Vaccination coverage of children aged 12-23 months in Gaziantep, Turkey: comparative results of two studies carried out by lot quality technique: what changed after family medicine?

BMC Public Health

Servet Ozgur¹  Hakan Tuzun²  Ferhat Coskun³  Neriman Aydin¹  Birgul Ozcirpici⁴ 

[1] Department of Public Health, Gaziantep University, Gaziantep, Turkey;Ministry of Health, Department of Health Promotion, Ankara, Turkey;Tarsus Community Health Center, Tarsus, Turkey;The Department of Public Health, Faculty of Medicine, Gaziantep University, 27310 Gaziantep, Turkey

关键词: Lot quality technique;    Immunization;    Turkey;    Gaziantep;    Fully vaccinated;    Family medicine;   

Others  :  1132417
DOI  :  10.1186/1471-2458-14-217

 received in 2013-06-14, accepted in 2014-02-25,  发布年份 2014

【 摘 要 】

Background

Health care systems in many countries are changing for a variety of reasons. Monitoring of community-based services, especially vaccination coverage, is important during transition periods to ensure program effectiveness. In 2005, Turkey began a transformation from a “socialization of health services” system to a “family medicine” system. The family medicine system was implemented in the city of Gaziantep, in December, 2010.

Methods

Two descriptive, cross-sectional studies were conducted in Gaziantep city center; the first study was before the transition to the family medicine system and the second study was one year after the transition. The Lot Quality Technique methodology was used to determine the quality of vaccination services. The population studied was children aged 12–23 months. Data from the two studies were compared in terms of vaccination coverage and lot service quality to determine whether there were any changes in these parameters after the transition to a family service system.

Results

A total of 93.7% of children in Gaziantep were fully vaccinated before the transition. Vaccination rates decreased significantly to 84.0% (p <0.005) after the family medicine system was implemented. The number of unacceptable vaccine lots increased from 5 lots before the transition to 21 lots after the establishment of the family medicine system.

Conclusions

The number of first doses of vaccine given was higher after family medicine was implemented; however, the numbers of second, third, and booster doses, and the number of children fully vaccinated were lower than before transition. Acceptable and unacceptable lots were not the same before and after the transition. Different health care personnel were employed at the lots after family medicine was implemented. This result suggests that individual characteristics of the health care personnel working in a geographic area are as important as the socioeconomic and cultural characteristics of the community.

【 授权许可】

   
2014 Ozcirpici et al.; licensee BioMed Central Ltd.

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