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Measles control in the urbanising environment.

N Coetzee1, D J Berry, M E Jacobs

  • 1Department of Community Health, University of Cape Town.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|April 20, 1991
PubMed
Summary

Urban areas face significant measles control challenges due to lower vaccination rates in children. Addressing socioeconomic and access barriers is crucial for improving measles vaccination coverage.

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Perspectives in public health·2018

Area of Science:

  • Public Health
  • Epidemiology
  • Global Health

Background:

  • Measles remains a significant public health concern, particularly in urban settings of developing regions.
  • Urbanization presents unique challenges to measles control, often characterized by younger age of infection and increased disease severity.
  • Lower measles vaccination coverage rates are frequently observed in urban and peri-urban slum areas compared to rural regions.

Purpose of the Study:

  • To examine the complex relationship between urbanization and the effectiveness of measles control strategies.
  • To identify key determinants and obstacles affecting measles vaccination coverage among young children in urban environments.
  • To propose recommendations for enhancing measles control in rapidly urbanizing areas.

Main Methods:

  • The study analyzes factors influencing measles vaccination coverage in urban settings, focusing on children under two years of age.
  • Investigated determinants include place of birth, delivery location, and duration of residence in urban areas.
  • Qualitative and quantitative data likely considered to understand barriers such as socioeconomic status, social integration, and access to healthcare services.

Main Results:

  • Measles vaccination coverage is significantly lower in urban areas, especially in peri-urban slums, compared to rural settings.
  • Factors such as home delivery, birth outside the urban setting, and shorter length of stay correlate with lower vaccination rates.
  • Barriers to vaccination access include distance, economic and cultural factors, and inconvenient clinic hours, often linked to low socioeconomic status and social isolation of new urban migrants.

Conclusions:

  • Effective measles control in urbanizing regions requires a comprehensive, integrated approach combining curative and preventive healthcare services.
  • Improving access to and utilization of existing health services is essential for boosting urban vaccination coverage.
  • Targeted interventions addressing socioeconomic disparities and practical barriers are necessary to overcome challenges in urban measles control.

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