Abstract | BACKGROUND: METHODS: A nationwide, stratified, multistage cluster sample survey of 20859 children was conducted to assess coverage using house-to-house interviews. RESULTS: Estimated national coverage with measles- rubella vaccine was 79.2% (95% confidence interval, 77.6%-80.7%), ranging from 90.2% in Nord-Ouest Department to 70.0% in Cite Soleil Metropolitan Area. National coverage was lower for children aged 1-5 years (76.7%) than for those aged 6-19 years (80.3%) (P< .001) but similar in rural departments (79.4%) and metropolitan areas (78.6%; P = .61). The reasons most frequently cited for nonparticipation in the campaign were that the child was ill or unavailable (18.6%), did not know vaccinations were important (13.8%), did not know when to go or forgot to go (13.3%), and did not have enough time (12.3%). CONCLUSIONS: The measles- rubella vaccination campaign was critical for raising rubella immunity levels in children and adolescents in Haiti. To remain free of rubella transmission and CRS, Haiti must also achieve and sustain high routine measles- rubella vaccination coverage and maintain high-quality integrated measles- rubella and CRS surveillance, including laboratory-based confirmation for reported rash illnesses. If routine measles- rubella vaccination coverage is suboptimal or if gaps in coverage are identified, additional mass campaigns with measles- rubella vaccine will be necessary.
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Authors | Jeanette J Rainey, M Carolina Danovaro-Holliday, Roc Magloire, Gregoire Kananda, Carla E Lee, Henriette Chamouillet, François Lacapere, Kam Mung, Elizabeth T Luman |
Journal | The Journal of infectious diseases
(J Infect Dis)
Vol. 204 Suppl 2
Pg. S616-21
(Sep 01 2011)
ISSN: 1537-6613 [Electronic] United States |
PMID | 21954256
(Publication Type: Journal Article)
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Chemical References |
- Measles Vaccine
- Rubella Vaccine
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Topics |
- Adolescent
- Child
- Child, Preschool
- Communicable Disease Control
(methods, organization & administration)
- Haiti
(epidemiology)
- Health Policy
- Humans
- Infant
- Measles
(epidemiology, prevention & control)
- Measles Vaccine
(immunology)
- Rubella
(epidemiology, prevention & control)
- Rubella Vaccine
(administration & dosage, immunology)
- Young Adult
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