PMID- 34955529 OWN - NLM STAT- MEDLINE DCOM- 20220105 LR - 20220105 IS - 2325-4416 (Electronic) IS - 2325-4394 (Linking) VI - 27 DP - 2021 Dec 27 TI - A National Cross-Sectional Study from the Republic of Kosovo on Lot Quality Assurance Sampling (LQAS) to Evaluate the Vaccination Status of Children Between 12 and 24 Months of Age During 2018 to 2020. PG - e934194 AB - BACKGROUND In the Republic of Kosovo, full vaccination status in children under age 2 years includes: 1 dose of Bacillus Calmette-Guerin (BCG) hepatitis B virus (HBV) vaccine; 3 doses of diphtheria, tetanus, pertussis, hepatitis B, polio, and Haemophilus influenzae type b (DTaP-HB-IPV-Hib) vaccine; 3 doses of inactivated polio vaccine (IPV); and 1 dose of measles, mumps, and rubella (MMR) vaccine. Lot quality assurance sampling (LQAS) is a method used to assess the performance of health quality indicators. MATERIAL AND METHODS A national cross-sectional study with children aged between 12 and 24 months from Kosovo was performed between 2018 and 2020. The vaccination status of children was assessed with lot quality assurance sampling (LQAS) using randomized samples. RESULTS Among 430 children, more than 90% had completed the full immunization schedule. Delays in children's immunizations were observed. Most vaccinations showed short delays of less than 1 month, followed by delays of up to 3 months. The main reason for vaccination delay was the COVID-19 pandemic, following by child's illness at the scheduled time of vaccination or the parents were too busy to take the child to the vaccination site. Meanwhile, child age was the only parameter that showed difference among non-vaccinated and fully vaccinated (P<0.001). CONCLUSIONS LQAS analysis showed that between 2018 and 2020 lack of full immunization was due to delay caused by the parent not taking the child to the vaccination site, which may be prevented by improving information given to parents and the use of vaccination reminders. FAU - Gllareva, Bashkim Bejte AU - Gllareva BB AUID- ORCID: 0000-0003-2938-8996 AD - Department fo Family Medicine, Social Medicine and Occupational Medicine, University of Prishtina, Faculty of Medicine, Prishtina, Kosovo. FAU - Humolli, Isme AU - Humolli I AUID- ORCID: 0000-0002-5922-5322 AD - Department of Epidemiology, University of Prishtina, Faculty of Medicine, Prishtina, Kosovo. FAU - Rudhani, Ibrahim AU - Rudhani I AUID- ORCID: 0000-0001-7522-6299 AD - Department of Internal Medicine, University of Prishtina, Faculty of Medicine, Prishtina, Kosovo. FAU - Jakupi, Xhevat AU - Jakupi X AUID- ORCID: 0000-0001-9453-596X AD - Department of Microbiology, University of Prishtina, Faculty of Medicine, Prishtina, Kosovo. FAU - Rexhepi, Jon AU - Rexhepi J AUID- ORCID: 0000-0002-8103-5955 AD - Department of Biochemistry, Clinical Hospital Service University of Kosovo (SHSKUK), Prishtina, Kosovo. FAU - Metaj, Tringa AU - Metaj T AUID- ORCID: 0000-0002-8713-1956 AD - Department of Anesthesiology and Reanimation , Clinical Hospital Service University of Kosovo (SHSKUK), Prishtina, Kosovo. FAU - Kafexholli, Ardita AU - Kafexholli A AUID- ORCID: 0000-0001-9107-685X AD - Department of Family Medicine, Main Center of Family Medicine (QKMF-Prishtine), Prishtina, Kosovo. FAU - Sopi, Vlora AU - Sopi V AUID- ORCID: 0000-0001-8730-686X AD - Department of Pediatrics, Clinical Hospital Service University of Kosovo (SHSKUK), Prishtina, Kosovo. LA - eng PT - Journal Article DEP - 20211227 PL - United States TA - Med Sci Monit Basic Res JT - Medical science monitor basic research JID - 101597444 RN - 0 (Vaccines) SB - IM MH - *COVID-19 MH - Child, Preschool MH - Cross-Sectional Studies MH - Disease Outbreaks/prevention & control MH - Female MH - Humans MH - Immunization/*statistics & numerical data MH - *Immunization Schedule MH - Infant MH - Kosovo/epidemiology MH - Lot Quality Assurance Sampling MH - Male MH - Pandemics MH - SARS-CoV-2 MH - Vaccination/*statistics & numerical data MH - Vaccination Coverage/*statistics & numerical data MH - Vaccination Hesitancy MH - Vaccines/*administration & dosage EDAT- 2021/12/28 06:00 MHDA- 2022/01/06 06:00 CRDT- 2021/12/27 06:17 PHST- 2021/12/27 06:17 [entrez] PHST- 2021/12/28 06:00 [pubmed] PHST- 2022/01/06 06:00 [medline] AID - 934194 [pii] PST - epublish SO - Med Sci Monit Basic Res. 2021 Dec 27;27:e934194.