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Immunisation coverage in Australian Indigenous children: Time to move the goal posts
Kerry-Ann O'Grady1, Vicki Krause, Ross Andrews
1School of Population Health & Department of Paediatrics, University of Melbourne, Victoria, Australia. kogrady@menzies.edu.au
Insights
Timeliness of childhood immunisation in Indigenous infants in Australia
Area of Science:
- Pediatrics
- Public Health
- Immunology
Background:
- Childhood immunisation coverage rates reported later in infancy can obscure delays in timely vaccination.
- Ensuring timely infant immunisation is crucial for protection against serious diseases.
Purpose of the Study:
- To evaluate the timeliness of routine infant immunisation schedules among Indigenous infants in Australia's Northern Territory.
- To identify potential gaps in early childhood vaccination timeliness.
Main Methods:
- Analysis of immunisation records based on the age of children at vaccination completion.
- Data were assessed at 7, 13, and 18 months of age.
Main Results:
- Only 45.2% of Indigenous infants completed the recommended immunisation schedule by 7 months of age.
- Completion rates increased to 49.5% by 13 months and 81.2% by 18 months.
- Significant delays in achieving timely immunisation were observed in the first year of life.
Conclusions:
- Current immunisation reporting may not adequately reflect timeliness for Indigenous infants.
- There is a critical need to improve immunisation timeliness within the first year of life for Indigenous infants.
- Performance benchmarks should prioritize timely vaccination in early infancy.
Abstract:
Childhood immunisation coverage reported at 12 to <15 months and 2 years of age, may mask deficiencies in the timeliness of vaccines designed to protect against diseases in infancy. This study aimed to evaluate immunisation timeliness in Indigenous infants in the Northern Territory, Australia. Coverage was analysed at the date children turned 7, 13 and 18 months of age. By 7 months of age, 45.2% of children had completed the recommended schedule, increasing to 49.5% and 81.2% at 13 and 18 months of age, respectively. Immunisation performance benchmarks must focus on improving the timeliness in these children in the first year of life.
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