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Barriers to timely administration of birth dose vaccines in The Gambia, West Africa

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dc.contributor.author Miyahara, R. en_US
dc.contributor.author Jasseh, M. en_US
dc.contributor.author Gomez, P. en_US
dc.contributor.author Shimakawa, Y. en_US
dc.contributor.author Greenwood, B. en_US
dc.contributor.author Keita, K. en_US
dc.contributor.author Ceesay, S. en_US
dc.contributor.author D'Alessandro, U. en_US
dc.contributor.author Roca, A. en_US
dc.date.accessioned 2017-12-18T12:56:03Z
dc.date.available 2017-12-18T12:56:03Z
dc.date.issued 2016 en_US
dc.identifier.issn 0264-410X en_US
dc.identifier.doi http://dx.doi.org/10.1016/j.vaccine.2016.05.017 en_US
dc.identifier.other http://lib.itg.be/pdf/itg/2016/2016vacc3335.pdf en_US
dc.identifier.other 44 en_US
dc.identifier.other ITG-H8A; DPH; U-ECMAL; JIF; DOI; PDF; OAA; Abstract; DSPACE63 en_US
dc.identifier.uri http://hdl.handle.net/10390/9823
dc.description.abstract OBJECTIVE: Although vaccine coverage in infants in sub-Saharan Africa is high, this is estimated at the age of 6-12 months. There is little information on the timely administration of birth dose vaccines. The objective of this study was to assess the timing of birth dose vaccines (hepatitis B, BCG and oral polio) and reasons for delayed administration in The Gambia. METHODS: We used vaccination data from the Farafenni Health and Demographic Surveillance System (FHDSS) between 2004 and 2014. Coverage was calculated at birth (0-1 day), day 7, day 28, 6 months and 1 year of age. Logistic regression models were used to identify demographic and socio-economic variables associated with vaccination by day 7 in children born between 2011 and 2014. RESULTS: Most of the 10,851 children had received the first dose of hepatitis B virus (HBV) vaccine by the age of 6 months (93.1%). Nevertheless, only 1.1% of them were vaccinated at birth, 5.4% by day 7, and 58.4% by day 28. Vaccination by day 7 was associated with living in urban areas (West rural: adjusted OR (AOR)=6.13, 95%CI: 3.20-11.75, east rural: AOR=6.72, 95%CI: 3.66-12.33) and maternal education (senior-educations: AOR=2.43, 95%CI: 1.17-5.06); and inversely associated with distance to vaccination delivery points (>==2km: AOR=0.41, 95%CI: 0.24-0.70), and Fula ethnicity (AOR=0.60, 95%CI: 0.40-0.91). CONCLUSION: Vaccine coverage in The Gambia is high but infants are usually vaccinated after the neonatal period. Interventions to ensure the implementation of national vaccination policies are urgently needed. en_US
dc.language English en_US
dc.relation.uri http://www.ncbi.nlm.nih.gov/pubmed/27195759 en_US
dc.subject Viral diseases en_US
dc.subject Poliomyelitis virus en_US
dc.subject Hepatitis B en_US
dc.subject Control programs en_US
dc.subject Infants en_US
dc.subject Neonatal en_US
dc.subject Mass campaigns en_US
dc.subject Administration en_US
dc.subject Vaccination coverage en_US
dc.subject Timing en_US
dc.subject BCG en_US
dc.subject Delay en_US
dc.subject Associations en_US
dc.subject Urban en_US
dc.subject Educational status en_US
dc.subject Distance en_US
dc.subject Ethnicity en_US
dc.subject Gambia en_US
dc.subject Africa-West en_US
dc.title Barriers to timely administration of birth dose vaccines in The Gambia, West Africa en_US
dc.type Article en_US
dc.citation.issue 29 en_US
dc.citation.jtitle Vaccine en_US
dc.citation.volume 34 en_US
dc.citation.pages 3335-3341 en_US
dc.citation.abbreviation Vaccine en_US


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