ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Factors associated with immunisation coverage and timeliness in New Zealand.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Improving immunisation timeliness in Aboriginal children through personalised calendars.BMC public health · 2013Trial
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- Timely vaccination with valid doses in a high coverage country, Oman.BMC public health · 2025Article
- Vaccine hesitancy and its determinants among refugee parents resettled in Aotearoa New Zealand.Human vaccines & immunotherapeutics · 2022Article
- Vaccination information fathers receive during pregnancy and determinants of infant vaccination timeliness.Human vaccines & immunotherapeutics · 2021Article
- Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol.Vaccines · 2019Article
- Vaccination of infants aged 0 to 11 months at the Yaounde Gynaeco-obstetric and pediatric hospital in Cameroon: how complete and how timely?BMC pediatrics · 2017Observational
- Article
- Article
- Analysis of Age Appropriate Measles Immunisation among the Eligible Children in India: A Cross-Sectional Analysis of National Family Health Survey-5.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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5 authors.
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Abstract
backgroundImmunisation coverage in New Zealand is lower than what is necessary to prevent large epidemics of pertussis. Primary care is where most immunisation delivery occurs. General practices vary in their structure and organisation, both in a general sense and specifically with respect to immunisation delivery.
aimTo identify the structural and organisational characteristics of general practices associated with higher immunisation coverage and more timely immunisation delivery. DESIGN OF STUDY: A random sample of practices during 2005 and 2006.
settingGeneral practices in the Auckland and Midland regions, with over-sampling of indigenous Maori governance practices.
methodPractice immunisation coverage and timeliness were measured. Primary care practice characteristics relevant to immunisation delivery by the practice were described. Associations of these practice characteristics with higher practice immunisation coverage and more timely immunisation delivery were determined.
resultsA total of 124 (61%) of 205 eligible practices were recruited. A median (25th to 75th centile) of 71% (57-77%) of registered children at each practice were fully immunised, and 56% (40-64%) had no immunisation delay. In multivariate analyses, both practice immunisation coverage (P<0.001) and timeliness (P<0.001) decreased with increased social deprivation. After adjustment for socioeconomic deprivation, region, and governance, immunisation coverage and timeliness were better at practices that enrolled children at a younger age (coverage: P = 0.002; timeliness P = 0.007), used one of the four available practice management systems (coverage: P<0.001; timeliness: P = 0.006), and had no staff shortages (coverage: P = 0.027; timeliness: P = 0.021).
conclusionPractice immunisation coverage and timeliness vary widely in New Zealand. General organisational and structural aspects of general practices are key determinants of general practice immunisation delivery.
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