ACTA FAC MED NAISS 2009;   26 (3): 113-119

Original Article

TIMELINESS AND LEVEL OF PRIMARY IMMUNISATION COVERAGE AGAINST DIPHTHERIA,

WHOOPING COUGH AND TETANUS IN MONTENEGRO



Dragan Laušević1, Branislav Tiodorović2, Božidarka Rakočević1, Sanja Medenica1, Veselinka Beatović1, Alma Hadžifejzović1

1Public Health Institute Podgorica, Montenegro
2Public Health Institute Niš, Niš, Serbia
 


SUMMARY

 The aim of the paper was to determine the timeliness and level of primary immunization coverage against diphtheria, tetanus and whooping cough (pertussis), as well as the dropout rate in Montenegro in the cohort born from January 1 to December 31, 2006. Cross-sectional study was conducted in the period from October to December 2008. All immunization points in Montenegro were visited, and immunization records of entire cohort born in 2006 were reviewed. Timeliness of primary immunization coverage with DTP3 was 92.6% at the level of Montenegro, but in four out of 21 municipalities (19%) the timeliness of primary immunization coverage was less than 90%. After the additional activities on the vaccination of previously unvaccinated children, the primary immunization coverage with DTP3 reached the value of 98.1% at the level of Montenegro, and in all but two municipalities exceeded the value of 95%. Dropout rate was 1.7% at the level of Montenegro, not exceeding the value of 5.5% in any municipality. In the cohort born during 2006, timely primary immunization with DTP3 was carried out in 1/5 of Montenegrin municipalities, with the value less than 90%. Supplemental immunization activities related to unvaccinated children significantly increased the primary immunization coverage with DTP3, reaching the value of 95% at both the state and municipalities' level. Dropout rate was rather low both at the state and municipalities' level. Compared to routine administrative reporting on immunization coverage, surveys that include the review of immunization records after additional immunization activities provide more realistic rate of completeness and timeliness of primary immunization coverage.

Key words: vaccine-preventable diseases, diphtheria, tetanus, whooping cough (pertussis), timeliness of immunization, primary immunization coverage, immunization records