Impact of vaccination on the incidence of measles in Mozambique in the period 2000 to 2011

Cadernos de Saúde Pública

Artur Manuel Muloliwa²  Luiz Antonio Bastos Camacho¹  José Fernando Souza Verani¹  Taynãna César Simões¹  Martinho Do Carmo Dgedge² 

[1] ,Ministério da SaúdeMaputo,Moçambique

关键词: Measles;    Vaccination;    Immunization Coverage;    Sarampo;    Vacinação;    Cobertura Vacinal;    Sarampión;    Vacunación;    Cobertura de Vacunación;   

DOI  :  10.1590/S0102-311X2013000200013

来源: SciELO

【 摘 要 】

The aim of this study was to contribute to the better planning of measles elimination actions in Mozambique, by considering the impact of vaccination actions over the period 2000 to 2011. Descriptive and ecological studies and case records made available by the Ministry of Health were used to analyze measles vaccination coverage. Statistical analysis was performed using time series and spatial analysis. Vaccine coverage rates ranged from 82% to 99%. Coverage rates in Maputo city were under 70% and in Niassa province they were over 100%. Coverage showed a clustered pattern in the districts. The measles incidence rate was 1.58 per 100,000 inhabitants (0.00-40.08 per 100,000 inhabitants); districts bordering neighboring countries presented high incidence rates. Although measles morbidity and mortality has decreased in Mozambique, vaccine coverage has been insufficient to interrupt measles transmission. Enhanced surveillance, including investigation of cases and outbreaks, and improvements in measles vaccination are recommended in order to achieve a homogenous coverage rate of ≥ 95% for both routine and mass vaccination campaigns.

【 授权许可】

CC BY   
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