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DOI:	10.1371/journal.pone.0107280
论文题名:	Coverage and Timing of Children's Vaccination: An Evaluation of the Expanded Programme on Immunisation in The Gambia
作者:	Susana Scott; Aderonke Odutola; Grant Mackenzie; Tony Fulford; Muhammed O. Afolabi; Yamundow Lowe Jallow; Momodou Jasseh; David Jeffries; Bai Lamin Dondeh; Stephen R. C. Howie; Umberto D'Alessandro
刊名:	PLOS ONE
ISSN:	1932-6203
出版年:	2014
发表日期:	2014-9-18
卷:	9, 期:9
语种:	英语
英文关键词:	Vaccination and immunization ; Vaccines ; Booster doses ; Gambia ; Measles ; Demography ; Health systems strengthening ; Geographical regions
英文摘要:	Objective To evaluate the coverage and timeliness of the Expanded Programme on Immunisation (EPI) in The Gambia. Methods Vaccination data were obtained between January 2005 and December 2012 from the Farafenni Health and Demographic Surveillance System (FHDSS), the Basse Health and Demographic Surveillance System (BHDSS), the Kiang West Demographic surveillance system (KWDSS), a cluster survey in the more urban Western Health Region (WR) and a cross sectional study in four clinics in the semi-urban Greater Banjul area of WR. Kaplan-Meier survival function was used to estimate the proportion vaccinated by age and to assess timeliness to vaccination. Findings BCG vaccine uptake was over 95% in all regions. Coverage of DPT1 ranged from 93.2% in BHDSS to 99.8% in the WR. Coverage decreased with increasing number of DPT doses; DPT3 coverage ranged from 81.7% in BHDSS to 99.0% in WR. Measles vaccination coverage ranged from 83.3% in BHDSS to 97.0% in WR. DPT4 booster coverage was low and ranged from 43.9% in the WR to 82.8% in KWDSS. Across all regions, delaying on previous vaccinations increased the likelihood of being delayed for the subsequent vaccination. Conclusions The Gambia health system achieves high vaccine coverage in the first year of life. However, there continues to be a delay to vaccination which may impact on the introduction of new vaccines. Examples of effectively functioning EPI programmes such as The Gambia one may well be important models for other low income countries struggling to achieve high routine vaccination coverage.
URL:	http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0107280&type=printable
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资源类型:	期刊论文
标识符:	http://119.78.100.158/handle/2HF3EXSE/19813
Appears in Collections:	过去全球变化的重建影响、适应和脆弱性科学计划与规划气候变化与战略全球变化的国际研究计划气候减缓与适应气候变化事实与影响

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File Name/ File Size	Content Type	Version	Access	License
journal.pone.0107280.PDF（1070KB）	期刊论文	作者接受稿	开放获取	CC BY-NC-SA	View Download

作者单位:

Medical Research Council Unit, Fajara, The Gambia;London School of Hygiene and Tropical Medicine, London, United Kingdom;Medical Research Council Unit, Fajara, The Gambia;Medical Research Council Unit, Fajara, The Gambia;Medical Research Council Unit, Fajara, The Gambia;London School of Hygiene and Tropical Medicine, London, United Kingdom;Medical Research Council Unit, Fajara, The Gambia;Ministry of Health and Social Welfare Government of The Gambia, The Quadrangle, Banjul, The Gambia;Medical Research Council Unit, Fajara, The Gambia;Medical Research Council Unit, Fajara, The Gambia;Medical Research Council Unit, Fajara, The Gambia;Medical Research Council Unit, Fajara, The Gambia;Medical Research Council Unit, Fajara, The Gambia

Recommended Citation:

Susana Scott,Aderonke Odutola,Grant Mackenzie,et al. Coverage and Timing of Children's Vaccination: An Evaluation of the Expanded Programme on Immunisation in The Gambia[J]. PLOS ONE,2014-01-01,9(9)

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