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Factors associated with malaria vaccine uptake in Sunyani Municipality, Ghana
Malaria Journal ( IF 3 ) Pub Date : 2021-07-27 , DOI: 10.1186/s12936-021-03857-1
Dennis Tabiri 1 , Jean Claude Romaric Pingdwindé Ouédraogo 1 , Priscilla Awo Nortey 1
Affiliation  

Malaria continues to be a major disease of public health concern affecting several million people worldwide. The World Health Organization (WHO) started a pilot study on a malaria vaccine (RTS,S) in Ghana and two other countries in 2019. This study aimed at assessing the factors associated with uptake of the vaccine in the Sunyani Municipality of Ghana. The study was a cross-sectional study employing a quantitative approach. Stratified sampling technique was used to select respondents. A structured questionnaire was administered to parents/caregivers with children eligible to have taken the first three doses of the malaria vaccine by December 2019. The Child Welfare Clinic (CWC) cards of the eligible children were also inspected. Ordinal logistic regression analysis was done to determine the association between the independent variables and full vaccine uptake. Uptake of RTS,S 1 was 94.1%. However, this figure reduced to 90.6% for RTS,S 2, and 78.1% for RTS,S 3. Children with a parent who had been educated up to the tertiary level had 4.72 (AOR: 4.72, 95% CI 1.27–17.55) increased odds of full uptake as compared to those who completed secondary education. Parents whose children had experienced fever as an adverse reaction were more likely to send their children for the malaria vaccine as compared to those whose children had ever suffered abscess as an adverse reaction (AOR: 2.27, 95% CI 1.13–5.10). Children with parents who thought vaccines were becoming too many for children had 71% (AOR: 0.29, 95% CI 0.14–0.61) reduced odds of full uptake as compared to those who thought otherwise. Uptake of RTS,S 1 and RTS,S 2 in Sunyani Municipality meets the WHO’s target coverage for vaccines, however, RTS,S 3 uptake does not. Furthermore, there is a growing perception amongst parents/caregivers that vaccines are becoming too many for children which negatively affects uptake.

中文翻译:

与加纳 Sunyani 市疟疾疫苗接种相关的因素

疟疾仍然是影响全世界数百万人的公共卫生问题的主要疾病。世界卫生组织 (WHO) 于 2019 年在加纳和其他两个国家开始了一项关于疟疾疫苗 (RTS,S) 的试点研究。这项研究旨在评估与加纳 Sunyani 市接种疫苗相关的因素。该研究是一项采用定量方法的横断面研究。分层抽样技术用于选择受访者。对有资格在 2019 年 12 月之前接种前三剂疟疾疫苗的儿童的父母/照顾者进行结构化问卷调查。还检查了符合条件的儿童的儿童福利诊所 (CWC) 卡。进行序数逻辑回归分析以确定自变量与完全疫苗摄取之间的关联。RTS,S 1 的吸收率为94.1%。然而,这个数字对于 RTS,S 2 减少到 90.6%,对于 RTS,S 3 减少到 78.1%。 父母受过高等教育的孩子有 4.72 (AOR: 4.72, 95% CI 1.27–17.55)与完成中学教育的人相比,完全接受的几率增加。与孩子曾因不良反应经历过脓肿的父母相比,孩子经历过发烧作为不良反应的父母更有可能让孩子接种疟疾疫苗(AOR:2.27,95% CI 1.13–5.10)。父母认为疫苗对儿童来说太多了的儿童有 71%(AOR:0.29,95% CI 0.14-0. 61)与那些不这么认为的人相比,完全吸收的几率降低。Sunyani 市对 RTS,S 1 和 RTS,S 2 的吸收符合 WHO 对疫苗的目标覆盖率,但是,RTS,S 3 的吸收不符合。此外,父母/看护人越来越认为疫苗对儿童来说太多了,这会对接种产生负面影响。
更新日期:2021-07-27
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