CURRENT STATUS OF SEASONAL INFLUENZA VACCINATION AND ASSOCIATED FACTORS AMONG CHILDREN AGED 6 MONTHS TO UNDER 5 YEARS AT PHU THO PROVINCIAL CHILDREN'S HOSPITAL IN 2022
Main Article Content
Abstract
Objective: To describe the current status of seasonal influenza vaccination, identify associated factors, and assess post-vaccination reactions among children aged 6 months to under 5 years at Phu Tho Obstetrics and Pediatrics Hospital in 2022.
Methods: A cross-sectional descriptive study was conducted on 3,801 children aged 6 months to under 5 years attending the vaccination center from September 2021 to August 2022. Data were collected from immunization records and supplemented by interviews when necessary. Descriptive statistics and Chi-square tests were used for analysis, with p < 0.05 considered statistically significant.
Results: The proportion of children receiving at least one dose of influenza vaccine was 67.5%. Among vaccinated children, those aged under 3 years accounted for 86.4%, and 73.0% resided in urban areas. The proportion of incomplete primary vaccination remained high (64.9%), while the booster vaccination rate was very low (0.4%). Maternal education level and household economic status were significantly associated with vaccine uptake (p < 0.05). Post-vaccination reactions were mostly mild, with the most common being local pain/swelling (17.5%) and vomiting (12.9%), typically occurring within the first day. Fever was uncommon (1.2%) and generally mild.
Conclusion: Influenza vaccine uptake was relatively high; however, completion of the primary series and booster doses remained suboptimal. Socioeconomic factors and vaccine availability played important roles. The vaccine demonstrated a favorable safety profile with mostly mild, self-limited reactions.
Article Details
Keywords
seasonal influenza vaccine, children, immunization, associated factors, adverse events following immunization
References
2. World Health Organization. Influenza (seasonal). Geneva: WHO; 2014.
3. Grohskopf LA, Blanton LH, Ferdinands JM, Chung JR, Broder KR, Talbot HK, et al. Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices—United States, 2022–23 influenza season. MMWR Recomm Rep. 2022;71(1):1–28.
4. Ortiz JR, Perut M, Dumolard L, Wijesinghe PR, Jorgensen P, Ropero AM, et al. A global review of national influenza immunization policies. Vaccine. 2016;34(45):5400–5.
5. Nowak GJ, Sheedy K, Bursey K, Smith TM, Basket M. Promoting influenza vaccination: insights from a qualitative meta-analysis. Vaccine. 2015;33(24):2741–56.
6. Ma Y, Li T, Chen W, Chen J, Li M, Yang X. Knowledge, attitudes and practices toward seasonal influenza vaccine. Hum Vaccin Immunother. 2018;14(5):1283–93.
7. Salawati E, Alwafi H, Samannodi M, Minshawi F, Gari A, Abualnaja S, et al. Parents’ willingness to vaccinate their children against seasonal influenza. Patient Prefer Adherence. 2021;15:2821–35.
8. Bennett KJ, Pumkam C, Probst JC. Rural-urban differences in influenza vaccine administration. Vaccine. 2011;29(35):5970–7.
9. Phan Công Hùng, Nguyễn Quốc Huy, Nguyễn Thị Phương Thúy, et al. Đặc điểm dịch tễ học hội chứng cúm tại Việt Nam. Tạp chí Y học dự phòng