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[Study of vaccination of children at a health center]

M Riquelme Pérez1, A Miquel Gómez, E Gómez López

  • 1Centro de Salud La Chopera I, Alcobendas, Madrid.

Atencion Primaria
|September 15, 1994
PubMed

Insights

Vaccination coverage in children decreases with age, with initial rates near WHO targets but declining significantly by adolescence. This highlights the need for improved monitoring systems and primary care team involvement in childhood immunizations.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Childhood vaccination coverage is crucial for disease prevention.
  • Assessing vaccination status and identifying gaps is essential for public health initiatives.
  • Clinical notes serve as a primary record for vaccination status.

Purpose of the Study:

  • To determine vaccination coverage among children attending a health center.
  • To evaluate the accuracy of clinical notes as vaccination records.
  • To investigate the trend of decreasing vaccination rates with increasing age.

Main Methods:

  • A descriptive and crossover study design was employed.
  • Data were collected from 877 children aged 4 months to 16 years.
  • Participants were drawn from a pediatric clinic and a general medical clinic.

Main Results:

  • Initial vaccination appointments showed coverage between 81.90% and 89.24%.
  • Coverage decreased significantly with age, with only 65.51% at 6 years and 40.80% for the final vaccine.
  • Fully vaccinated rates were 91.10% for 2-5 year olds and 37% for 15-16 year olds.

Conclusions:

  • Vaccination surveys are valuable but have limitations within health centers.
  • Early vaccination coverage approaches World Health Organization (WHO) goals.
  • A decline in vaccination coverage with age necessitates universal recording systems and enhanced primary care team responsibility for monitoring.
Abstract

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