BACKGROUND: Immunization remains the primary strategy in both the control and prevention of common childhood diseases, particularly in the developing world. Immunization and preprimary health care services were commenced in a rural community in Nigeria in 1998, when vaccine coverage for all Expanded Program on Immunization (EPI) diseases (tuberculosis, polio, diphtheria, pertussis, tetanus, measles, and hepatitis B) was considerably low with only 43% of children fully immunized. METHODS: Children aged 0-2 years and living in a rural community were recruited into the study. Data on vaccination history was collected by both vaccination card and maternal history. Three hundred and twenty-seven children were recruited into the study. Study participants were vaccinated for EPI diseases. Hepatitis-B vaccine was administered at birth, and a combined diphtheria and tetanus toxoids, and pertussis whole cell vaccine (DTP) plus hepatitis-B vaccine was administered in a single injection after six weeks. RESULTS AND CONCLUSIONS: Two years after the program was started, immunization coverage rates were 94% for BCG, 88% for DTP (third dose), and 82% for measles. All antigens showed significant improvements from baseline values (p < 0.0001). Eighty four percent of children were fully immunized against all six diseases, compared with 43% at the commencement (p < 0.0001). Hepatitis-B coverage (three doses) was 58%. The vaccination program has significantly improved vaccination coverage and could be a model for under served, non-industrialized communities.
BACKGROUND: Immunization remains the primary strategy in both the control and prevention of common childhood diseases, particularly in the developing world. Immunization and preprimary health care services were commenced in a rural community in Nigeria in 1998, when vaccine coverage for all Expanded Program on Immunization (EPI) diseases (tuberculosis, polio, diphtheria, pertussis, tetanus, measles, and hepatitis B) was considerably low with only 43% of children fully immunized. METHODS:Children aged 0-2 years and living in a rural community were recruited into the study. Data on vaccination history was collected by both vaccination card and maternal history. Three hundred and twenty-seven children were recruited into the study. Study participants were vaccinated for EPI diseases. Hepatitis-B vaccine was administered at birth, and a combined diphtheria and tetanus toxoids, and pertussis whole cell vaccine (DTP) plus hepatitis-B vaccine was administered in a single injection after six weeks. RESULTS AND CONCLUSIONS: Two years after the program was started, immunization coverage rates were 94% for BCG, 88% for DTP (third dose), and 82% for measles. All antigens showed significant improvements from baseline values (p < 0.0001). Eighty four percent of children were fully immunized against all six diseases, compared with 43% at the commencement (p < 0.0001). Hepatitis-B coverage (three doses) was 58%. The vaccination program has significantly improved vaccination coverage and could be a model for under served, non-industrialized communities.
Authors: L Bravo; J Carlos; S Gatchalian; C Borja-Tabora; G Bibera; P Willems; A Safary; H L Bock Journal: Southeast Asian J Trop Med Public Health Date: 1998-12 Impact factor: 0.267
Authors: Y Poovorawan; A Theamboonlers; T Vimolket; S Sinlaparatsamee; K Chaiear; T Siraprapasiri; S Khwanjaipanich; S Owatanapanich; P Hirsch; S Chunsuttiwat Journal: Vaccine Date: 2000-11-22 Impact factor: 3.641
Authors: Musa Abubakar Kana; Henry Victor Doctor; Bárbara Peleteiro; Nuno Lunet; Henrique Barros Journal: BMC Public Health Date: 2015-04-09 Impact factor: 3.295
Authors: Gregory C Umeh; Faisal Shuaib; Audu Musa; Sisay G Tegegne; Fiona Braka; Pascal Mkanda; Richard Banda; Usman Adamu; Terna I Nomhwange; Eyiotoyo Arenyeka; Semeeh A Omoleke; Ticha M Johnson; Kehinde Craig; Ibrahim Idris; Hadiza Iyal; Ishaku G Sambo; Peter Nsubuga Journal: BMC Public Health Date: 2018-12-13 Impact factor: 3.295
Authors: Olumuyiwa O Odusanya; Ewan F Alufohai; Francois P Meurice; Vincent I Ahonkhai Journal: BMC Public Health Date: 2008-11-05 Impact factor: 3.295