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Improved vaccination coverage after two rounds of multi-antigenic catch-up vaccination in Mauritania

Bibliographic Data

ID19592048
AuthorsMaider Pagola Ugarte (0000-0002-5081-3347, Médecins Sans Frontières, corresponding author), Ankur Rakesh (Médecins Sans Frontières, corresponding author), Julita Gil Cuesta (0000-0002-8291-9701, Médecins Sans Frontières, corresponding author), Julita Gil-Cuesta, David Kidinda (corresponding author), Thierno Moctar Kelly (corresponding author), Sidi Zahaf (corresponding author), Mohamed Mahmoud O Ely Mahmoud (corresponding author), Mohamedou O Mohamed Salem (corresponding author), Mbareck Houmeid (corresponding author), Dah Cheikh (Lebanese International University of Mauritania, corresponding author), Naceredine Ouldzeidoune (corresponding author), Catherine Bachy (0000-0003-2786-9219, Médecins Sans Frontières, corresponding author)
EditorsJulia Robinson (0000-0003-0719-3995)
Year2024
Volume4
Issue2
Pagese0002939
Publication date2024-02-14
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0002939
PMID38354187
OpenAlexW4391808023
LanguageEN
References cited12

Although Mauritania carried out its Expanded Programme on Immunization (EPI), in 2015 the goal of vaccination coverage (VC) remained unmet in Bassikounou district and Mbera camp, contexts with large migrant populations. In response, during 2018, the national authorities, together with Médecins Sans Frontières organised two rounds of multi-antigenic mass vaccination campaigns (2RMASVC). The campaigns included oral polio (OPV), pneumococcal (PCV13), pentavalent and rotavirus vaccines for all eligible children six weeks to 59 months old. This study describes the results of the 2RMASVC. Cross-sectional household VC surveys (VCS1 and VCS2) were conducted before and after the 2RMASVC. Data were collected on vaccination status according to self-reporting and vaccination cards, and on reasons for non-vaccination (RNV). In total, 4,569 children received at least one dose of vaccine in the first round and 5,602 children in the second. Baseline VC, as fully vaccinated, according to VCS1, was 59.9% of children 12 to 59 months in Bassikounou district and 65.8% in Mbera camp. After the 2RMASVC, the coverages increased to 84.7% and 75.9% respectively. Absence from home, lack of motivation, late initiation of vaccinations and lack of awareness about vaccination were the main RNV during the 2RMASVC. Although the 2RMASVC did not reach its goal of 90%-95% VC, the strategy significantly increased VC in the two settings for children aged 12 to 59 months. Therefore, this catch-up approach could be considered to improve VC of children who miss out of the EPI strategy in resource-limited settings

Antigen · Cross-sectional study · Environmental health · Family medicine · Immunization · Poliomyelitis · Rotavirus · Vaccination · Demography · Hepatitis B Virus Studies · Hepatitis Viruses Studies and Epidemiology · Medicine · Vaccine Coverage and Hesitancy · Immunology · Pediatrics

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