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dc.contributor.authorM. Bierhoffen_US
dc.contributor.authorKanokporn Pinyopornpanishen_US
dc.contributor.authorKanokwan Pinyopornpanishen_US
dc.contributor.authorF. Tongpraserten_US
dc.contributor.authorArunrot Keereevijiten_US
dc.contributor.authorM. Rijkenen_US
dc.contributor.authorC. S. Chuen_US
dc.contributor.authorF. Nostenen_US
dc.contributor.authorJ. Perfettoen_US
dc.contributor.authorM. Van Vugten_US
dc.contributor.authorR. McGreadyen_US
dc.contributor.authorC. Angkurawaranonen_US
dc.description.abstract© The Author(s) 2019. Background. Vaccination remains the mainstay of prevention of hepatitis B virus (HBV) including birth dose and hepatitis B immunoglobulins (HBIGs). National estimates of vaccination coverage exclude migrants. The objective of this study is to investigate documentation practices of HBV-related infant vaccinations in Northern Thailand including migrants. Methods. This is a retrospective review of hospital records of women who birthed infants in 2015 at Maharaj Nakorn Hospital, Chiang Mai (CM) or on the Thailand-Myanmar border, Tak. Results. Of 2522 women, 987 were from CM (861 Thai nationals, 126 migrants) and 1535 were from Tak (651 Thai residence and 884 Myanmar residence). In CM, documentation for the birth dose vaccine (999 of 999, 100%) and HBIG was complete. In Tak, documentation was 1441 of 1549 (93%) for birth dose and 26 of 34 (76.5%) for HBIG, with missed opportunities including home delivery, delay in obtaining hepatitis B e-antigen status, and limitations of the records. Expanded Program of Immunization (EPI) documentation of 3 follow-up vaccinations dwindled with subsequent doses and distance, and complete documentation of 3 HBV EPI vaccines at the hospital of birth was low, 41.5% (1056 of 2547), but equitable for Thai or migrant status. Conclusions. This review provides strong support for excellent documentation of HBIG and birth dose vaccination in urban and rural settings, and in migrants, consistent with Thailand’s vaccination policy and practice. Documentation of the 3 HBV EPI at the hospital of birth decreases with sequential doses, especially in families further away. Innovative data linkage is required to prove coverage and identify gaps.en_US
dc.titleRetrospective review of documentation practices of hepatitis B immunoglobulin, birth dose, and vaccination at the hospital of birth, in Thai nationals and migrants in northern Thailanden_US
article.title.sourcetitleOpen Forum Infectious Diseasesen_US
article.volume6en_US Medical Center Utrechten_US Grossman School of Medicineen_US Universityen_US Department of Clinical Medicineen_US van Amsterdamen_US Mai Universityen_US
Appears in Collections:CMUL: Journal Articles

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