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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Bibliographic Details
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
Online Access:Get more information
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Summary: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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ISSN:1476-1645
1476-1645
DOI:10.4269/ajtmh.13-0127