Public Health, cilt.117, ss.54-61, 2003 (SCI İndekslerine Giren Dergi)
Objective: The member states of the 41st World Health Assembly agreed to aim for
the global eradication of polio by the year 2000. Turkey adopted this
goal and made substantial progress. In this report, we present the
results of a coverage and risk factor survey conducted to evaluate
vaccine delivery during the 1999 national immunization days (NIDs) in
a large district of Istanbul, Turkey. This study provides important
information regarding risk factors and reasons for non-vaccination
during the NIDs, defines rumours about the NIDs, and provides
estimates of vaccination coverage.
and participants: A survey was conducted 3–10 days after the second round of 1999
NIDs using the standard expanded programme on immunization cluster
survey method, for each of 10 health centre areas in Ümraniye. In
total, 2102 children were included in the analysis.
Results: The vaccination coverage rate was 82.2%. Logistic regression analysis
showed increased risk of non-vaccination in people who did not know
the purpose of the NIDs, who had not had contact with a mobile
vaccination team, who were unvaccinated in the first round of 1999
NIDs and who lived in the area of the Central Health Centre. Use of
primary-level state healthcare facilities for routine childhood
immunizations, and living in the area of the Adem Yavuz Health Centre
had significant positive effects on vaccination.
Conclusions: To achieve better results, better publicity of national campaigns
using mass media, and improved use of mobile teams, are necessary.
Keywords: Poliomyelitis, Prevention, Immunization, Turkey, Epidemyology, Risk factors, Rumours