تقييم ممارسات الجلسة التلقيحية في مراكز الرعاية الصحية الاولية - محافظة واسط, العراق 2017 == Assessment of Immunization Session Practices in Primary Healthcare Centers - Wasit Province, Iraq, 2017
Author name:
علي صادق جعفر
Supervisor name:
فارس حسن اللامي
General topic:
Medicine
Specific topic:
Applied Epidemiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1440 - p.pdf
Abstract:
Vaccination is a great public health achievement in human history. Annually, vaccines prevent more than 2.5 million child deaths globally. In 2016, about 19.5 million infants worldwide were not covered by DTP3, 60% of them live in 10 countries including Iraq. According to WHO and UNICEF, one third of below one year infants did not complete their immunization schedule. Wasit is among the governorates with a large number of underimmunized children. High quality immunization session practices (ISPs) can ensure safer, more effective vaccination and higher coverage rates. Objectives : To assess ISPs in Primary Healthcare Centers (PHCs) in Wasit, and if ISPs are correlated to some PHCs’ characteristics.Methods : A cross sectional study was conducted on 14 PHCs. One fourth of PHCs in each district were selected using simple random sampling. Each PHC was visited once to assess ISPs, using a modified WHO immunization session checklists. Information on vaccinators and PHC’s were collected using two, self - designed questionnaires.Results : PHCs were scoring variably in ISPs, ranging from 0.52 to 0.78 with a mean of 0.68 ± 0.07. ISPs were grouped into seven domains (mean) : vaccine management (0.51), cold chain management (0.40), session equipment (0.88), communication (0.27), vaccine preparation and administration (0.72), registration (0.83) and waste management (0.84). Three of PHCs’ characteristics : population size, below one - year monthly target and average number of daily vaccinees showed statistically significant, negative correlation with ISPs which was of intermediate strength.Conclusion : None of the PHCs was practicing near standard ISPs. ISPs showed statistically significant, negative correlation, of intermediate strength with population size, below one - year monthly target and average number of daily vaccinees for each PHC
