Y Kawakatsu1, J Tanaka2, K Ogawa2, K Ogendo3, S Honda2. 1. Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. Electronic address: y.kawakatsu.0829@gmail.com. 2. Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. 3. Ministry of Health, Kenya.
Abstract
OBJECTIVES: The purpose of this study is to describe the effects of the three main interventions and identify the individual and community determinants of full vaccination coverage among children aged 12-59 months in Nyanza province, Kenya. STUDY DESIGN: Cross-sectional study. METHODS: We utilized three datasets. One is the Nyanza Province County-based Multiple Indicator Cluster Survey 2011. The other two datasets are the lists of community units and health facilities in Nyanza Province, Kenya. A three-level multilevel logistic regression analysis was performed. RESULTS: In the final model, the highest wealth quintile (AOR: 2.49; 95% CI: 1.333-4.642; P = 0.004), the community with high coverage of media devices (AOR: 1.50; 95% CI: 1.029-2.198; P = 0.035), the participation of mass immunization campaigns (AOR: 1.63; 95% CI: 1.153-2.303; P = 0.006) were the significant determinants of complete child vaccination. CONCLUSIONS: In conclusion, further implementation of mass immunization campaigns is the recommended intervention to increase the uptake of required vaccinations among children. In addition, further attention to the poor and the low coverage of media devices is necessary, since they are the most vulnerable population in terms of accessibility of vaccination services. Implementation community based activity, such as community health workers, would have a positive impact on vaccination coverage, if their performance is continuously high.
OBJECTIVES: The purpose of this study is to describe the effects of the three main interventions and identify the individual and community determinants of full vaccination coverage among children aged 12-59 months in Nyanza province, Kenya. STUDY DESIGN: Cross-sectional study. METHODS: We utilized three datasets. One is the Nyanza Province County-based Multiple Indicator Cluster Survey 2011. The other two datasets are the lists of community units and health facilities in Nyanza Province, Kenya. A three-level multilevel logistic regression analysis was performed. RESULTS: In the final model, the highest wealth quintile (AOR: 2.49; 95% CI: 1.333-4.642; P = 0.004), the community with high coverage of media devices (AOR: 1.50; 95% CI: 1.029-2.198; P = 0.035), the participation of mass immunization campaigns (AOR: 1.63; 95% CI: 1.153-2.303; P = 0.006) were the significant determinants of complete child vaccination. CONCLUSIONS: In conclusion, further implementation of mass immunization campaigns is the recommended intervention to increase the uptake of required vaccinations among children. In addition, further attention to the poor and the low coverage of media devices is necessary, since they are the most vulnerable population in terms of accessibility of vaccination services. Implementation community based activity, such as community health workers, would have a positive impact on vaccination coverage, if their performance is continuously high.
Authors: Olalekan A Uthman; Sulaimon T Adedokun; Tawa Olukade; Samuel Watson; Olatunji Adetokunboh; Adeyinka Adeniran; Solomon A Oyetoyan; Saheed Gidado; Stephen Lawoko; Charles S Wiysonge Journal: Hum Vaccin Immunother Date: 2017-06-30 Impact factor: 3.452
Authors: Teshita Uke Chikako; Abdul-Aziz Seidu; John Elvis Hagan; Richard Gyan Aboagye; Bright Opoku Ahinkorah Journal: Int J Environ Res Public Health Date: 2021-11-11 Impact factor: 3.390
Authors: Didier K Ekouevi; Fifonsi A Gbeasor-Komlanvi; Issifou Yaya; Wendpouiré I Zida-Compaore; Amevegbé Boko; Essèboe Sewu; Anani Lacle; Nicolas Ndibu; Yaovi Toke; Dadja E Landoh Journal: BMC Public Health Date: 2018-08-02 Impact factor: 3.295