196.02
General assesment of the immunization program in Yemen and recommendations for its improvment. Aden (Yemen)
Friday, May 1, 2009
Sergio Arouca (The Hilton Istanbul Hotel )
Jameel A. Saleh
Faculty of Medicine and Health Sciences , Aden University (Yemen), Yemen
General Asssessment of the Immminization programme in Yemen and Recommendations forImprovement.
Jammel A.A. Saleh
Faculty of Medicine and Health sciences, university of Aden, Aden , Yemen
Context : Yemenese infant mortality and mortality rate of children under 5 are among the higest in the Eastern Mediterranean and North African region. In Yemen , one out of eight children dies before reaching one year of age, and themajor childhood infectious diseases still kill about 2500 infants yearly.Objectives : A KAP ( Knowledge, Attitude, Practice) study was conducted with the principal objective of contributing to the study of the effectiveness of the Immmunization Programmme in Aden Governorate , the knowledgr, attitude and practice related to this problem and the socio economic factors influencing it.Design : A sample of 342 children under the age of two years was studied using both cluster and stratifed random sampling methods. A closed type questionnaire consisting of three main sctioons with 37 items was used and filled out bythe author during interviews with the mother of each selected child.Results : an overall evaluation of the effectiveness of the Immunization Programme in Aden Governorate was attempted. The results showed an overall coverage level of 66.7% recieving complete vaccination , 19.3 % recieving incomplete vaccination and 14% without any vaccinations. The main causes for incomplete vaccinations were considerations of parents that their child was ill(30.3%) followed by lack of availability of vaccines in MCH centers (27.3%) and clinics not wanting to open the multi-dose vaccine (13.6%). The main causes for parents not obtaining any vaccinations for their children were : no faith in immunization and rumors/beliefs . The educational level of the parents was found to be an influencing factor on immunization levels. Best Regards, Dr. Jameel A.A Saleh Community Medicine Department Faculty o Medicine and Health Sciences Aden University (Yemen) e.mail Jameel5200@yahoo.com
Learning Objectives: 1) to describe the current status of immunization coverage among children up to the age of two years in Aden Governorate (Yemen).
2) to identify the different socio-economic factors that influence the immunization coverage.
3) to propose some interventions for improving the vaccination coverage to meet the goals stated by the World Health Organisation.
Sub-Theme: Revisiting primary health care in the 21st century