Determinants and coverage of vaccination in children in western Kenya from a 2003 cross-sectional survey
This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to pa...
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| Vydáno v: | The American journal of tropical medicine and hygiene Ročník 90; číslo 2; s. 234 |
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| Hlavní autoři: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
01.02.2014
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| ISSN: | 1476-1645, 1476-1645 |
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| Abstract | This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to participate in a survey. Full vaccination coverage was 31.1% among 244 children. Only 2.2% received all vaccinations in the target month for each vaccination. In multivariate logistic regression, children of mothers of higher parity (odds ratio [OR] = 0.27, 95% confidence interval [95% CI] = 0.13-0.65, P ≤ 0.01), children of mothers with lower maternal education (OR = 0.35, 95% CI = 0.13-0.97, P ≤ 0.05), or children in households with the spouse absent versus present (OR = 0.40, 95% CI = 0.17-0.91, P ≤ 0.05) were less likely to be fully vaccinated. These data serve as a baseline from which changes in vaccination coverage will be measured as interventions to improve vaccination timeliness are introduced. |
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| AbstractList | This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to participate in a survey. Full vaccination coverage was 31.1% among 244 children. Only 2.2% received all vaccinations in the target month for each vaccination. In multivariate logistic regression, children of mothers of higher parity (odds ratio [OR] = 0.27, 95% confidence interval [95% CI] = 0.13-0.65, P ≤ 0.01), children of mothers with lower maternal education (OR = 0.35, 95% CI = 0.13-0.97, P ≤ 0.05), or children in households with the spouse absent versus present (OR = 0.40, 95% CI = 0.17-0.91, P ≤ 0.05) were less likely to be fully vaccinated. These data serve as a baseline from which changes in vaccination coverage will be measured as interventions to improve vaccination timeliness are introduced.This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to participate in a survey. Full vaccination coverage was 31.1% among 244 children. Only 2.2% received all vaccinations in the target month for each vaccination. In multivariate logistic regression, children of mothers of higher parity (odds ratio [OR] = 0.27, 95% confidence interval [95% CI] = 0.13-0.65, P ≤ 0.01), children of mothers with lower maternal education (OR = 0.35, 95% CI = 0.13-0.97, P ≤ 0.05), or children in households with the spouse absent versus present (OR = 0.40, 95% CI = 0.17-0.91, P ≤ 0.05) were less likely to be fully vaccinated. These data serve as a baseline from which changes in vaccination coverage will be measured as interventions to improve vaccination timeliness are introduced. This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to participate in a survey. Full vaccination coverage was 31.1% among 244 children. Only 2.2% received all vaccinations in the target month for each vaccination. In multivariate logistic regression, children of mothers of higher parity (odds ratio [OR] = 0.27, 95% confidence interval [95% CI] = 0.13-0.65, P ≤ 0.01), children of mothers with lower maternal education (OR = 0.35, 95% CI = 0.13-0.97, P ≤ 0.05), or children in households with the spouse absent versus present (OR = 0.40, 95% CI = 0.17-0.91, P ≤ 0.05) were less likely to be fully vaccinated. These data serve as a baseline from which changes in vaccination coverage will be measured as interventions to improve vaccination timeliness are introduced. |
| Author | Odhiambo, Frank O Slutsker, Laurence Wilson, Mark L van Eijk, Anna M Calhoun, Lisa M Hamel, Mary J Winterbauer, Elizabeth Lindblade, Kim A |
| Author_xml | – sequence: 1 givenname: Lisa M surname: Calhoun fullname: Calhoun, Lisa M organization: University of Michigan School of Public Health, Ann Arbor, Michigan; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Kenya Medical Research Institute/Centers for Disease Control and Prevention Research and Public Health Collaboration, Centre for Global Health Research, Kisumu, Kenya – sequence: 2 givenname: Anna M surname: van Eijk fullname: van Eijk, Anna M – sequence: 3 givenname: Kim A surname: Lindblade fullname: Lindblade, Kim A – sequence: 4 givenname: Frank O surname: Odhiambo fullname: Odhiambo, Frank O – sequence: 5 givenname: Mark L surname: Wilson fullname: Wilson, Mark L – sequence: 6 givenname: Elizabeth surname: Winterbauer fullname: Winterbauer, Elizabeth – sequence: 7 givenname: Laurence surname: Slutsker fullname: Slutsker, Laurence – sequence: 8 givenname: Mary J surname: Hamel fullname: Hamel, Mary J |
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| SubjectTerms | Child, Preschool Cross-Sectional Studies Female Health Care Surveys Health Knowledge, Attitudes, Practice Humans Immunization Programs Infant Kenya Logistic Models Male Mothers Socioeconomic Factors Vaccination - statistics & numerical data |
| Title | Determinants and coverage of vaccination in children in western Kenya from a 2003 cross-sectional survey |
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