Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage

 

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dc.contributor.author Corrigall, Joanne
dc.contributor.author Coetzee, David
dc.contributor.author Cameron, Neil
dc.date.accessioned 2018-03-26T11:52:12Z
dc.date.available 2018-03-26T11:52:12Z
dc.date.issued 2008
dc.identifier.citation Corrigall, J., Coetzee, D., & Cameron, N. (2008). Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage. SAMJ: South African Medical Journal, 98(1), 41-45.
dc.identifier.uri http://hdl.handle.net/11427/27713
dc.description.abstract OBJECTIVE: To determine the routine immunisation coverage rates in children aged 12 - 23 months in the Western Cape. DESIGN: Cross-sectional Household Survey using an adaptation of the '30 by 7' cluster survey technique. SETTING: Households across the Western Cape. SUBJECTS: A total of 3 705 caregivers of children aged 12 - 23 months who had been living in the Western Cape for at least 6 months. OUTCOME MEASURES: Vaccination status (1 = fully vaccinated; 0 = partially vaccinated) as recorded on a Road-to-Health card or by history. Reasons for not vaccinating were established from a questionnaire. RESULTS: The immunisation coverage was 76.8% for vaccines due by 9 months and 53.2% for those due by 18 months. The reasons given for not being immunised were clinic-related factors (47%), lack of information (27%), caregiver being unable to attend the clinic (23%), and lack of motivation (14%). Of the clinic factors cited, the two commonest ones were missed opportunities (34%) and being told by clinic staff to return another time (20%). CONCLUSION: While the coverage indicates that a great deal of good work is being done, the coverage is insufficient to prevent outbreaks of measles and other common childhood conditions, including polio. The coverage is too low to consider not running periodic mass campaigns for measles and polio. It will need to be sustainably improved before introducing rubella vaccine as part of the Expanded Programme on Immunisations (EPI) schedule. The reasons given by caregivers for their children not being immunised are valuable pointers as to where interventions should be focused.
dc.language.iso eng
dc.source South African Medical Journal
dc.source.uri http://www.samj.org.za/index.php/samj
dc.title Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage
dc.type Journal Article
dc.date.updated 2016-01-20T16:11:16Z
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Centre for Infectious Disease Epidemiology and Research (CIDER) en_ZA
uct.type.filetype Text
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dc.identifier.apacitation Corrigall, J., Coetzee, D., & Cameron, N. (2008). Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/27713 en_ZA
dc.identifier.chicagocitation Corrigall, Joanne, David Coetzee, and Neil Cameron "Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage." <i>South African Medical Journal</i> (2008) http://hdl.handle.net/11427/27713 en_ZA
dc.identifier.vancouvercitation Corrigall J, Coetzee D, Cameron N. Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage. South African Medical Journal. 2008; http://hdl.handle.net/11427/27713. en_ZA
dc.identifier.ris TY - Journal Article AU - Corrigall, Joanne AU - Coetzee, David AU - Cameron, Neil AB - OBJECTIVE: To determine the routine immunisation coverage rates in children aged 12 - 23 months in the Western Cape. DESIGN: Cross-sectional Household Survey using an adaptation of the '30 by 7' cluster survey technique. SETTING: Households across the Western Cape. SUBJECTS: A total of 3 705 caregivers of children aged 12 - 23 months who had been living in the Western Cape for at least 6 months. OUTCOME MEASURES: Vaccination status (1 = fully vaccinated; 0 = partially vaccinated) as recorded on a Road-to-Health card or by history. Reasons for not vaccinating were established from a questionnaire. RESULTS: The immunisation coverage was 76.8% for vaccines due by 9 months and 53.2% for those due by 18 months. The reasons given for not being immunised were clinic-related factors (47%), lack of information (27%), caregiver being unable to attend the clinic (23%), and lack of motivation (14%). Of the clinic factors cited, the two commonest ones were missed opportunities (34%) and being told by clinic staff to return another time (20%). CONCLUSION: While the coverage indicates that a great deal of good work is being done, the coverage is insufficient to prevent outbreaks of measles and other common childhood conditions, including polio. The coverage is too low to consider not running periodic mass campaigns for measles and polio. It will need to be sustainably improved before introducing rubella vaccine as part of the Expanded Programme on Immunisations (EPI) schedule. The reasons given by caregivers for their children not being immunised are valuable pointers as to where interventions should be focused. DA - 2008 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2008 T1 - Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage TI - Is the Western Cape at risk of an outbreak of preventable childhood diseases? Lessons from an evaluation of routine immunisation coverage UR - http://hdl.handle.net/11427/27713 ER - en_ZA


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