These additional doses are called booster doses. Some immunisations require additional doses to be given later in life to maintain your child's immunity to the disease (e.g. They protect your baby against vaccine-preventable diseases that can lead to serious complications or even death. All rights reserved.Why are Immunisations Important for Your Baby? This change was observed in a context of stability regarding parents' perceptions and acceptance of hepatitis B vaccination and of coverage rates for other infant vaccinations.Ĭhildren Couverture vaccinale Enfants France General population Hepatitis B Hépatite B Population générale Public Health Reimbursement Remboursement Santé publique Vaccine coverage.Ĭopyright © 2015 Elsevier Masson SAS. The rapid increase of hepatitis B vaccination coverage suggests a significant change in hepatitis B vaccination practice related to the hexavalent vaccine's reimbursement. No significant increases in the proportions of parents "favourable" and "moderately in favour" of hepatitis B vaccination were observed across the four evaluation periods (respectively, 17-22% and 48-50%, P=0.09). More than 60% of 24- to 27-month-old children received a complete schedule in 2012 compared to 33% at baseline. The proportion of children receiving hepatitis B vaccination before 6 months increased from 21% at baseline (before vaccine reimbursement) to almost 75% at the last assessment period in 2012. An overall significant increase (P-value ) of the three indicators of interest over the four periods of time was observed for both age groups. ![]() Three indicators were calculated to assess hepatitis B vaccination coverage: proportions of infants with at least one dose before 6 months of age, with at least two doses before 6 months of age and with a complete schedule at 24 months of age.Ī total of 4903 children were enrolled in the study. Parents were also interviewed on their perceptions and acceptance of hepatitis B vaccination. Face-to-face interviews were conducted at their homes and vaccination status was collected using their child's health record. The PopCorn study ( NCT01782794) was a national, cross-sectional and repeated study, with four assessment periods over 3 years, from 2009 to 2012, to assess the hepatitis B vaccine coverage in 12- to 15- and 24- to 27-month-old children, vaccinated between 20 and selected by the quota sampling method. ![]() The impact of its reimbursement on the hepatitis B vaccine coverage rate was assessed in a study conducted in the general population prior to and after implementation of the reimbursement policy. Reimbursement of the hexavalent vaccine (Infanrix hexa) comprising the DTPa-IPV-Hib components and the hepatitis B valence in a single vaccine was decided in March 2008 in France. 7 Université Pierre et Marie Curie, Institut national de la santé et de la recherche médicale (Inserm U1153), 53, avenue de l'Observatoire, 75013 Paris, France.6 GSK, PharmacoÉpidémiologie et Modélisations Médico-Économiques, 100, route de Versailles, 78163 Marly-le-Roi, France.5 Kappa Santé, 4, rue de Cléry, 75002 Paris, France.4 Institut national de la santé et de la recherche médicale (Inserm), Centre de recherche en épidémiologie et santé (CESP), 14, avenue Paul-Vaillant-Couturier, 94807 Villejuif, France.3 Service de protection maternelle et infantile Paris, Direction des familles et de la petite enfance, 94/96, quai de la Râpée, 75570 Paris cedex 12, France.Electronic address: 2 Association française de pédiatrie ambulatoire (AFPA), Commission scientifique, 67, rue Alexandre-Dumas, 73100 Aix-les-Bains, France. ![]() 1 Service de pédiatrie générale, hôpital Jean-Verdier, Assistance publique-Hôpitaux de Paris (AP-HP), avenue du 14-Juillet, 93140 Bondy, France.
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