Policy and practice of checking vaccination status at school in 2018, a global overview

Sadigh, Katrin; Fox, Garrett; Khetsuriani, Nino; Gao, Hongjiang; Shendale, Stephanie; Ward, Kirsten

doi:10.1016/j.vaccine.2022.03.002

Cited by 5 publications

(2 citation statements)

References 19 publications

(17 reference statements)

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“…Moreover, 16% including Pakistan, have data that is not available to the WHO (6). The widely recommended strategy of checking vaccination status at school and implementing school-based vaccination programs can prevent children from missing scheduled doses and improve routine vaccination coverage (7). In Sindh, the mortality rate for children under ve is 46 per 1000 children, where vaccinations can potentially prevent between 2 and 3 million deaths each year (8).…”

Section: Introductionmentioning

confidence: 99%

School-based immunization policy compliance in preschools of Karachi, Pakistan: An explanatory sequential mixed-method study

Samnani,

Azam,

Rizvi

2024

Preprint

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Background Healthcare providers in schools play a crucial role in ensuring student wellness and maintaining effective communication with parents regarding their children's health. In 2022, the Government of Pakistan introduced the national school-based immunization policy, but the factors affecting policy compliance and the role of preschool healthcare providers in it are still unexplored. Thus, the study aims to assess the implementation of the school-based immunization policy in preschools, considering the presence of preschool healthcare providers and other factors that may influence policy compliance. Methods The study used an explanatory sequential mixed-method design. It included all preschools in Karachi that met the defined eligibility criteria. Preschools were surveyed using systematic sampling, with data obtained from preschool administrators through structured questionnaires. Subsequently, administrators were approached for in-depth interviews. Descriptive statistics and multiple linear regression along with thematic framework analysis were used to analyze quantitative and qualitative data respectively. The findings from both datasets were triangulated. Results A total of 223 preschools were surveyed and 9 in-depth interviews were conducted with preschool administrators. The survey revealed that 97 (43.5%) of the preschools relied on manual vaccination record-keeping methods, consistent with 3 out of 9 preschools found in in-depth interviews. 179 (80.3%) administrators reported that parents cooperate with school management in vaccinating their child(ren) at preschool, consistent with qualitative findings. 200 (89.7%) administrators were unaware of EPI, consistent with 7 out of 9 in-depth interviews. A significant mean difference (3.91; 95% CI 2.15–5.66) in compliance scores was observed between preschools with and without healthcare providers. The final model included the vaccination records storage method (β 5.05; 95% CI 3.47–6.63), parents’ cooperation (β 1.32; 95% CI 0.16–2.49), and a statistically significant interaction between the presence of preschool healthcare providers and awareness of EPI among preschool administrators at a p-value < 0.1. Conclusion The healthcare providers in preschools facilitate school-based immunization policy compliance, while the absence of staff training for vaccination record-keeping and supporting vaccination drives impedes compliance. Understanding and addressing these factors can optimize policy compliance.

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Section: Introductionmentioning

confidence: 99%

School-based immunization policy compliance in preschools of Karachi, Pakistan: An explanatory sequential mixed-method study

Samnani,

Azam,

Rizvi

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…To maintain this momentum towards measles elimination, it is essential that China continues to ensure timely access to two doses of MCV for all children, and to maintain the checking of vaccination status in all schools, with catch-up vaccination where indicated as a safety net. 9 Modelling has indicated the need for a catch-up campaign with rubella-containing vaccine among susceptible adolescent schoolchildren to close existing rubella immunity gaps. If a high-quality catch-up campaign is conducted with measles-and-rubella containing vaccine, it will further accelerate measles elimination.…”

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confidence: 99%