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Alexandra township--is immunisation adequate?

P M Barron

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |September 5, 1987
    PubMed
    Summary
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    Immunisation coverage in Alexandra township was 66%, with lower rates for babies whose mothers did not attend antenatal clinics or lived outside the area. These factors significantly impact childhood immunisation success.

    Area of Science:

    • Child Health
    • Public Health
    • Epidemiology

    Background:

    • Low immunisation coverage remains a significant public health challenge in many communities.
    • Understanding factors influencing vaccine uptake is crucial for targeted interventions.
    • Alexandra township presents a specific context for assessing childhood immunisation rates.

    Purpose of the Study:

    • To assess immunisation coverage for diphtheria, pertussis, and tetanus (DPT) and poliomyelitis vaccines in Alexandra township.
    • To identify factors predictive of non-immunisation among infants in the study area.
    • To provide recommendations for improving childhood immunisation rates.

    Main Methods:

    • A cohort of 348 infants born in March-April 1986 through the Alexandra clinic system was followed for 4-5 months.

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  • Immunisation status for the first DPT and polio doses was recorded.
  • Statistical analysis was performed to identify factors associated with non-immunisation.

    • Main Results:

    • Overall immunisation coverage for the first DPT and polio doses was 66% (228 out of 348 eligible infants).
    • Factors associated with significantly lower immunisation coverage included mothers not attending antenatal clinics and infants living outside Alexandra.
    • Infant sex, maternal age, previous sibling death, maternal parity, and paternal support were not significantly associated with immunisation coverage.

    Conclusions:

    • Antenatal clinic attendance and residence within Alexandra are key predictors of higher infant immunisation coverage.
    • Targeted strategies addressing barriers for mothers not attending antenatal care and for families residing outside the immediate clinic area are needed.
    • Improving immunisation coverage requires a multifaceted approach addressing socioeconomic and access-related factors.