COVERAGE AND CAUSES OF MISSED HAEMOPHILUS INFLUENZAE TYPE B VACCINATION IN URBAN AND RURAL AREAS OF PESHAWAR

Mohammad Naeem, Muhammad Adil, Syed Hussain Abbas, Muhammad Zia Ul Islam Khan, Syeda Maria Naz, Ayasha Khan, Muhammad Usman Khan

Abstract


Background: Haemophilus influenza type b (Hib) is a major cause of morbidity and mortality in
Pakistan. Hib vaccine was introduced in 2009 in EPI programme. The purpose of this study was to find
out the coverage and factors associated with non-immunization of Hib in urban and rural areas of
Peshawar. Methods: Data was collected through random sampling in Peshawar University, Peshawar
Saddar, Hashtnagri, Naway Kalay and Pawaka from 9th to 19th of June 2010. A questionnaire was used
to interview parents of 600 children aged 1 year and below about demographics, Hib vaccination status,
reasons for missed vaccination and views on immunization. Pearson’s Chi-square test was used for
statistical testing, and p<0.05 was considered significant. Results: Completely vaccinated children were
64.2%, 25% not vaccinated at all, and 11% were incompletely vaccinated. The reasons for not
vaccinating were lack of awareness (26%), family problem/mother busy (18%), centre too far (16.9%),
wrong ideas (12.2%), fear of reaction (5.4%), child illness (8.1%) and miscellaneous causes (13.7%).
Conclusion: Low Hib vaccination coverage in Peshawar is mainly due to low awareness among
people, poor economic conditions and illiteracy.
Keywords: Hib, Vaccination, Immunization, EPI, Haemophilus influenzae, Influenza

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