Vaccination coverage in the South-East Anatolian Project (SEAP) region and factors influencing low coverage

Özçırpıcı, Birgül; Şahinöz, Saime; Özgür, Servet; Bozkurt, Ali İhsan; Şahinöz, Turgut; Ceylan, Ali; İlçin, Ersen; Saka, Günay; Acemoğlu, Hamit; Palanci, Yılmaz; Mohiuddin, Abdul Kader; Akkafa, Feridun

doi:10.1016/j.puhe.2005.04.008

Cited by 28 publications

(25 citation statements)

References 13 publications

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“…The coverage was 95.6% (97.6%) for the third vaccine dose. In the SEAP, coverage was 62.0% for the third dose of the Diphtheria, Tetanus, Pertussis (DPT) vaccine [17]. Coverage results from our two studies indicate that good progress for coverage of the third dose has been achieved in the past ten years.…”

Section: Discussionmentioning

confidence: 94%

“…BCG vaccine coverage was 98.5% (98.9%) in our study. In a study we conducted in the South-East Anatolia region (SEAP) of Turkey ten years ago (it was carried out between 2001 and 2002 and Gaziantep is a city in SEAP), BCG vaccine coverage was 76.7% in children aged 12–23 months [17]. In the last ten years, good progress has been achieved for BCG vaccine coverage.…”

Section: Discussionmentioning

confidence: 99%

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Vaccination coverage of children aged 12-23 months in Gaziantep, Turkey: comparative results of two studies carried out by lot quality technique: what changed after family medicine?

et al. 2014

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BackgroundHealth care systems in many countries are changing for a variety of reasons. Monitoring of community-based services, especially vaccination coverage, is important during transition periods to ensure program effectiveness. In 2005, Turkey began a transformation from a “socialization of health services” system to a “family medicine” system. The family medicine system was implemented in the city of Gaziantep, in December, 2010.MethodsTwo descriptive, cross-sectional studies were conducted in Gaziantep city center; the first study was before the transition to the family medicine system and the second study was one year after the transition. The Lot Quality Technique methodology was used to determine the quality of vaccination services. The population studied was children aged 12–23 months. Data from the two studies were compared in terms of vaccination coverage and lot service quality to determine whether there were any changes in these parameters after the transition to a family service system.ResultsA total of 93.7% of children in Gaziantep were fully vaccinated before the transition. Vaccination rates decreased significantly to 84.0% (p <0.005) after the family medicine system was implemented. The number of unacceptable vaccine lots increased from 5 lots before the transition to 21 lots after the establishment of the family medicine system.ConclusionsThe number of first doses of vaccine given was higher after family medicine was implemented; however, the numbers of second, third, and booster doses, and the number of children fully vaccinated were lower than before transition. Acceptable and unacceptable lots were not the same before and after the transition. Different health care personnel were employed at the lots after family medicine was implemented. This result suggests that individual characteristics of the health care personnel working in a geographic area are as important as the socioeconomic and cultural characteristics of the community.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Vaccination coverage of children aged 12-23 months in Gaziantep, Turkey: comparative results of two studies carried out by lot quality technique: what changed after family medicine?

et al. 2014

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“…In countries or regions where there is not a national health system and immunization activities are not mandatory, coverage rates can be lower than those observed in Salvador, Brazil. In Turkey, depending on the area, coverage rates for the complete vaccination schedule can be similar or lower than 70% 13,14 . In a survey conducted in rural areas of Mozambique, authors reported a coverage rate of 72% for the complete schedule 15 .…”

Section: Discussionmentioning

confidence: 99%

Desigualdades sociais e cobertura vacinal na cidade de Salvador, Bahia

Barata¹,

Pereira

2013

Rev. bras. epidemiol.

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Objective: To estimate the vaccination coverage in children born in the city of Salvador, analyzing these coverages by socioeconomic conditions. Method: A household survey on vaccination coverage was conducted with children born in 2005, in Salvador, Bahia, northeastern Brazil, who were aged between 18 to 36 months at the time of this study. Cluster sampling was performed in multiple stages. Census tracts were stratified using data from the national census conducted in 2000. Data was collected on socio-economic households. The sample size was defined by a specific methodology developed for immunization coverage surveys. The questionnaire was based upon the information contained in the vaccination cards. The estimated vaccination coverage in the various strata considered the sampling complex plan, weighting the observations according to the sampling fraction, the losses and the design effect. Results: There was inequality in the socioeconomic strata analyzed, where the coverage rate was directly proportional to socioeconomic status. Strata D and E showed statistically significant differences when compared to stratum A. Regarding to the complete scheme, children living in strata D and E have significantly less coverage than those residing in strata B. For vaccines not included in the basic scheme, the differences are very marked, showing less than 3% in stratum D and E. Conclusions: Vaccination coverage for the complete schedule at the end of 18 months of age with valid doses, was unsatisfactory and shows significant differences among the socio-economic strata with poor coverage in the poorest groups.

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“…As the vaccination coverage is poorer outside larger cities, especially in rural areas [4,9], we aimed to select only GP practices serving patients in urban areas equal or less than 75,000 inhabitants and also in villages.…”

Section: Design and Settingmentioning

confidence: 99%

Determinants influencing self-paid vaccination coverage, in 0–5 years old Polish children

Gańczak¹,

Dmytrzyk-Daniłów²,

Karakiewicz³

et al. 2013

Vaccine

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Vaccination coverage in the South-East Anatolian Project (SEAP) region and factors influencing low coverage

Cited by 28 publications

References 13 publications

Vaccination coverage of children aged 12-23 months in Gaziantep, Turkey: comparative results of two studies carried out by lot quality technique: what changed after family medicine?

Vaccination coverage of children aged 12-23 months in Gaziantep, Turkey: comparative results of two studies carried out by lot quality technique: what changed after family medicine?

Desigualdades sociais e cobertura vacinal na cidade de Salvador, Bahia

Determinants influencing self-paid vaccination coverage, in 0–5 years old Polish children

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