+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Factors associated with immunisation coverage and timeliness in New Zealand



Factors associated with immunisation coverage and timeliness in New Zealand



British Journal of General Practice 60(572): E113



Immunisation 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. To identify the structural and organisational characteristics of general practices associated with higher immunisation coverage and more timely immunisation delivery. A random sample of practices during 2005 and 2006. General practices in the Auckland and Midland regions, with over-sampling of indigenous Maori governance practices. Practice 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. A 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). Practice 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.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053193365

Download citation: RISBibTeXText

PMID: 20202354

DOI: 10.3399/bjgp10x483535


Related references

Factors contributing to high immunisation coverage among New Zealand Asians. Journal of Primary Health Care 6(4): 304-311, 2014

Early connections: effectiveness of a pre-call intervention to improve immunisation coverage and timeliness. Journal of Primary Health Care 4(3): 189-198, 2012

Socio-economic determinants and inequities in coverage and timeliness of early childhood immunisation in rural Ghana. Tropical Medicine and International Health 19(7): 802-811, 2014

What contributes to delays? The primary care determinants of immunisation timeliness in New Zealand. Journal of Primary Health Care 4(1): 12-20, 2012

Immunisation coverage in New Zealand. New Zealand Medical Journal 112(1100): 454, 1999

Antenatal immunisation intentions of expectant parents: Relationship to immunisation timeliness during infancy. Vaccine 34(11): 1379-1388, 2016

Measuring disparities in immunisation coverage among children in New Zealand. Health and Place 18(6): 1217-1223, 2012

Immunisation timeliness for a birth cohort in Christchurch. Christchurch Immunisation Coordination Study Group. New Zealand Medical Journal 111(1073): 336-340, 1998

Factors influencing immunisation coverage in Mathare Valley, Nairobi. East African Medical Journal 86(7): 323-329, 2009

Immunisation coverage in Australia corrected for under-reporting to the Australian Childhood Immunisation Register. Australian and New Zealand Journal of Public Health 27(5): 533-538, 2003

Measuring immunisation coverage in Australia. A review of the Australian Childhood Immunisation Register. Australian Family Physician 28(1): 55-60, 1999

Immunisation coverage and reasons associated with non-immunisation in Alexandra township, September 1988. South African Medical Journal 80(8): 378-381, 1991

A re-evaluation of immunisation coverage estimates from the Australian Childhood Immunisation Register. Communicable Diseases Intelligence 24(6): 161-164, 2000

National immunisation days for polio eradication in Uganda: did immunisation cards increase coverage?. East African Medical Journal 77(2): 66-70, 2000

Immunisation coverage reporting through the Australian Childhood Immunisation Register--an evaluation of the third-dose assumption. Australian and New Zealand Journal of Public Health 24(1): 17-21, 2000