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Laila Fozouni1, Christoph Weber2, Andreas K Lindner2

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Summary

In-camp immunization services at Tempelhof showed lower rates for Syrian children under five compared to older children. Afghani children under five had higher immunization rates than Syrian children under five.

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Area of Science:

  • Public Health
  • Epidemiology
  • Immunization Practices

Background:

  • Refugee camps utilize varied immunization strategies, including in-camp services (Tempelhof) and centralized systems (Neukölln).
  • Understanding the impact of conflict on child immunization is crucial for vulnerable populations.

Purpose of the Study:

  • To assess the effect of conflict on immunization coverage among Syrian children.
  • To evaluate the effectiveness of in-camp immunization services.

Main Methods:

  • A survey was conducted with families of children aged 1-5 and their siblings under 18 in Tempelhof and Neukölln refugee camps.
  • Immunization status differences were analyzed using the chi-squared (χ²) test.

Main Results:

  • At Tempelhof, 27.8% of Syrian children under 5 were fully immunized-memory versus 73.7% over 5 (P=0.005).
  • Afghani children under 5 (75%) had higher immunization rates than Syrian children under 5 (27.8%) (P=0.0009).
  • Neukölln camp reported higher rates of partial (93%) or no immunization (5%) compared to Tempelhof (P<0.001).

Conclusions:

  • In-camp immunization services may not be reaching all age groups effectively, particularly younger Syrian children.
  • Centralized systems may face greater challenges in achieving full immunization coverage in refugee settings.