Assessment of The Coverage Rate of Expanded Program Of Immunization Among Five Years Children In Tikrit City – Iraq

Abstract

Background: Childhood immunization is the initiation of immunity through the application of vaccines .It is considered important for improving child survival .Immunization is a primary health care preventive measure and remain the most cost-effective public health intervention to reduce child morbidity and mortality attributed to infectious diseases^.Subjects and method:Cross sectional study was conducted on five year children  who attended (8) kindergarten in Tikrit city and their information from PHCC sector.Children  were selected by cluster sample then simple random from  each cluster. The study was conducted in the period from November  2019 to August 2020.Results: The study revealed  a significant inverse relation was observed between household crowding and socioeconomic status children's parents. The percentageoffull immunized children ( 40.90%) these children were considered as having had complete immunization, but more  than half of the children had one or more than one missed doses and were considered as is having had partial immunization(56.25%).The number of unvaccinated children were five children (2.84%). complete immunization of children were found among male  (54.77%), while complete immunization among children female were (28.26%)and there strong association  statistically. The partial immunization among male children were (39.28%) and female were (71.74%) the coverage rate of vaccination among immunized children the coverage rate was  (97.2%).The highest for immunized  children was for the vaccines Bacillus Calmette Guerin (BCG*)+OP90+first dose of Hepatitis B Virus vaccine (HBV1)(92.04%) while the lowest rate (6.0%) was for the vaccines OPV2booster+MMR+TETRA (DTaP +IVP ).Conclusion: this study concluded that the highly percentage of partially immunized children in kindergarten  ((56.25%).