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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Published in:The American journal of tropical medicine and hygiene Vol. 90; no. 2; p. 234
Main Authors: Calhoun, Lisa M, van Eijk, Anna M, Lindblade, Kim A, Odhiambo, Frank O, Wilson, Mark L, Winterbauer, Elizabeth, Slutsker, Laurence, Hamel, Mary J
Format: Journal Article
Language:English
Published: United States 01.02.2014
Subjects:
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
Kenya
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.
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
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  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
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Snippet This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province,...
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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
URI https://www.ncbi.nlm.nih.gov/pubmed/24343886
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Volume 90
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