An evaluation of the national measles vaccination campaign in the new shanty areas of Khayelitsha
A local component of the national measles vaccination campaign was evaluated in an area undergoing rapid urbanisation near Cape Town. Four serial cross-sectional cluster samples were used. Proven vaccination coverage before the campaign was 55,8% (95% confidence interval (Cl) 46 - 66%), immediately afterwards it was 71,1% (95% Cl 65 - 77%), and 6 months later 73,6% (95% Cl 67 - 80%). The increase was not sustained among Transkei-born children. Significant determinants of vaccination coverage were: place of birth (X2 = 9,7; 2 df; P = 0,008); ≤6 months stay in Cape Town (odds ratio (OR) 2,22; 95% Cl 1,2 - 4,0%); and home birth (OR 3,21; 95% Cl 1,2 - 8,4%). The value of campaigns in controlling measles, as well as the role of a comprehensive health care service are discussed.
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