Assessment of missing opportunity of vaccination at primary health care center: A retrospective study
Keywords:Vaccination, Vaccines, missed opportunity for vaccination (MOV)
Objectives: The study aim is to assess the vaccination status of children under two years old in Al-Asatetha primary health care center / Hilla-Iraq.
Method: Retrospective study design (Retrospective chart review) was used to assess the missed opportunities of vaccination for children under the age of two years by reviewing their immunization status from medical reports at the primary health care center. The purposive sampling was used to collect the data of 1000 children born from 1-1-2020 to 31-12-2020 through the period from 1 December 2021 to 1 February 2022.
Results: the finding of the current study showed that the age of children in the selected period (2020-2021) was between11-23 months, the number of children (1-8) in the same family, and almost all of these families reside in urban areas. Regarding the parents’ educational level the high percentage of both fathers and mothers were attained a primary level of education, and most of the fathers were working, while most of the mothers were not work. Concerning the vaccination status the finding showed that the percentage of missed vaccination opportunities reached 61%, and there was a significant positive correlation between vaccination status and (family residence, parental education level, and fathers' occupation) with a P value of 0.01. On the other hand, the number and the order of children in families had an inversely significant relationship with vaccination status at a P value of 0.01.
Conclusion: the study concludes that numerous factors affect the vaccination rate such as parents' education attainment and awareness, family size, address, and economic status of the family.
MOH, USAID’s, PHCPI. NATIONAL IMMUNIZATION PLAN OF IRAQ for 2015 Table of Contents. 2015;(December 2014).
Fadil LS, Al-Lami F. Proportion and determinants of incomplete vaccination among children aged less than two years in Baghdad City. Iraqi Postgrad Med J. 2010;9(2).
Raof AM. Parental attitude and beliefs towards child vaccination: identifying vaccine hesitant groups in a family health center, Erbil city, Iraq. World Fam Med J Inc Middle East J Fam Med. 2018;99(6002):1–10.
MacDonald NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161–4.
Jaca A, Mathebula L, Iweze A, Pienaar E, Wiysonge CS. A systematic review of strategies for reducing missed opportunities for vaccination. Vol. 36, Vaccine. 2018.
WHO. Essential Programme on Immunization [Internet]. Who. 2021 [cited 2022 Feb 27]. p. 2021. Available from: https://www.who.int/teams/immunization-vaccines-and-biologicals/essential-programme-on-immunization/implementation/reducing-missed-opportunities-for-vaccination-(mov)
Sridhar S, Maleq N, Guillermet E, Colombini A, Gessner BD. A systematic literature review of missed opportunities for immunization in low-and middle-income countries. Vaccine. 2014;32(51):6870–9.
Keja K, Chan C, Hayden G, Henderson RH. Expanded programme on immunization. World Health Stat Q. 1988;41(2):59–63.
Lafta R, Hussain A. Trend of vaccine preventable diseases in Iraq in time of conflict. Pan Afr Med J. 2018;31(1).
Bundt TS, Hu H. National examination of compliance predictors and the immunization status of children: precursor to a developmental model for health systems. Mil Med. 2004;169(10):795–803.
Falagas ME, Zarkadoulia E. Factors associated with suboptimal compliance to vaccinations in children in developed countries: a systematic review. Curr Med Res Opin. 2008;24(6):1719–41.
Mahmood NS. Rate of Vaccination of Children at Diyala Province & the Effect of Parental Education on Vaccination Status, Hospital Based Study. Diyala J Med. 2012;3(1):73–81.
Dombkowski KJ, Lantz PM, Freed GL. Risk factors for delay in age-appropriate vaccination. Public Health Rep. 2004;119(2):144–55.
Al-Shemari KD. Causes of delay in age appropriate vaccination. Iraqi Postgrad Med J. 2006;5:32–98.
Hutchins SS, Jansen HA, Robertson SE, Evans P, Kim-Farley RJ. Studies of missed opportunities for immunization in developing and industrialized countries. Bull World Health Organ. 1993;71(5):549.
Asiegbu UV, Obu DC, Una AFI, Ezeonu CT, Asiegbu OK. Evaluating mothers knowledge and attitude as a contributing factor to the low childhood immunization uptake in Ebonyi State, Nigeria. African J Med Heal Sci. 2020;19(8):127–35.
Abbas LM, AlDeen LD. Incomplete Vaccination among Children below Two Years in a sample of urban Primary Health Care Centers at Al-Karkh Baghdad City. IRAQI JOURNALOF COMMUNITY Med. 2016;29(3).
Fite RO, Hailu LD. Immunization coverage of 12 to 23 months old children in Ethiopia. J Public Heal Epidemiol. 2019;11(1):31–7.
Kaboré L, Meda B, Médah I, Shendale S, Nic Lochlainn L, Sanderson C, et al. Assessment of missed opportunities for vaccination (MOV) in Burkina Faso using the World Health Organization’s revised MOV strategy: Findings and strategic considerations to improve routine childhood immunization coverage. Vaccine. 2020;38(48):7603–11.
Hassan ZA, Ahmed MJ. Factors associated with immunisation coverage of children aged 12-24 months in Erbil/Iraq 2017-2018. Int J Psychosoc Rehabil. 2020;24(08).
Abd-Alabass Z, Faraj R. Evaluation of Health Care Workers’ Knowledge about Immunity and Vaccination at Primary Health Care Centers in Al-Hilla City. Kufa J Nurs Sci. 2021;11(1):1–7.
KOLAWOLE TO, SOTUNSA JO. Effect of Short Message Service On Prevention of Missed Childhood Immunization Among Mothers Attending Immunization Clinics in Selected Hospitals in Lagos State, Nigeria. Int J. 2021;2(2).
Abdul Rahman MA, Al-Dabbagh SA, Al-Habeeb QS. Health education and peer leaders’ role in improving low vaccination coverage in Akre district, Kurdistan region, Iraq. East Mediterr Heal J. 2013;19(2).
How to Cite
Copyright (c) 2023 Journal of Contemporary Medical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.