# name
BCG vaccination in southern rural Mozambique: an overview of
                coverage and its determinants based on data from the demographic
                and health surveillance system in the district of Manhica

# metadata.dc.description.abstract[].value
BACKGROUND: Over the past four decades, the World Health
                Organization established the Expanded Programme on Immunization
                (EPI) to foster universal access to all relevant vaccines for
                all children at risk. The success of this program has been
                undeniable, but requires periodic monitoring to ensure that
                coverage rates remain high. The aim of this study was to measure
                the BCG vaccination coverage in Manhica district, a high TB
                burden rural area of Southern Mozambique and to investigate
                factors that may be associated with BCG vaccination. METHODS: We
                used data from the Health and Demographic Surveillance System
                (HDSS) run by the Manhica Health Research Centre (CISM) in the
                district of Manhica. A questionnaire was added in the annual
                HDSS round visits to retrospectively collect the vaccination
                history of children under the age of 3 years. Vaccinations are
                registered in the National Health Cards which are universally
                distributed at birth. This information was collected for
                children born from 2011 to 2014. Data on whether a child was
                vaccinated for BCG were collected from these National Health
                Cards and/or BCG scar assessment. RESULTS: A total of 10,875
                number of children were eligible for the study and 7903
                presented the health card. BCG coverage was 97.4% for children
                holding a health card. A BCG-compatible scar was observed in
                99.0% of all children and in 99.6% of children with recorded BCG
                in the card. A total of 93.4% of children had been vaccinated
                with BCG within their first 28 days of life. None of the factors
                analysed were found to be associated with lack of BCG
                vaccination except for living in the municipality of Maluana
                compared to living in the municipality of Manhica; (OR = 1.89,
                95% CI: 1.18-3.00). Coverage for other EPI vaccines during the
                first year of life was similarly high, but decreased for
                subsequent doses. CONCLUSIONS: BCG coverage is high and timely
                administered. Almost all vaccinated infants develop scar, which
                is a useful proxy for monitoring BCG vaccine implementation.

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
BCG vaccination in southern rural Mozambique: an overview of
                coverage and its determinants based on data from the demographic
                and health surveillance system in the district of Manhica