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Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)

Immunization is a core component of the human right to health. However, accessibility to the Expanded Program on Immunization (EPI) might be difficult among migrant children. This study aims to assess the vaccination coverage of migrant children under a mobile immunization program, initiated by the...

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Autores principales: Pinna, Chamnan, Kaewkungwal, Jaranit, Hattasingh, Weerawan, Swaddiwudhipong, Witaya, Methakulchart, Rakdaw, Moungsookjareoun, Aree, Lawpoolsri, Saranath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158671/
https://www.ncbi.nlm.nih.gov/pubmed/32033393
http://dx.doi.org/10.3390/vaccines8010068
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author Pinna, Chamnan
Kaewkungwal, Jaranit
Hattasingh, Weerawan
Swaddiwudhipong, Witaya
Methakulchart, Rakdaw
Moungsookjareoun, Aree
Lawpoolsri, Saranath
author_facet Pinna, Chamnan
Kaewkungwal, Jaranit
Hattasingh, Weerawan
Swaddiwudhipong, Witaya
Methakulchart, Rakdaw
Moungsookjareoun, Aree
Lawpoolsri, Saranath
author_sort Pinna, Chamnan
collection PubMed
description Immunization is a core component of the human right to health. However, accessibility to the Expanded Program on Immunization (EPI) might be difficult among migrant children. This study aims to assess the vaccination coverage of migrant children under a mobile immunization program, initiated by the Thai government in 2014. A cross-sectional, mixed-methods study was conducted in five districts along the Thailand–Myanmar border during July–December 2018. The immunization history during their first year of life was obtained. Focus group discussions were conducted among stakeholders to explore their satisfaction toward the immunization service. Mothers/guardians of 1707 migrant children participated in the survey, with a 71% response rate. The vaccination coverage increased during 2014–2017. The highest vaccination coverage was observed for Bacillus Calmette-Guérin vaccine, with 83.2% coverage in 2017. The vaccination coverage of three doses of diphtheria-tetanus-pertussis vaccine and Hepatitis B vaccine and oral polio vaccine increased from 34.8% in 2014 to 56.3% in 2017. For measles-containing vaccine, the vaccination coverage increased from 32.4% in 2014 to 54.6% in 2017. Overall, all stakeholders were satisfied with the immunization service. Increased workload and communication barriers were the main factors that influenced the satisfaction toward the immunization program.
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spelling pubmed-71586712020-04-21 Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) Pinna, Chamnan Kaewkungwal, Jaranit Hattasingh, Weerawan Swaddiwudhipong, Witaya Methakulchart, Rakdaw Moungsookjareoun, Aree Lawpoolsri, Saranath Vaccines (Basel) Article Immunization is a core component of the human right to health. However, accessibility to the Expanded Program on Immunization (EPI) might be difficult among migrant children. This study aims to assess the vaccination coverage of migrant children under a mobile immunization program, initiated by the Thai government in 2014. A cross-sectional, mixed-methods study was conducted in five districts along the Thailand–Myanmar border during July–December 2018. The immunization history during their first year of life was obtained. Focus group discussions were conducted among stakeholders to explore their satisfaction toward the immunization service. Mothers/guardians of 1707 migrant children participated in the survey, with a 71% response rate. The vaccination coverage increased during 2014–2017. The highest vaccination coverage was observed for Bacillus Calmette-Guérin vaccine, with 83.2% coverage in 2017. The vaccination coverage of three doses of diphtheria-tetanus-pertussis vaccine and Hepatitis B vaccine and oral polio vaccine increased from 34.8% in 2014 to 56.3% in 2017. For measles-containing vaccine, the vaccination coverage increased from 32.4% in 2014 to 54.6% in 2017. Overall, all stakeholders were satisfied with the immunization service. Increased workload and communication barriers were the main factors that influenced the satisfaction toward the immunization program. MDPI 2020-02-05 /pmc/articles/PMC7158671/ /pubmed/32033393 http://dx.doi.org/10.3390/vaccines8010068 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pinna, Chamnan
Kaewkungwal, Jaranit
Hattasingh, Weerawan
Swaddiwudhipong, Witaya
Methakulchart, Rakdaw
Moungsookjareoun, Aree
Lawpoolsri, Saranath
Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
title Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
title_full Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
title_fullStr Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
title_full_unstemmed Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
title_short Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
title_sort evaluation of immunization services for children of migrant workers along thailand–myanmar border: compliance with global vaccine action plan (2011–2020)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158671/
https://www.ncbi.nlm.nih.gov/pubmed/32033393
http://dx.doi.org/10.3390/vaccines8010068
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