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Use of rapid needs assessment as a tool to identify vaccination delays in Guatemala and Peru

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dc.contributor.author D'Ardenne, Katie K.
dc.contributor.author Darrow, Juliana
dc.contributor.author Furniss, Anna
dc.contributor.author Chavez, Catia
dc.contributor.author Hernandez, Herminio
dc.contributor.author Berman, Stephen
dc.contributor.author Asturias, Edwin J.
dc.date.accessioned 2019-02-22T14:54:05Z
dc.date.available 2019-02-22T14:54:05Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5622
dc.description.abstract Objective: To explore the use of rapid needs assessment (RNA) surveys to determine the prevalence and factors contributing to delays in vaccination of children in two low middle-income countries (LMIC). Methods: Data from two RNA surveys performed as part of program improvement evaluations in Guatemala and Peru were used for this analysis. The primary endpoint was the timeliness of immunization with delay defined as administration of vaccines beyond 28 days from recommended age for DTwP-HepB-Hib (Penta) and measles mumps rubella (MMR) vaccines, as well as past age-restrictions for rotavirus vaccine. Independent risk factors analyzed included child's gender, birth year, number of children in household, maternal age, maternal education, and food insecurity. Results: Vaccine information was available from 811 children from 838 households surveyed. High rate of immunization delays was observed, with 75.6% of children in Guatemala and 57.8% of children in Peru being delayed for the third dose of Penta primary series. Factors associated with delayed vaccination in Guatemala included advanced maternal age and increased number of children in household. In Peru, significant associations were birth year before 2009, lower maternal education level, and increased number of children in household. Conclusions: RNA is a fast and effective method to identify timely vaccine coverage and derive a hypothesis of factors possibly associated with vaccination delay. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Vaccine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Guatemala en_US
dc.subject Rotavirus en_US
dc.subject Vaccines en_US
dc.subject Immunization delays en_US
dc.subject Measles en_US
dc.subject Pentavalent en_US
dc.subject Rapid needs assessment en_US
dc.title Use of rapid needs assessment as a tool to identify vaccination delays in Guatemala and Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.vaccine.2016.01.060
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1873-2518


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