Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)
<b> </b>Immunization is a core component of the human right to health. However, accessibility to the Expanded Program on Immunization (EPI) might be difficult among migrant children. This study aims to assess the vaccination coverage of migrant children under a mobile immunization progra...
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MDPI AG
2020-02-01
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Series: | Vaccines |
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Online Access: | https://www.mdpi.com/2076-393X/8/1/68 |
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author | Chamnan Pinna Jaranit Kaewkungwal Weerawan Hattasingh Witaya Swaddiwudhipong Rakdaw Methakulchart Aree Moungsookjareoun Saranath Lawpoolsri |
author_facet | Chamnan Pinna Jaranit Kaewkungwal Weerawan Hattasingh Witaya Swaddiwudhipong Rakdaw Methakulchart Aree Moungsookjareoun Saranath Lawpoolsri |
author_sort | Chamnan Pinna |
collection | DOAJ |
description | <b> </b>Immunization is a core component of the human right to health. However, accessibility to the Expanded Program on Immunization (EPI) might be difficult among migrant children. This study aims to assess the vaccination coverage of migrant children under a mobile immunization program, initiated by the Thai government in 2014. A cross-sectional, mixed-methods study was conducted in five districts along the Thailand−Myanmar border during July−December 2018. The immunization history during their first year of life was obtained. Focus group discussions were conducted among stakeholders to explore their satisfaction toward the immunization service. Mothers/guardians of 1707 migrant children participated in the survey, with a 71% response rate. The vaccination coverage increased during 2014−2017. The highest vaccination coverage was observed for Bacillus CalmetteGuérin vaccine, with 83.2% coverage in 2017. The vaccination coverage of three doses of diphtheriatetanuspertussis vaccine and Hepatitis B vaccine and oral polio vaccine increased from 34.8% in 2014 to 56.3% in 2017. For measles-containing vaccine, the vaccination coverage increased from 32.4% in 2014 to 54.6% in 2017. Overall, all stakeholders were satisfied with the immunization service. Increased workload and communication barriers were the main factors that influenced the satisfaction toward the immunization program. |
first_indexed | 2024-04-11T13:14:00Z |
format | Article |
id | doaj.art-b71641f4f8de4edd9695700c730024bf |
institution | Directory Open Access Journal |
issn | 2076-393X |
language | English |
last_indexed | 2024-04-11T13:14:00Z |
publishDate | 2020-02-01 |
publisher | MDPI AG |
record_format | Article |
series | Vaccines |
spelling | doaj.art-b71641f4f8de4edd9695700c730024bf2022-12-22T04:22:27ZengMDPI AGVaccines2076-393X2020-02-01816810.3390/vaccines8010068vaccines8010068Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020)Chamnan Pinna0Jaranit Kaewkungwal1Weerawan Hattasingh2Witaya Swaddiwudhipong3Rakdaw Methakulchart4Aree Moungsookjareoun5Saranath Lawpoolsri6Tak Provincial Health Office, Muang, Tak 63000, ThailandDepartment of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, ThailandDepartment of Tropical Pediatric, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, ThailandMae Sot Hospital, Mae Sot, Tak 63110, ThailandTak Provincial Health Office, Muang, Tak 63000, ThailandWorld Health Organization Country Office for Thailand, Nonthaburi 11000, ThailandDepartment of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand<b> </b>Immunization is a core component of the human right to health. However, accessibility to the Expanded Program on Immunization (EPI) might be difficult among migrant children. This study aims to assess the vaccination coverage of migrant children under a mobile immunization program, initiated by the Thai government in 2014. A cross-sectional, mixed-methods study was conducted in five districts along the Thailand−Myanmar border during July−December 2018. The immunization history during their first year of life was obtained. Focus group discussions were conducted among stakeholders to explore their satisfaction toward the immunization service. Mothers/guardians of 1707 migrant children participated in the survey, with a 71% response rate. The vaccination coverage increased during 2014−2017. The highest vaccination coverage was observed for Bacillus CalmetteGuérin vaccine, with 83.2% coverage in 2017. The vaccination coverage of three doses of diphtheriatetanuspertussis vaccine and Hepatitis B vaccine and oral polio vaccine increased from 34.8% in 2014 to 56.3% in 2017. For measles-containing vaccine, the vaccination coverage increased from 32.4% in 2014 to 54.6% in 2017. Overall, all stakeholders were satisfied with the immunization service. Increased workload and communication barriers were the main factors that influenced the satisfaction toward the immunization program.https://www.mdpi.com/2076-393X/8/1/68immunizationmigrantthailand–myanmar borderglobal vaccine action planexpanded program on immunizationvaccination coverage |
spellingShingle | Chamnan Pinna Jaranit Kaewkungwal Weerawan Hattasingh Witaya Swaddiwudhipong Rakdaw Methakulchart Aree Moungsookjareoun Saranath Lawpoolsri Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) Vaccines immunization migrant thailand–myanmar border global vaccine action plan expanded program on immunization vaccination coverage |
title | Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) |
title_full | Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) |
title_fullStr | Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) |
title_full_unstemmed | Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) |
title_short | Evaluation of Immunization Services for Children of Migrant Workers Along Thailand–Myanmar Border: Compliance with Global Vaccine Action Plan (2011–2020) |
title_sort | evaluation of immunization services for children of migrant workers along thailand myanmar border compliance with global vaccine action plan 2011 2020 |
topic | immunization migrant thailand–myanmar border global vaccine action plan expanded program on immunization vaccination coverage |
url | https://www.mdpi.com/2076-393X/8/1/68 |
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