Key result
Administration of 3 injectable vaccines in a single visit occurred in 87% of children at their 2- or 4-month immunization visits, despite caregiver hesitation.
Why the study?
Does the recommendation of 3 injectable vaccines in a single visit affect vaccine acceptance and administration practices in Albania?
Cross-Sectional
Yes
Does the recommendation of 3 injectable vaccines in a single visit affect vaccine acceptance and administration practices in Albania?
Despite caregiver hesitation, the introduction of a third injectable vaccine in a single visit was successfully implemented with high adherence to the recommended schedule.
Answers are grounded in this paper and cite their sources.
High uptake despite hesitation supports implementation feasibility; leaves open generalizability and sustained acceptance beyond this setting.
Background: Albania introduced inactivated polio vaccine (IPV) into its immunization system in May 2014, increasing the maximum recommended number of injectable vaccines given in a single visit from 2 to 3. Methods: Health-care providers and caregivers were interviewed at 42 health facilities in Albania to assess knowledge, attitudes, and practices regarding injectable vaccine administration. Immunization register data were abstracted from December 2014 to July 2015 at the same facilities to explore the number of injectable vaccines children received during their 2- and 4-month visits. Results: The majority of children (87%) identified in the record review at either their 2- or 4-month immunization visit received all 3 injectable vaccines in a single visit. Almost all children who did not receive the vaccines in a single visit were subsequently fully immunized, most within a 2-week period. Over half of caregivers whose children got 3 or more injectable vaccines in a single visit reported being only comfortable with 1 or 2 injectable vaccines in a single visit. Conclusions: Despite most caregivers expressing hesitation regarding children receiving multiple injectable vaccines in a single visit, most children received vaccines according to the recommended schedule. Almost all children eventually received all recommended vaccines.
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Preza et al. (2016) conducted a cross-sectional in Childhood immunization. Multiple injectable vaccines in a single visit was evaluated on Receipt of all 3 injectable vaccines in a single visit. Administration of 3 injectable vaccines in a single visit occurred in 87% of children at their 2- or 4-month immunization visits, despite caregiver hesitation.
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