Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Theeten, Heidi; Hens, Niel; Vandermeulen, Corinne; Depoorter, Anne-Marie; Roelants, Mathieu; Aerts, Marc; Hoppenbrouwers, Karel; Damme, Pierre Van

doi:10.1016/j.vaccine.2007.03.032

Cited by 63 publications

(58 citation statements)

References 25 publications

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“…Logistical problems associated with large families may also have contributed to the lower vaccination coverage. Unemployment status of the mother has previously been identified as one of the socioeconomic factors related to an incomplete vaccination status for other infant vaccines in Belgium [6,16]. In the current survey, this was the case not only for the rotavirus vaccine but also for infant doses of the pneumococcal and measles-mumps-rubella vaccine [12]; there is therefore no solid evidence to argue that this could be related to the fact that parents have to co-pay for rotavirus vaccines.…”

Section: Discussionmentioning

confidence: 99%

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Rotavirus vaccination coverage and adherence to recommended age among infants in Flanders (Belgium) in 2012

et al. 2014

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In Belgium, rotavirus vaccination has been recommended and partially reimbursed since October 2006. Through a retrospective survey in 2012, we estimated the coverage rate of the rotavirus vaccination in Flanders among infants born in 2010. Using a standardised questionnaire, 874 families were interviewed at home, collecting information on demographic characteristics, socio-economic background and documented vaccination history (updated from medical files and vaccination database, if needed). Adherence to the recommended age for vaccination (8, 12 and 16 weeks) was also assessed. The coverage rate for two doses of rotavirus vaccination was 92.2% (95% confidence interval: 90.2-93.8). Respectively 31.7% and 10.1% of the children received their first and second dose at the recommended age. Incomplete vaccination was often a deliberate choice of the parents. Only eight children (1%) were vaccinated after the maximum age of 26 weeks. Factors identified by multiple logistic regression as related to incomplete vaccination were: living in the province of Antwerp, unemployed mother, and three or more older siblings in the household. Four years after introduction, the coverage rates were surprisingly high for a vaccine that is not fully reimbursed and not readily available in the vaccinator's fridge, which is the case for the other recommended infant vaccines.

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Section: Discussionmentioning

confidence: 99%

“…The methodology of the EPI-based two-stage cluster sampling design for vaccination coverage studies in Flanders has been extensively described elsewhere [6]. The sample size was calculated using the following assumptions: a minimal anticipated coverage of 90% and a design effect of 1.5.…”

Section: Survey Designmentioning

confidence: 99%

Rotavirus vaccination coverage and adherence to recommended age among infants in Flanders (Belgium) in 2012

et al. 2014

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“…In fact, Anand and Bärnighausen recently showed that "the level of income does not contribute towards improved immunization coverage", 38 while Theeten et al found that employment situation and family income were predictors for a complete schedule. 30 …”

Section: Discussionmentioning

confidence: 99%

Factors affecting compliance with the measles vaccination schedule in a Brazilian city

et al. 2008

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CONTEXT AND OBJECTIVE:The success of vaccination campaigns depends on the degree of adherence to immunization initiatives and schedules. Risk factors associated with children's failure to receive the measles vaccine at the correct age were studied in the city of São Paulo, Brazil. DESIGN AND SETTING:Case-control and exploratory study, in the metropolitan area of São Paulo. METHODS:The caregivers of 122 children were interviewed regarding their perceptions and understanding about the measles vaccination and the disease. RESULTS:The results showed that age, region of residence, marital status and education level were unrelated to taking measles vaccines adequately. Most individuals remembered being informed about the last annual vaccination campaign by television, but no communication channel was signifi cantly associated with vaccination status. The answers to questions about knowledge of the disease or the vaccine, when analyzed alone, were not associated with taking measles vaccinations at the time indicated by health agencies. The results showed that, when parents felt sorry for their children who were going to receive shots, they delayed the vaccination. Most of the children did not take the measles vaccination on the exactly recommended date, but delayed or anticipated the shots.CONCLUSION: It is clear that there is no compliance with the government's recommended measles vaccination schedule (i.e. fi rst dose at nine and second at 15 months of age, as recommended in 1999 and 2000). Feeling sorry for the children receiving shots can delay vaccination taking.

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“…The strong link between health care workers' perceptions of vaccination and vaccine uptake has been documented by studies from several countries, pointing out that next to family physicians and paediatricians, nurses, pharmacists and midwives also play an important role [1]. Also in Belgium, Italy, and Germany was shown that an important reason for non-vaccination was the physician not informing or recommending the vaccination [4,11,12,17]. Preventive medicine, including immunisation, asks for pro-active communication with people.…”

Section: Health Care Workers Are In a Key Position For Achieving And mentioning

confidence: 99%

A summer school on vaccinology: Responding to identified gaps in pre-service immunisation training of future health care workers

Vorsters

Tack

Hendrickx

et al. 2010

Vaccine

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A summer school on vaccinology: Responding to identified gaps in pre-service immunisation training of future health care workers a r t i c l e i n f o Immunisation is one of the corner stones of public health. Most health care consumers see the health care worker as their major source of information on immunisation and vaccine safety. Doctors, nurses and midwives should be appropriately and timely trained for that role. Within the Vaccine Safety, Attitudes, Training and Communication (VACSATC) EU-project a specific work package focused on the possible improvements of pre-service training of future health care workers.Surveys to assess current pre-service training about knowledge, skills and competences towards immunisation were distributed to students and curriculum managers of medical schools, universities and nursing training institutions in seven EU countries. In all responding institutions training on vaccines and immunisation is disseminated over a wide range of courses over several academic years. Topics as immunology and vaccine-preventable diseases are well covered during the pre-service training but major gaps in knowledge and competences were identified towards vaccine safety, communication with parents, addressing anti-vaccine arguments and practical skills. This assessment underlined the rationale for adequate pre-service training and identified opportunities for improvement of pre-service training.A prototype of an accurate pre-service immunisation curriculum was developed, implemented and evaluated in the summer of 2009 with a group of 36 students from 19 countries during a summer school on vaccinology at

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Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Cited by 63 publications

References 25 publications

Rotavirus vaccination coverage and adherence to recommended age among infants in Flanders (Belgium) in 2012

Rotavirus vaccination coverage and adherence to recommended age among infants in Flanders (Belgium) in 2012

Factors affecting compliance with the measles vaccination schedule in a Brazilian city

A summer school on vaccinology: Responding to identified gaps in pre-service immunisation training of future health care workers

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