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

Vaccines

Jaranit Kaewkungwal¹  Saranath Lawpoolsri¹  Weerawan Hattasingh²  Witaya Swaddiwudhipong³  Chamnan Pinna⁴  Rakdaw Methakulchart⁴  Aree Moungsookjareoun⁵ 

[1] Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand;Department of Tropical Pediatric, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand;Mae Sot Hospital, Mae Sot, Tak 63110, Thailand;Tak Provincial Health Office, Muang, Tak 63000, Thailand;World Health Organization Country Office for Thailand, Nonthaburi 11000, Thailand;

关键词: immunization;    migrant;    thailand–myanmar border;    global vaccine action plan;    expanded program on immunization;    vaccination coverage;   

DOI  :  10.3390/vaccines8010068

来源: DOAJ

【 摘 要 】

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 CalmetteGuérin vaccine, with 83.2% coverage in 2017. The vaccination coverage of three doses of diphtheriatetanuspertussis 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.

【 授权许可】

Unknown