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Timeliness of childhood vaccinations in the Philippines
Peter Francis Raguindin1,2, Merrylle Morales-Dizon3, Josephine Aldaba3
1Institute of Child Health and Human Development, National Institutes of Health - University of the Philippines Manila, Manila, Philippines. pnraguindin@up.edu.ph.
Insights
Infant vaccination timeliness in the Philippines shows significant delays. Many infants received vaccines like Penta 3 much later than recommended, impacting routine immunization programs.
Area of Science:
- Public Health
- Pediatrics
- Vaccinology
Background:
- Routine immunization programs often overlook vaccination timeliness.
- Monitoring vaccine receipt timing is crucial for disease prevention in infants.
Purpose of the Study:
- To assess the timeliness of infant vaccinations in the Philippines.
- To identify delays in vaccine receipt within a routine immunization program.
Main Methods:
- A review of infant immunizations and caregiver interviews were conducted.
- Data was collected from 986 infants across 30 public health centers in the Philippines (Jan-Oct 2016).
- Timeliness was defined as vaccine receipt within 4 weeks of the recommended age.
Main Results:
- Median vaccine receipt ages were 2.7 weeks (BCG), 10.1 weeks (Penta 1), and 21.7 weeks (Penta 3) against recommendations of 0, 6, and 14 weeks.
- Timely vaccination rates were 74.4% for BCG, 70.3% for Penta 1, and only 39.1% for Penta 3.
- Substantial delays in vaccine receipt were observed across multiple antigens.
Conclusions:
- Infants in the Philippines experience significant delays in receiving routine vaccinations.
- These delays, alongside declining immunization coverage, pose a risk to infant health.
- Improving vaccination timeliness monitoring is essential for effective immunization programs.
Abstract:
Timeliness of vaccinations is rarely part of monitoring in a routine immunization program. We reviewed infant immunization and conducted caregiver interviews in three regions in the Philippines from January to October 2016. We randomly selected thirty public health centers, one for each region. We defined timeliness of the receipt of antigen as within 4 weeks after the recommended age at vaccination. We assessed a total of 986 infants for timeliness of vaccination. The median age of receipt of vaccine was at 2.7 weeks (BCG), 10.1 weeks (Penta 1), and 21.7 weeks (Penta 3) compared to the recommended 0, 6, and 14 weeks of age, respectively. We found timely receipt only in 74.4% for BCG, 70.3% for Penta 1, and 39.1% for Penta 3 recipients. Thus, alongside declining immunization coverage, the infants in the Philippines had substantial delays in vaccine receipt.
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