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Assessment of Vaccination Coverage of Children Aged 12-23 Months in the Provinces of Ituri and Haut-Katanga, Democratic Republic of the Congo in 2019

Vaccination of children continues to pose problems, and the vaccination coverage rate is very low in DR Congo. Cultural, social and economic constraints at various levels are thought to be the main causes. Faced with this health emergency, the Congolese government has implemented strategies to increase the level of immunization coverage among children, and to help reduce child morbidity and mortality linked to vaccine-preventable diseases. A household survey was carried out in 2019 in the provinces of Ituri and Haut-Katanga to estimate the level of coverage at grassroots level. A representative cluster sample was used to exhaustively cover 63 health zones (36 in Ituri and 27 in Haut-Katanga). Over 6,300 mothers/caregivers of children aged 10-23 months were interviewed, at a rate of 100 mothers/caregivers per health zone. The results of this survey show that overall, nearly 49% of children aged 10-23 months are fully vaccinated in Ituri, compared with 53.12% in Haut-Katanga. There are still large numbers of zerodose children (those who have never been vaccinated since birth). For all vaccines, results varied: 53.12% of children in Ituri and 46.88% in Haut-Katanga received the bacillus Calmette and Guerin (BCG) vaccine. BCG vaccine was administered at birth to 39.76% of children in Ituri, versus 60.24% in Haut-Katanga. The discrepancies suggest a missed opportunity and therefore unmet needs for several reasons, principally vaccine stock-outs. For other antigens, there is a downward trend in both provinces between input and output doses. This suggests a lack of effective monitoring. Only 49.6% of children in Ituri and 50.33% of children in Haut-Katanga received the entry dose of polio vaccine (OPV0).

Vaccine Coverage Survey, Antigen, Plan Mashako, DR Congo, Ituri, Haut-Katanga

APA Style

Joseph Oyaya Mundala, Joël Fumwakwau Kiniati, Leurby Ikina Bokele, Lapeasta Omba Onokoko, Crispin Mabika Mabika. (2023). Assessment of Vaccination Coverage of Children Aged 12-23 Months in the Provinces of Ituri and Haut-Katanga, Democratic Republic of the Congo in 2019. Central African Journal of Public Health, 9(5), 136-143. https://doi.org/10.11648/j.cajph.20230905.12

ACS Style

Joseph Oyaya Mundala; Joël Fumwakwau Kiniati; Leurby Ikina Bokele; Lapeasta Omba Onokoko; Crispin Mabika Mabika. Assessment of Vaccination Coverage of Children Aged 12-23 Months in the Provinces of Ituri and Haut-Katanga, Democratic Republic of the Congo in 2019. Cent. Afr. J. Public Health 2023, 9(5), 136-143. doi: 10.11648/j.cajph.20230905.12

AMA Style

Joseph Oyaya Mundala, Joël Fumwakwau Kiniati, Leurby Ikina Bokele, Lapeasta Omba Onokoko, Crispin Mabika Mabika. Assessment of Vaccination Coverage of Children Aged 12-23 Months in the Provinces of Ituri and Haut-Katanga, Democratic Republic of the Congo in 2019. Cent Afr J Public Health. 2023;9(5):136-143. doi: 10.11648/j.cajph.20230905.12

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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. OMS, Unicef, Banque mondiale. Vaccins et vaccination: la situation dans le monde, 3ème édition, Genève, Organisation mondiale de la Santé, 2010.
2. OMS. Enquêtes de couverture vaccinales par sondage en grappes: Manuel de référence, Organisation Mondiale de la Santé, 2015.
3. OMS. Stratégies et pratiques mondiales de vaccination systématique, Document complémentaire du Plan d’Action mondial pour les vaccins, Organisation Mondiale de la Santé, 2016.
4. Unicef, MICS. MICS Tools (en ligne). 2018. Disponible sur http://mics.unicef.org
5. République Démocratique du Congo. (2014). Première Enquête Démographique et de Santé (EDS-RDC I 2007).
6. République Démocratique du Congo. (2014). Deuxième Enquête Démographique et de Santé (EDS-RDC II 2013–2014).
7. Aaby, P., Benn, C. S., Nielsen, J., Lisse, I. M., Rodrigues, A., & Jensen, H. (2007). DTP vaccination and child survival in observational studies with incomplete vaccination data. Tropical Medicine & International Health, 12 (1), 15-24. https://doi.org/10.1111/j.1365-3156.2006.01774.x
8. Aboukais, S., Orenes, C., Six, C., & Malfait, P. (2012). Vaccination du personnel au sein des établissements hébergeant des personnes âgées, région Provence-Alpes-Côte d’Azur, France. Revue d'Épidémiologie et de Santé Publique, 60, S115.
9. Carlson, C., Maw, H. & Mafuta, E. GAVI (2009). Health System Strengthening Support Evaluation: Democratic Republic of Congo, Case Study. (HLSP, 2009).
10. Dicko, M., Oni, A. Q., Ganivet, S., Kone, S., Pierre, L., & Jacquet, B. (2000). La sécurité́ des injections vaccinales en Afrique: bien plus qu'un simple problème de logistique. Bulletin de l'Organisation mondiale de la Santé: la revue internationale de santé publique: recueil d'articles 2000; 3: 63-68.
11. du loû, A. D., & Pison, G. (1995). Le rôle des vaccinations dans la baisse de la mortalité des enfants au Sénégal. Population (French Edition), 50 (3), 591-620. https://doi.org/10.2307/1534397
12. Gothefors, L. (2008). Impact des vaccins dans les pays à bas et hauts revenus. Annales Nestlé (Ed. française), 66 (2), 55-70. https://doi.org/10.1159/000159365
13. Guiso, N. (2007). Impact de la vaccination sur l’épidémiologie des maladies infectieuses : Exemple de la coqueluche. médecine/sciences, 23 (4), 399-403. https://doi.org/10.1051/medsci/2007234399
14. Metcalf, C. J. E., Tatem, A., Bjornstad, O. N., Lessler, J., O’Reilly, K., Takahashi, S., Cutts, F., & Grenfell, B. T. (2015). Transport networks and inequities in vaccination: Remoteness shapes measles vaccine coverage and prospects for elimination across Africa. Epidemiology and Infection, 143 (7), 1457-1466. https://doi.org/10.1017/S0950268814001988
15. Muhoza, P., Danovaro-Holliday, C., Diallo, M. S., Murphy, P., Sodha, S. V., Requejo, J. H., & Wallace, S. (2021). Routine vaccination coverage – worldwide, 2020. WEEKLY EPIDEMIOLOGICAL RECORD, 44, 9.
16. Pineau, P., & Tiollais, P. (2010). La vaccination : Atout majeur dans la lutte contre le cancer du foie induit par le virus de l’hépatite B. Pathologie Biologie, 58 (6), 444-453. https://doi.org/10.1016/j.patbio.2009.03.004
17. Pison, G. (2010). Le recul de la mortalité des enfants dans le monde : De grandes inégalités entre pays: Population & Sociétés, N° 463 (1), 1-4. https://doi.org/10.3917/popsoc.463.0001
18. Schoub, B. D., Ngcobo, N. J., & Madhi, S. (2010). The National Advisory Group on Immunization (NAGI) of the Republic of South Africa. Vaccine, 28, A31-A34. https://doi.org/10.1016/j.vaccine.2010.02.029
19. Wilkinson, D., Gouws, E., Sach, M., & Abdool Karim, S. S. (2002). Effet de la suppression des redevances sur la fréquentation des services de soins de santé primaires, préventifs et curatifs dans une zone rurale d’Afrique du Sud. Bulletin de l’Organisation Mondiale de La Santé : La Revue Internationale de Santé Publique : Recueil d’Articles 2002 ; 6 : 143-148. https://apps.who.int/iris/handle/10665/71454
20. Wünsch Filho, V., de Castilho, E. A., Rodrigues, L. C., & Huttly, S. R. (1990). Effectiveness of BCG vaccination against tuberculous meningitis : A case-control study in São Paulo, Brazil. Bulletin of the World Health Organization, 68 (1), 69-74. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2393006/