Childhood immunization in rural Malawi: time of administration and predictors of non-compliance

A cohort of 760 newborns was followed prospectively for 2 years to ascertain the time of administration of childhood vaccinations in rural Malawi and to study predictors of non-compliance with national vaccination recommendations. At 1 year of age, 99% of the infants were fully vaccinated against tu...

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Bibliographic Details
Published in:Annals of tropical paediatrics 2000-12, Vol.20 (4), p.305-312
Main Authors: Vaahtera, Merimaaria, Kulmala, Teija, Maleta, Kenneth, Cullinan, Timothy, Salin, Marja-Leena, Ashorn, Per
Format: Article
Language:English
Subjects:
BCG Vaccine - administration & dosage
Biological and medical sciences
Cohort Studies
Diphtheria-Tetanus-Pertussis Vaccine - administration & dosage
Epidemiology. Vaccinations
General aspects
Humans
Immunization - methods
Immunization - standards
Infant
Infant, Newborn
Infectious diseases
Malawi
Measles Vaccine - administration & dosage
Medical sciences
Poliovirus Vaccines - administration & dosage
Prevention and actions
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rural Health Services - organization & administration
Specific populations (family, woman, child, elderly...)
Time Factors
Treatment Refusal - statistics & numerical data
Tropical medicine
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Summary:A cohort of 760 newborns was followed prospectively for 2 years to ascertain the time of administration of childhood vaccinations in rural Malawi and to study predictors of non-compliance with national vaccination recommendations. At 1 year of age, 99% of the infants were fully vaccinated against tuberculosis, 91% against polio, 90% against diphtheria, pertussis and tetanus and 64% against measles. At 2 years, the corresponding vaccination coverages were 99%, 93%, 93% and 84%. On average, all vaccinations were given 1-3 months later than recommended. Many of the delayed measles vaccinations were given during a separate vertical campaign, during which 25% of previously unvaccinated 21-23-month-old children were identified and immunized. Non-compliance with vaccination recommendations was associated with living in villages with no access to mobile vaccination teams, birth between April and June and birth at home. In this rural Malawian area, most vaccination services were functioning well. To increase measles vaccination coverage, regular outreach activities should be encouraged.
ISSN:0272-4936
2046-9047
1465-3281
2046-9055
DOI:10.1080/02724936.2000.11748152