{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:25:51Z","timestamp":1765545951802},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T00:00:00Z","timestamp":1405468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We conducted a nationwide survey to assess measles containing vaccine (<jats:styled-content style=\"fixed-case\">MCV<\/jats:styled-content>) coverage among children aged 1\u20139\u00a0years in <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>aiti and identify factors associated with vaccination before and during the 2012 nationwide supplementary immunisation activities (<jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Haiti was stratified into five geographic regions (<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>etropolitan <jats:styled-content style=\"fixed-case\">Port<\/jats:styled-content>\u2010au\u2010<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>rince, <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>orth, Centre, <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>outh and <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>est), 40 clusters were randomly selected in each region, and 35 households were selected per cluster.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 7000 visited households, 75.8% had at least one child aged 1\u20139\u00a0years; of these, 5279 (99.5%) households consented to participate in the survey. Of 9883 children enrolled, 91% received <jats:styled-content style=\"fixed-case\">MCV<\/jats:styled-content> before and\/or during the <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content>; 31% received <jats:styled-content style=\"fixed-case\">MR<\/jats:styled-content> for the first time during the <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content>, and 50.7% received two doses of <jats:styled-content style=\"fixed-case\">MCV<\/jats:styled-content> (one before and one during the 2012 <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content>). Among the 1685 unvaccinated children during the <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content>, the primary reason of non\u2010vaccination was caregivers not being aware of the <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content> (31.0%). Children aged 1\u20134\u00a0years had significantly lower <jats:styled-content style=\"fixed-case\">MR SIA<\/jats:styled-content> coverage than those aged 5\u20139\u00a0years (79.5% <jats:italic>vs<\/jats:italic>. 84.8%) (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). A higher proportion of children living in the West (12.3%) and Centre (11.2%) regions had never been vaccinated than in other regions (4.8\u20139.1%). Awareness, educational level of the mother and region were significantly associated with <jats:styled-content style=\"fixed-case\">MR<\/jats:styled-content> vaccination during and before the <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The 2012 <jats:styled-content style=\"fixed-case\">SIA<\/jats:styled-content> successfully increased <jats:styled-content style=\"fixed-case\">MR<\/jats:styled-content> coverage; however, to maintain measles and rubella elimination, coverage needs to be further increased among children aged 1\u20134\u00a0years and in regions with lower coverage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12335","type":"journal-article","created":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T07:17:47Z","timestamp":1405495067000},"page":"1105-1115","source":"Crossref","is-referenced-by-count":10,"title":["Measles and rubella vaccination coverage in <scp>H<\/scp>aiti, 2012: progress towards verifying and challenges to maintaining measles and rubella elimination"],"prefix":"10.1111","volume":"19","author":[{"given":"Rania A.","family":"Tohme","sequence":"first","affiliation":[{"name":"Global Immunization Division US Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannot","family":"Fran\u00e7ois","sequence":"additional","affiliation":[{"name":"Expanded Program of Immunization Ministry of Public Health and Population Port\u2010au\u2010Prince Haiti"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Wannemuehler","sequence":"additional","affiliation":[{"name":"Global Immunization Division US Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc","family":"Magloire","sequence":"additional","affiliation":[{"name":"Directorate of Epidemiology, Laboratory and Research Ministry of Public Health and Population Port\u2010au\u2010Prince Haiti"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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