Vaccine coverage for Lebanese citizens and Syrian refugees in Lebanon

Maria Kmeid · Hayat Azouri · Racha Aaraj · Elissa Bechara · Diane Antonios

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

Abstract

ARTICLE HISTORY: Following the refugee crisis in Lebanon, the on-going inflow of Syrian refugees presented new challenges to optimal immunization coverage for all the children living in the country. Healthcare facilities have been overburdened during this period and the country witnessed outbreaks of many infectious diseases. Thus, the evaluation of vaccine compliance for mandatory and non-mandatory vaccines as well as the factors affecting the vaccination rate among Lebanese residents and Syrian refugees is fundamental. BACKGROUND: Since 2012, Lebanon has hosted around 1.2 million Syrian refugees, a high number in a country whose population does not exceed 4.4 million. Healthcare facilities have been overburdened during this period, which has led to the spread of many infectious diseases, including outbreaks of measles, mumps and hepatitis. At the appearance of such outbreaks, it becomes essential to evaluate vaccine compliance and the factors influencing the vaccination rate among Lebanese residents and Syrian refugees in infants and children up to 15 y of age. METHODS: A total of 571 infants and children were recruited in Beirut and Mount Lebanon, two governorates that together host half of the Lebanese population. RESULTS: A very high rate of vaccine compliance was seen for mandatory vaccines, whereas an intermediate to very low rate of compliance was found for non-mandatory vaccines. Both bivariate and multiple regression analyses indicated that age group and regular consultation of a pediatrician were independently associated with immunization coverage. Bivariate analysis indicated that parental age, occupational and educational status of parents, family size and vaccine price were also independently associated with immunization coverage. Incomplete vaccination coverage was associated with socioeconomic factors. CONCLUSIONS: From these results, it becomes apparent that it may be necessary to reassess vaccination priorities considering the current socioeconomic situation.

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References

2018Parental vaccine hesitancy in Italy – Results from a national survey 2014What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?2009Socioeconomic factors play a more important role in childhood vaccination coverage than parental perceptions: a cross-sectional study in Greece 2004Risk Factors for Delay in Age-Appropriate Vaccination 2015Completion and compliance of childhood vaccinations in the United States 2017Challenges in Estimating Vaccine Coverage in Refugee and Displaced Populations: Results From Household Surveys in Jordan and Lebanon 2014Determinants of vaccination coverage and adherence to the Greek national immunization program among infants aged 2-24 months at the beginning of the economic crisis (2009-2011)2008Compliance with Vaccination Recommendations for U.S. Children

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2024Vaccination coverage and access among children and adult migrants and refugees in the Middle East and North African region: a systematic review and meta-analysis

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