Vaccination Coverage for Infants: Cross-Sectional Studies in Two Regions of Belgium

Emmanuelle Robert · Michèle Wilmet Dramaix · Béatrice Swennen

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Vaccine Coverage and Hesitancy Child and Adolescent Health Immune responses and vaccinations

Abstract

METHODS AND OBJECTIVES: To estimate infant vaccination coverage in the French-speaking region of Belgium (Wallonia) and in the Brussels-Capital Region, two cross-sectional studies were performed in 2012. A face-to-face questionnaire was administered by trained investigators. The objective was to evaluate infant vaccination coverage retrospectively in 18- to 24-month-old children. These studies offered the opportunity to assess some factors influencing vaccine uptake in infants. RESULTS AND DISCUSSION: Approximately 99% of the children had received the first dose of IPV-DTaP, 90% the fourth dose, 94% the MMR vaccine, 97% the first dose of pneumococcal vaccine, and 90% the third dose. In both regions, when fitting a logistic model, the most associated factor was attendance at maternal and child clinics (MCH). No association was observed between vaccination coverage and the mother's level of education. For the last immunization session, where the mother was a Belgian native and when she worked more hours, child was better immunized, but only in Brussels. CONCLUSION: Coverage for the fourth dose of hexavalent vaccine (DTaP-IPV-HBV/Hib) needs to be increased. Indeed, additional effort is needed to increase HIB and pertussis coverage rates because the herd immunity threshold for these two diseases has not been reached.

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References

2004Children Who Have Received No Vaccines: Who Are They and Where Do They Live?2003Maternal Characteristics Associated With Vaccination of Young Children 2002Timeliness of Childhood Immunizations 2006Differences in risk factors for partial and no immunisation in the first year of life: prospective cohort study 2005Determinants of Dutch parents’ decisions to vaccinate their child 2007Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey 2001Analysis of factors influencing vaccine uptake: perspectives from Belgium 2008Vaccination coverage and sociodemographic determinants of measles–mumps–rubella vaccination in three different age groups

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