Evaluation of the national vaccination day in bogotá, d.c., 2001

Objectives: A national immunization day-NID, aimed at improving vaccination coverage, was carried out in Colombia in November 2001. The main objective of the study was to measure the proportion of children under 2 years either completing their immunization schedule or advancing through it by receivi...

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Autores:
Prieto Alvarado, Franklyn E.
de la Hoz Restrepo, Fernando P.
Tipo de recurso:
Article of journal
Fecha de publicación:
2003
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/31798
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/31798
http://bdigital.unal.edu.co/21878/
Palabra clave:
Programas de inmunización
equidad
calidad de la atención de salud
evaluación de impacto
Immunization programs
health fair
health care quality
public health
evaluation studies
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
Description
Summary:Objectives: A national immunization day-NID, aimed at improving vaccination coverage, was carried out in Colombia in November 2001. The main objective of the study was to measure the proportion of children under 2 years either completing their immunization schedule or advancing through it by receiving doses during the NID. Besides, we also evaluated the proportion of lost opportunities for vaccination during the NID and the impact of the media (TV, radio, newspapers, etc.) in advertising the NID. Methods: In order to evaluate the impact of immunization a cross sectional survey was carried out in Bogotá in the waiting rows of the 30 randomly selected vaccination posts; 623 participants were systematically chosen. The outcomes were analyzed by age, socioeconomic level and type of health insurance-SSS. Only children holding a vaccination card were considered eligible for the study. Results: Most people become aware about NID through TV, 81 %, followed by radio advertisements, 22 %. After attending NID the proportion of fully vaccinated children, according to PAHO scheme, raised from 46 % to 66 %, a 43 % increase. This increase was even higher among children aged less than 6 months (140 % increment). There were no differences in the increment by social stratum or affiliation to the SSS. Among the children studied we identified a 24 % of loss opportunities for vaccination that did not differ by socioeconomic level or SSS groups. Conclusions: Our results suggest that, despite its high costs, NID might be useful to transiently overcome barriers for adequate access to health services.