Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: Following the Syrian crisis, a substantial influx of Syrian refugees into Lebanon posed new challenges to optimal vaccination coverage for all children residing in the country. In 2016, the district-based immunization coverage evaluation survey (CES) assessed routine immunization coverage at the district level in Lebanon among children aged 12-59 months.
      Methods: A cross-sectional multistage cluster survey was conducted in all of Lebanon (with the exception of the Nabatieh district) using the World Health Organization (WHO) recommended Expanded Programme on Immunization (EPI) methodology adapted to the local context. A survey questionnaire consisting of closed and open-ended questions concerning demographic information and the child's immunization status was administered to collect immunization status information.
      Results: Among surveyed children aged 12-59 months, irrespective of nationality, vaccination coverage at the national level for any recommended last dose was below the targeted 95%. Generally, vaccination coverage levels increased with age and were higher among Lebanese than Syrian children. However, large variations were revealed when coverage rates were analyzed at the district level. Vaccination was significantly associated with nationality, age, mother's educational status and the place of vaccination. Common reasons for undervaccination included the child's illness at the time of vaccine administration, vaccination fees, lack of awareness or a doctor's advice not to vaccinate during campaigns.
      Conclusions: Substantial variability exists in vaccination coverage among children aged 12-59 months residing in different districts in Lebanon. Immunization coverage reached 90% or above only for the first doses of polio and pentavalent vaccines. A considerable dropout rate from the first dose of any vaccine is observed. Efforts to optimize coverage levels should include increased vaccination initiatives targeting both refugee children and children from vulnerable host communities, increased cooperation between public and private vaccine providers, improved training for vaccine providers to adhere to complete vaccine administration recommendations, and increased awareness among caregivers.
    • Grant Information:
      Not applicable Bill and Melinda Gates Foundation
    • Contributed Indexing:
      Keywords: Coverage evaluation survey; Expanded Programme on immunization; Lebanon; Syrian refugees; Vaccination coverage
    • Accession Number:
      0 (Poliovirus Vaccines)
      0 (RotaTeq)
      0 (Rotavirus Vaccines)
      0 (Vaccines)
      0 (Vaccines, Attenuated)
    • Publication Date:
      Date Created: 20190116 Date Completed: 20190218 Latest Revision: 20190219
    • Publication Date:
      20190219
    • Accession Number:
      10.1186/s12889-019-6418-9
    • Accession Number:
      30642314
  • Citations
    • ABNT:
      MANSOUR, Z. et al. Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016. BMC Public Health, [s. l.], v. 19, n. 1, p. 58, 2019. Disponível em: . Acesso em: 24 ago. 2019.
    • AMA:
      Mansour Z, Hamadeh R, Rady A, et al. Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016. BMC Public Health. 2019;19(1):58. doi:10.1186/s12889-019-6418-9.
    • APA:
      Mansour, Z., Hamadeh, R., Rady, A., Danovaro-Holliday, M. C., Fahmy, K., Said, R., … Ammar, W. (2019). Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016. BMC Public Health, 19(1), 58. https://doi.org/10.1186/s12889-019-6418-9
    • Chicago/Turabian: Author-Date:
      Mansour, Ziad, Randa Hamadeh, Alissar Rady, M Carolina Danovaro-Holliday, Kamal Fahmy, Racha Said, Lina Brandt, Ramy Warrak, and Walid Ammar. 2019. “Vaccination Coverage in Lebanon Following the Syrian Crisis: Results from the District-Based Immunization Coverage Evaluation Survey 2016.” BMC Public Health 19 (1): 58. doi:10.1186/s12889-019-6418-9.
    • Harvard:
      Mansour, Z. et al. (2019) ‘Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016’, BMC Public Health, 19(1), p. 58. doi: 10.1186/s12889-019-6418-9.
    • Harvard: Australian:
      Mansour, Z, Hamadeh, R, Rady, A, Danovaro-Holliday, MC, Fahmy, K, Said, R, Brandt, L, Warrak, R & Ammar, W 2019, ‘Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016’, BMC Public Health, vol. 19, no. 1, p. 58, viewed 24 August 2019, .
    • MLA:
      Mansour, Ziad, et al. “Vaccination Coverage in Lebanon Following the Syrian Crisis: Results from the District-Based Immunization Coverage Evaluation Survey 2016.” BMC Public Health, vol. 19, no. 1, Jan. 2019, p. 58. EBSCOhost, doi:10.1186/s12889-019-6418-9.
    • Chicago/Turabian: Humanities:
      Mansour, Ziad, Randa Hamadeh, Alissar Rady, M Carolina Danovaro-Holliday, Kamal Fahmy, Racha Said, Lina Brandt, Ramy Warrak, and Walid Ammar. “Vaccination Coverage in Lebanon Following the Syrian Crisis: Results from the District-Based Immunization Coverage Evaluation Survey 2016.” BMC Public Health 19, no. 1 (January 14, 2019): 58. doi:10.1186/s12889-019-6418-9.
    • Vancouver/ICMJE:
      Mansour Z, Hamadeh R, Rady A, Danovaro-Holliday MC, Fahmy K, Said R, et al. Vaccination coverage in Lebanon following the Syrian crisis: results from the district-based immunization coverage evaluation survey 2016. BMC Public Health [Internet]. 2019 Jan 14 [cited 2019 Aug 24];19(1):58. Available from: http://ezproxy.parker.edu/login?url={targeturl}