Assessment of Routine Immunisation Coverage of Children Under Two Years of Age in the Dabola Health District, Guinea
Camara Naby
Dabola Prefectural Health Directorate, Faranah Regional Health Inspectorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Traore Fodé Amara
National Institute of Public Health, Ministry of Health and Public Hygiene, Republic of Guinea and Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Republic of Guinea.
Camara Gbawa *
National Health Safety Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Camara Ibrahima Sory
Dabola Prefectural Health Directorate, Faranah Regional Health Inspectorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Konaté Adama
Dabola Prefectural Health Directorate, Faranah Regional Health Inspectorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Delamou Kolkol Léontine
Dabola Prefectural Health Directorate, Faranah Regional Health Inspectorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Condé Moussa
Dabola Prefectural Health Directorate, Faranah Regional Health Inspectorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Kamano Boniface Cécé
Dabola Prefectural Health Directorate, Faranah Regional Health Inspectorate, Ministry of Health and Public Hygiene, Republic of Guinea.
Diaré Abou
National Health Safety Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Kourouma Mohamed Lamine
National Health Safety Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Kéita Ibrahima
National Health Safety Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Doukouré Sékou Manamaï
National Health Safety Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
Gakou Fatoumata
National Health Safety Agency, Ministry of Health and Public Hygiene, Republic of Guinea.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The accumulation of unvaccinated or poorly vaccinated subjects is generally at the root of vaccine-preventable disease outbreaks. The aim of this study was to assess routine vaccination coverage in children under two years of age and to identify the reasons for non-vaccination.
Methods: This was a 10-day descriptive study in the Dabola health district in the Republic of Guinea. Sampling was random in three-stage clusters and a total of 14 clusters (village/neighbourhood) were randomly selected using the Open Epi tool. Data were collected using a semi-structured questionnaire and analysed using Epi Info version 7.2 software.
Results: A total of 387 participants were included, of whom 32%, CI [27.81% - 37.12%] were fully vaccinated. The overall vaccination record possession rate was 76%, CI [71.74% - 80.20%]. Vaccination coverage by antigen ranged from 88%, CI [84% to 91%] for BCG to 33.59%, CI [26% to 42%] for MenA. The majority of respondents were female (92%, CI [88% to 94%]) with an average age of 27 ± 8 years.
The majority did not attend school (87%, CI [84% to 90%]). The main reasons for not vaccinating were: poor reception by staff (27.38%, CI [22.08% - 33.19%]), lack of awareness of the importance of vaccination (21.67%, CI [16.85 - 27.15]) and vaccine shortages (15.21% CI [11.09% - 20.13%]).
Conclusion: Increasing this coverage means multiplying efforts (taking into account the reasons identified for non-vaccination) at all levels of the health pyramid to enable these children to grow up in good health and free from any vaccine-preventable disease.
Keywords: Assessment, coverage, immunisation, children, dabola