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Prevalence and predictors of immunization in a health insurance plan in a developing country
Durriyah D Sinno1, Hikma A Shoaib, Umayyah M Musharrafieh
1Department of Pediatrics, University Health Services, American University of Beirut, Beirut, Lebanon. ds03@aub.edu.lb
Insights
Childhood immunization compliance in Beirut was low at 49.9%. Factors like older child age, incorrect parental vaccine perception, and lower maternal education predicted non-compliance, highlighting the need for targeted health education.
Area of Science:
- Pediatrics
- Public Health
- Immunization
Background:
- Assessing immunization schedule compliance is crucial for child health.
- Understanding predictors of vaccine adherence is key to improving public health outcomes.
Purpose of the Study:
- To determine immunization schedule compliance rates among children in Beirut.
- To identify factors influencing adherence to childhood vaccination schedules.
Main Methods:
- Retrospective chart review of 774 children.
- Survey of 154 parents on demographics, attitudes, and healthcare utilization.
Main Results:
- Overall compliance rate was 49.9%; 54.6% were compliant by age 4.
- Recall bias affected 86% of parents with non-compliant children.
- Non-compliance associated with older child age, incorrect immunization status perception, maternal low education, and use of external healthcare facilities.
Conclusions:
- Promote vaccine health education, targeting high-risk groups.
- Recall systems can improve immunization coverage, but require infrastructure in developing nations.
- Address parental perceptions and socioeconomic factors to enhance vaccine uptake.
Background:
The aim of the present study was to describe rates and predictors of compliance with immunization schedule among children enrolled in the Health Insurance Plan of the American University of Beirut.
Methods:
Charts were reviewed for 774 children, and 154 parents underwent a randomly selected sample survey of demographic characteristics, parental behavior and attitudes, and health-care system variables.
Results:
The overall compliance rate was 49.9%. By age 4 years, 54.6% of children had taken the required vaccines on time. A total of 86% of parents whose children were non-compliant had recall bias. Age of the child (older), incorrect parental perception of immunization status, mother's low education, and use of other health-care facility, were associated with non-compliance.
Conclusions:
Health education about vaccines should be promoted, with an emphasis on high-risk groups. Recall systems and other tools to increase immunization coverage may have an effective role, but in developing countries, aspects such as wide availability of computers and addresses need to be secured before such implementation.
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