Bulletin of the World Health Organization

Hepatitis B vaccination of newborn infants in rural China: evaluation of a village-based, out-of-cold-chain delivery strategy

Lixia Wang, Junhua Li, Haiping Chen, Fangjun Li, Gregory L Armstrong, Carib Nelson, Wenyuan Ze, Craig N Shapiro

Volume 85, Number 9, September 2007, 688-694

Table 2. Reasons given by parents for late administration of hepatitis B vaccine at birth to children born at home or in hospital, Hunan, China

Reasons for late birth dose Children born at home (%)
Children born in hospital (%)
Before study(n = 378) After study(n = 235) Before study(n = 506) After study(n = 122)
Not informed by provider about the importance of receiving hepatitis B vaccine within 24 hours after birth 298 (78.8) 114 (48.5) 392 (77.5) 32 (26.2)
Residence was too far from the immunization clinic 42 (11.1) 44 (18.7) 14 (2.8) 4 (3.3)
Infant had “low birth weight” 4 (1.7) 29 (23.8)
Did not want the newborn infant vaccinated 15 (4.0) 22 (9.4) 21 (4.2) 2 (1.6)
Vaccine not available at immunization clinic 15 (4.0) 4 (1.7) 23 (4.5) 6 (4.9)
Considered vaccine to be too expensive 4 (1.1) 1 (0.4) 7 (1.4) 1 (0.8)
Other 13 (3.4) 46 (19.6) 49 (9.7) 48 (39.3)