Spatial and socio-demographic predictors of time-to-immunization in a rural area in Kenya: Is equity attainable?

被引:44
|
作者
Moisi, Jennifer C. [1 ,2 ]
Kabuka, Jonathan [2 ]
Mitingi, Dorah [2 ]
Levine, Orin S. [1 ]
Scott, J. Anthony G. [2 ,3 ]
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA
[2] KEMRI Wellcome Trust Res Programme, Kilifi, Kenya
[3] John Radcliffe Hosp, Nuffield Dept Clin Med, Oxford OX3 9DU, England
基金
英国惠康基金;
关键词
Immunization coverage; Health inequities; Spatial analysis; MOTHERS REPORTS; CHILD-MORTALITY; RISK-FACTORS; HEALTH; COVERAGE; VACCINATION; ACCURACY; HISTORIES; EMERGENCY; SERVICES;
D O I
10.1016/j.vaccine.2010.06.011
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We conducted a vaccine coverage survey in KM District, Kenya in order to identify predictors of childhood immunization We calculated travel time to vaccine clinics and examined its relationship to immunization coverage and timeliness among the 2169 enrolled children (median age: 12.5 months). 86% had vaccine cards available. >95% had received three doses of DTP-HepB-Hib and polio vaccines and 88% of measles Travel time did not affect vaccination coverage or timeliness. The Kenyan EPI reaches nearly all children in Kilifi and delays in vaccination are few, suggesting that vaccines will have maximal impact on child morbidity and mortality (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:5725 / 5730
页数:6
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