Rubella Vaccination Coverage Among Women of Childbearing Age in Vietnam

Toan Thanh Thi Do, Anh Ngoc Nguyen, Xuan Thanh Thi Le, Ann Pongsakul, Quang Nhat Nguyen, Thanh Van Nguyen, Thang Huu Nguyen, Tri Minh Do, Huong Thi Le, Huong Lan Thi Nguyen, Nu Thi Truong, Chi Linh Hoang, Giang Thu Vu, Tung Thanh Tran, Tung Hoang Tran, Bach Xuan Tran, Carl A. Latkin, Cyrus SH Ho and Roger CM Ho
Additional contact information
Toan Thanh Thi Do: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Anh Ngoc Nguyen: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Xuan Thanh Thi Le: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Ann Pongsakul: West Virginia School of Osteopathic Medicine, Lewisburg, WV 24901, USA
Quang Nhat Nguyen: Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
Thanh Van Nguyen: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Thang Huu Nguyen: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Tri Minh Do: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Huong Thi Le: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Huong Lan Thi Nguyen: Institute for Global Health Innovations, Duy Tan University, Da Nang 55000, Vietnam
Nu Thi Truong: Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam
Chi Linh Hoang: Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam
Giang Thu Vu: Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam
Tung Thanh Tran: Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam
Tung Hoang Tran: Department of Lower Limb Surgery, Vietnam-Germany Hospital, Hanoi 100000, Vietnam
Bach Xuan Tran: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Carl A. Latkin: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Cyrus SH Ho: Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
Roger CM Ho: Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam

IJERPH, 2019, vol. 16, issue 10, 1-10

Abstract: Despite the availability of effective and safe rubella vaccines for women of childbearing age, prevention and control of congenital rubella syndrome in children remains challenging in Vietnam. In order to examine this issue, we conducted a cross-sectional study, examining the current coverage of rubella vaccination before pregnancy among 807 pregnant women and women with children under 12 months of age in urban and rural districts, Dong Da and Ba Vi, in Hanoi, Vietnam. In this population, we observed an alarming non-compliance rate with rubella vaccination before pregnancy in both localities. Among the 82.0% of participants who remained unvaccinated against this contagious viral infection, 95.8% of them were in Ba Vi district, compared to 68.0% in Dong Da district ( p < 0.001). Besides the differences in age, number of children, education levels, primary occupations and monthly incomes among the participants between the two districts, other reasons for noncompliance with rubella vaccination includeddisinterest in rubella vaccination, the high cost and long distance to vaccination sites as well as unawareness of vaccination locations. In addition to addressing the unique socio-economicchallenges behind one’s accessibility to vaccination services in urban and rural areas, our study supports a continued effort in ensuring proper access to and education about pre-pregnancy vaccines and vaccination among women of childbearing age in order to achieve and sustain sufficient immunization coverage of rubella and other vaccine-preventable diseases in both settings.

Keywords: rubella vaccination; CRS; pregnant women; women of childbearing age; Vietnam (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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