COVERAGE AND CAUSES OF MISSED HAEMOPHILUS INFLUENZAE TYPE B VACCINATION IN URBAN AND RURAL AREAS OF PESHAWAR
Abstract
Background: Haemophilus influenza type b (Hib) is a major cause of morbidity and mortality inPakistan. Hib vaccine was introduced in 2009 in EPI programme. The purpose of this study was to findout the coverage and factors associated with non-immunization of Hib in urban and rural areas ofPeshawar. Methods: Data was collected through random sampling in Peshawar University, PeshawarSaddar, Hashtnagri, Naway Kalay and Pawaka from 9th to 19th of June 2010. A questionnaire was usedto interview parents of 600 children aged 1 year and below about demographics, Hib vaccination status,reasons for missed vaccination and views on immunization. Pearson’s Chi-square test was used forstatistical testing, and p<0.05 was considered significant. Results: Completely vaccinated children were64.2%, 25% not vaccinated at all, and 11% were incompletely vaccinated. The reasons for notvaccinating were lack of awareness (26%), family problem/mother busy (18%), centre too far (16.9%),wrong ideas (12.2%), fear of reaction (5.4%), child illness (8.1%) and miscellaneous causes (13.7%).Conclusion: Low Hib vaccination coverage in Peshawar is mainly due to low awareness amongpeople, poor economic conditions and illiteracy.Keywords: Hib, Vaccination, Immunization, EPI, Haemophilus influenzae, InfluenzaReferences
Bijlmer HA. World-wide epidemiology of Haemophilus
influenza meningitis; industrialised versus non-industrialized
countries. Vaccine 1991;9:S5–9
Eskola J, Peltola H, Takala AK, Käyhty H, Hakulinen M,
Karanko V, et al. Efficacy of Haemophilus influenzae type b
polysaccharide diphtheria toxoid conjugate vaccine in infancy. N
Engl J Med 1987;317:717–22.
Peltola H, Kilpi T, Anttila M. Rapid disappearance of
Haemophilus influenzae type b meningitis after routine
childhood immunisation with conjugate vaccines. Lancet.
;340:592–94.
J Ayub Med Coll Abbottabad 2011;23(1)
http://www.ayubmed.edu.pk/JAMC/23-1/Naeem.pdf 113
Barbour ML, Mayon-White RT, Coles C, Crook DW, Moxon
ER. The impact of conjugate vaccine on carriage of Haemophilus
influenzae type b. J Infect Dis. 1995;171:93–8.
Updated Recommendations for Use of Haemophilus influenzae
Type b (Hib) Vaccine: Reinstatement of the Booster Dose at
Ages 12–15 Months. Available at: http://www.cdc.gov/mmwr/
preview/mmwrhtml/mm5824a5.htm
WHO Global Immuniztion Data October 2010. Retrieved from:
http://www.who.int/immunization_monitoring/Global_Immuniza
tion_Data.pdf
Pakistan: WHO and UNICEF estimates of immunization
coverage, 1997–2009 Retrieved from http://www.who.int/
immunization_monitoring/data/pak.pdf
Wang H, Deeks S, Glasswell A, McIntyre P. Trends in invasive
Haemophilus influenzae type b disease in Australia, 1995–2005.
Commun Dis Intell 2008;32:316–25.
Murphy TV, White KE, Pastor P, Gabriel L, Medley F, Granoff
DM, et al. Declining incidence of Haemophilus influenzae type b
disease since introduction of vaccination. JAMA 1993;269:246–8.
Brotherton J, Wang H, Schaffer A, Quinn H, Menzies R, Hull B,
et al. Vaccine preventable diseases and vaccination coverage in
Australia, 2003–2005. Commun Dis Intell 2007;31
(Suppl:vii):S152.
Siddiqi N, Khan A, Nisar N, Siddiqi AE. Assessment of EPI
(expanded program of immunization) vaccine coverage in a periurban area. J Pak Med Assoc 2007;57:391–5.
Siddiqi N, Siddiqi AE, Nisar N, Khan A. Mothers’ knowledge
about EPI and its relation with age-appropriate vaccination of
infants in peri-urban Karachi. J Pak Med Assoc 2010:60:940–4.
Rahman M, Islam MA, Mahalanabis D. Mothers’ knowledge
about vaccine preventable diseases and immunization coverage
in a population with high rate of illiteracy. J Trop Pediatr
;41:376–8.
Mansuri FA, Baig LA. Assessment of immunization services in
perspective of both the recipients and the providers: A reflection
from focus groupdiscussions. J Ayub Med Coll Abbottabad
;15(1):14–8.
Shaikh S. Immunization status and reasons for low vaccination in
children, attending OPD at Liaquat University Hospital. Pak
Paedtr J 2003;27:81–6.
Impicciatore P, Bosetti C, Schiavio S, Pandolfini C, Bonati M.
Mothers as active partners in the prevention of childhood
diseases: maternal factors related to immunization status of
preschool children in Italy. Prev Med 2000;31:49–55.
Prislin R, Dyer JA, Blakely CH, Johnson CD. Immunization
status and sociodemographic characteristics: the mediating role
of beliefs, attitudes, and perceived control. Am J Public Health
;88:1821–6.
Odusanya OO, Alufohai JE, Meurice FP, Clemens R, Ahonkhai
VI. Short term evaluation of a rural immunization program in
Nigeria. J Natl Med Assoc. 2003;95:175–79.
Brugha RF, Kevany JP. Maximizing immunization coverage
through home visits: a controlled trial in an urban area of Ghana.
Bull World Health Organ 1996;74:517–24.
Salmaso S, Rota MC, Ceoffi Degli Atti ML, Tozzi AE, Kreidle
P. ICONA study group. Infant immunization coverage in Italy:
Estimates by simultaneous EPI cluster surveys of regions. Bull
World Health Organ 1999;77(10):843–51.
Kanta Jamil, Abbas Bhuiya, Kim Streatfield, Nitai Chakrabarty. The
immmunization programme in Bangladesh: impressive gains in
coverage, but gaps remain. Health Policy Plan1999;14(1):49–58.
Middleman AB. Race/ethnicity and gender disparities in the
utilization of a school-based hepatitis B immunization initiative. J
Adolesc Health 2004;34:414–9.
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