Timeliness and level of primary immunization coverage against measles and rubella in Montenegro

Laušević, Dragan; Tiodorović, Branislav; Rakočević, Božidarka; Medenica, Vesna; Beatović, Veselinka; Hadžifejzović, Alma

Akcije

dodaj u Moj izbor [0]

kako citirati ovaj članak
prikaži na oba jezika
podeli ovaj članak

Direktan link

Metrika

citati u SCIndeksu: 0
citati u CrossRef-u:0
citati u Google Scholaru:[]
posete u poslednjih 30 dana:5
preuzimanja u poslednjih 30 dana:0

Sadržaj

članak: 5 od 6

povratak na rezultate

Acta medica Medianae

2009, vol. 48, br. 3, str. 9-14

Pravovremenost i nivo obuhvata primovakcinacijom protiv malih boginja i rubele u Crnoj Gori

Laušević Dragan^a, Tiodorović Branislav^b, Rakočević Božidarka^a, Medenica Vesna^a, Beatović Veselinka^a, Hadžifejzović Alma^a

^aInstitut za javno zdravlje Podgorica, Crna Gora
^bInstitut za javno zdravlje, Niš

e-adresa: dragan.lausevic@ijz.mn.yu

Ključne reči: vakcinom preventibilne bolesti; morbili; rubela; MMR; pravovremenost vakcinacije; obuhvat primovakcinacijom; vakcinalni kartoni

Sažetak

Cilj rada bio je da se utvrdi pravovremenost i nivo obuhvata primoimunizacijom protiv malih boginja i rubele u sklopu sprovođenja programa obaveznih imunizacija u Crnoj Gori u kohorti rođenih od 01. januara do 31. decembra 2006. godine. U istraživanju je korišćena studija presjeka koja je sprovedena u periodu od oktobra do decembra 2008. godine obilaskom svih imunizacionih punktova u Crnoj Gori, tokom kojih su pregledani vakcinalni kartoni cjelokupne kohorte rođene u 2006. godini. Pravovremena primoimunizacija sa kombinovanom vakcinom protiv malih boginja, epidemijskih zaušaka i rubele MMR-om sprovedena je kod 91,4% obveznika na nivou države kao cjeline, s tim da je u sedam opština (33,3%) pravovremena primoimunizacija sprovedena kod manje od 90% obveznika, među kojima u jednoj opštini, čak, kod manje od 80% obveznika. Nakon dopunskih aktivnosti na vakcinacijama prethodno nevakcinisanih osoba, obuhvat obveznika kohorte rođene 2006. godine primoimunizacijom sa MMR-om dostigao je 96,1% na nivou Crne Gore, a u najvećem broju opština premašio je vrijednost od 95%. Ipak, i nakon dopunskih imunizacionih aktivnosti, u šest od ukupno 21 opštine (28,6%) obuhvat primovakcinacijom sa MMR iznosio je manje od zahtijevanih 95%, od čega u jednoj opštini i ispod 90%. U kohorti rođenih tokom 2006. godine pravovremena primovakcinacija sa MMR-om sprovedena je u jednoj trećini crnogorskih opština u obimu manjem od 90%. Dopunske aktivnosti na imunizaciji nevakcinisane djece iz navedene kohorte u značajnoj mjeri su podigle procenat primovakcinacije sa MMR-om. Ipak, u jednom broju opština ni nakon dopunskih imunizacionih aktivnosti nije dostignut zahtijevani primovakcinacijski obuhvat od 95%. U poređenju sa rutinskim administrativnim izvještavanjem o sprovedenim imunizacijama, istraživanja koja uključuju pregled vakcinalnih kartona nakon dopunskih imunizacionih aktivnosti daju realniju sliku o stvarnom primovakcinacijskom obuhvatu obveznika, kao i podatke o pravovremenosti sprovedenih primovakcinacija.

Abstract

The aim of the paper was to determine the timeliness and level of primary immunization coverage against measles and rubella in Montenegro in the cohort born from January 1 to December 31, 2006. Cross-sectional study was conducted in the period from October to December 2008. All immunization points in Montenegro were visited and immunization records of entire cohort born in 2006 were reviewed. Timeliness of primary immunization coverage with MMR was 91.4% at the level of Montenegro, but in the seven municipalities (33,3%) timeliness of primary immunization coverage was less than 90%, including one municipality even with less than 80%. After the additional activities on the vaccination of previously unvaccinated children, primary immunization coverage with MMR reached the value of 96.1% at the level of Montenegro, and in the majority of municipalities exceeded the value of 95%. However, after additional immunization activities in six out of the 21 municipalities (28.6%) primary immunization coverage with MMR was below 95% of which in one municipality below 90%. In the cohort born during 2006, timely primary immunization with MMR was performed in one third of Montenegrin municipalities with the value less than 90%. Supplemental immunization activities related to unvaccinated children significantly increased primary immunization coverage with MMR in the cohort born in 2006. Yet, in certain number of municipalities even after additional immunization activities, primary immunization coverage did not reached the required 95%. In comparison with routine administrative reporting on immunization coverage, the surveys which involve the review of immunization records after additional immunization activities provide more realistic rate of completeness and timeliness of primary immunization coverage.

	Reference
	*** (2006) Program obaveznih imunizacija na teritoriji Republike Crne Gore za 2006. godinu. Sl. List RCG, br. 12, str. 7-12
	*** (2008) Statistički godišnjak 2007. o zdravlju stanovništva i zdravstvenoj zaštiti u Crnoj Gori. Podgorica: Institut za javno zdravlje, Maj 2008. str. 177-185
	*** (2005) Immunization coverage cluster survey: Reference manual. Geneva: WHO, Department of Immunization, Vaccines and Biologicals, WHO/IVB/04. 23
1	Bailie, R.S., Si, D., Dowden, M.C., Selvey, C.E., Kennedy, C., Cox, R., O'Donoghue, L., Liddle, H., Connors, C.M., Thompson, S., Burke, H., Brown, A. (2009) A systems approach to improving timeliness of immunisation. Vaccine, 27(27): 3669
1	Clark, A., Sanderson, C. (2009) Timing of children's vaccinations in 45 low-income and middle-income countries: an analysis of survey data. Lancet, 373(9674): 1543
1	Cutts, F.T., Waldman, R.J., Zoffman, H.M. (1993) Surveillance for the Expanded Programme on Immunization. Bull World Health Organ, 71(5): 633-9
	Dannetun, E., Tegnell, A., Hermansson, G., Törner, A., Giesecke, J. (2004) Timeliness of MMR vaccination: influence on vaccination coverage. Vaccine, 22(31-32): 4228-32
1	Dayan, G.H., Shaw, K.M., Baughman, A.L., Orellana, L.C., Forlenza, R., Ellis, A., Chaui, J., Kaplan, S., Strebel, P. (2006) Assessment of delay in age-appropriate vaccination using survival analysis. American Journal of Epidemiology, 163(6): 561
	du Châtelet, P.I., Floret, D., Antona, D., Lévy-Bruhl, D. (2009) Measles resurgence in France in 2008: A preliminary report. Euro Surveill, 14(6). pii: 19118
	Đorđević, M., Pantović, V., Jovanović, B., Đorđević, G. (2009) Epidemiološke karakteristike velikog kašlja u Srbiji i Šumadijskom okrugu. Acta medica Medianae, vol. 48, br. 1, str. 31-36
	Editorial Team (2008) Measles once again endemic in the United Kingdom. Euro Surveill, 13(27):pii=18919
	Fairbrother, G., Freed, G.L., Thompson, J.W. (2000) Measuring immunization coverage. Am J Prev Med, 19(3 Suppl): 78-88
	Filia, A., de Crescenzo, M., Seyler, T., Bella, A., Ciofi, D.A.M.L., Nicoletti, L., i dr. (2008) Measles resurges in Italy: Preliminary data from September 2007 to May 2008. Euro Surveill, 13, (29), pii, 18928
	Follin, P., Dotevall, L., Jertborn, M., Khalid, Y., Liljeqvist, J.A., Muntz, S., Qvarfordt, I., Söderström, A., Wiman, A., Ahrén, C., Österberg, P., Johansen, K. (2008) Effective control measures limited measles outbreak after extensive nosocomial exposures in January-February 2008 in Gothenburg, Sweden. Euro Surveill, 13, (30), pii: 18937
1	Glauber, J.H. (2003) The immunization delivery effectiveness assessment score: a better immunization measure?. Pediatrics, 112(1 Pt 1): e39-45
1	Hull, B.P., McIntyre, P.B. (2006) Timeliness of childhood immunisation in Australia. Vaccine, 24(20): 4403
	Kaić, B., Gjenero-Margan, I., Kurečić-Filipović, S., Muscat, M. (2008) A measles outbreak in Croatia. Euro Surveill, 14(1). pii: 19083
1	Laušević, D., Mugoša, B. (2009) Izvještaj o sprovedenim imunizacijama u Crnoj Gori u 2008. Podgorica: Institut za javno zdravlje
1	Lister, S., Mcintyre, P.B., Burgess, M.A., O'Brien, E.D. (1999) Immunisation coverage in Australian children: a systematic review 1990-1998. Commun Dis Intell, 23(6): 145-70
1	Luman, E.T., Worku, A., Berhane, Y., Martin, R., Cairns, L. (2007) Comparison of two survey methodologies to assess vaccination coverage. International Journal of Epidemiology, 36(3): 633
2	Luman, E.T., McCauley, M.M., Stokley, S., Chu, S.Y., Pickering, L.K. (2002) Timeliness of childhood immunizations. Pediatrics, 110(5): 935-9
1	Luman, E.T., Barker, L.E., Mccauley, M.M., Drews-Botsch, C. (2005) Timeliness of childhood immunizations: a state-specific analysis. Am J Public Health, 95(8): 1367-74
	Marinova, L., Kojouharova, M., Mihneva, Z. (2009) An ongoing measles outbreak in Bulgaria. Euro Surveill, 14(26):pii=19259
1	Murray, C.J.L., Shengelia, B., Gupta, N., Moussavi, S., Tandon, A., Thieren, M. (2003) Validity of reported vaccination coverage in 45 countries. Lancet, 362(9389): 1022-7
	Muscat, M., Bang, H., Glismann, S. (2008) Measles is still a cause for concern in Europe. Euro Surveill, 13(16), pii: 18837
	Nieto-Vera, J., Masa-Calles, J., Dávila, J., Molina-Font, J., Jiménez, M., i dr. (2008) An outbreak of measles in Algeciras. Euro Surveill, a preliminary report. 13(20). pii: 18872
	Noury, U., Stoll, J., Haeghebaert, S., Antona, D. (2008) Parent du Châtelet I; investigation team. Outbreak of measles in two private religious schools in Bourgogne and Nord-Pas-de-Calais regions of France, May-July preliminary results). Euro Surveill, 13(35). pii: 18961
1	Ronveaux, O., Rickert, D., Hadler, S., Groom, H., Lloyd, J., Bchir, A., Birmingham, M. (2005) The immunization data quality audit: verifying the quality and consistency of immunization monitoring systems. Bull World Health Organ, 83(7), 503-10
	Sadoh, A.E., Eregie, C.O. (2009) Timeliness and completion rate of immunization among Nigerian children attending a clinic-based immunization service. Journal of health, population, and nutrition, 27(3): 391-5
1	Salmon, D.A., Smith, P.J., Navar, A.M., Pan, W.K., Omer, S.B., Singleton, J.A., Halsey, N.A. (2006) Measuring immunization coverage among preschool children: Past, present and future opportunities. Epidemiologic Reviews, 28(1): 27
1	Shefer, A., Santoli, J., Singleton, J.A. (2007) Measuring vaccination coverage: Where are we now and where are we going?. Journal of public health management and practice, 13(6): 541-3
1	Šeguljev, Z., Đurić, P., Petrović, V., Stefanović, S., Ćosić, G., Hrnjaković, I., i dr. (2007) Current measles outbreak in Serbia: A preliminary report. Eurosurveillance, 12(3):E070315. 3
	van Treeck, U. (2006) Measles outbreak in Germany: over 1000 cases now reported in Nordrhein Westfalen. Euro Surveill, 11(5): E060511. 1
1	World Health Organization (2008) Vaccinepreventable diseases: Monitoring system 2008 global summary. Geneva: World Health Organization
	World Health Organization (2005) Eliminating measles and rubella and prevention congenital rubella infection. u: WHO European Region strategic plan 2005-2010, World Health Organization

O članku

jezik rada: srpski
vrsta rada: izvorni naučni članak
objavljen u SCIndeksu: 09.02.2010.

Povezani članci

Acta fac medic Naissensis (2009)
Pravovremenost i nivo obuhvata vakcinacije protiv difterije, velikog kašlja i tetanusa u Crnoj Gori
Laušević Dragan, i dr.

Medicinski pregled (2007)
Rezultati izvođenja programa imunizacije u Vojvodini
Šeguljev Zorica, i dr.