion:The vaccination coverage was lower than the coverage reported by district preventive medicine centres of the seven study wards. Lack of the second vaccination was a key obstacle to eliminating the vaccination gap. A catch-up mass vaccination campaign or health promotion of measles vaccination directed towards parents should be considered to improve vaccination coverage.
- Full text:wpsar.2017.8.2.001.pdf
