Jessica E Deyoe1, James Akiruga Amisi2,3, Daria Szkwarko2,4,5, Dan N Tran2,6, Maya Luetke7, Sina Kianersi7, Shin H Lee7, Jane Namae8, Becky Genberg9,10, Jeremiah Laktabai2,3, Sonak Pastakia2,6, Molly Rosenberg7. 1. Department of Epidemiology and Biostatistics, Indiana University School of Public Health, 1025 E 7th Street, Bloomington, IN, 47405, USA. Jedeyoe@indiana.edu. 2. Academic Model Providing Access To Healthcare (AMPATH), Eldoret, Kenya. 3. Department of Family Medicine, Moi University School of Medicine, PO Box 4606 30100, Eldoret, Kenya. 4. Moi Teaching and Referral Hospital, Eldoret, Kenya. 5. Department of Family Medicine, Warren Alpert School of Medicine, Brown University, Providence, RI, USA. 6. Department of Pharmacy Practice, Purdue University College of Pharmacy, Purdue Kenya Partnership, Eldoret, Kenya. 7. Department of Epidemiology and Biostatistics, Indiana University School of Public Health, 1025 E 7th Street, Bloomington, IN, 47405, USA. 8. Webuye Health and Demographic Surveillance System, Moi University, Eldoret, Kenya. 9. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 10. Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Moi University, Eldoret, Kenya.
Abstract
INTRODUCTION: High childhood vaccine adherence is critical for disease prevention, and poverty is a key barrier to vaccine uptake. Interventions like microfinance programs that aim to lift individuals out of poverty could thus improve vaccine adherence of the children in the household. BIGPIC Family Program in rural Western Kenya provides group-based microfinance services while working to improve access to healthcare and health screenings for the local community. The aim of the present paper is to evaluate the association between household participation in BIGPIC's microfinance program and vaccine adherence among children in the household. We hypothesize that microfinance group participation will have a positive impact on vaccine adherence among children in the household. METHODS: From 2018 to 2019, we surveyed a sample of 300 participants from two rural communities in Western Kenya, some of whom were participants in the BIGPIC Family's microfinance program. The primary outcome of interest was vaccine adherence of children in the household. Log-binomial models were used to estimate the relationship between microfinance group participation and vaccine adherence, adjusted for key covariates. We also assessed whether the relationship differed by gender of the adult respondent. RESULTS: Microfinance group members were more likely to have all children in their households fully vaccinated [aPR (95% CI): 1.68 (1.20,2.35)] compared to non-microfinance group members. Further, the association was stronger when women were the microfinance members [PR (95% CI): 1.87 (1.27,2.76)] compared to men [PR (95% CI): 1.24 (0.81,1.90)]. CONCLUSIONS: Microfinance participation was associated with higher childhood vaccine adherence in rural Western Kenya. Microfinance interventions should be further explored as strategies to improve child health and well-being in low- and middle-income countries.
INTRODUCTION: High childhood vaccine adherence is critical for disease prevention, and poverty is a key barrier to vaccine uptake. Interventions like microfinance programs that aim to lift individuals out of poverty could thus improve vaccine adherence of the children in the household. BIGPIC Family Program in rural Western Kenya provides group-based microfinance services while working to improve access to healthcare and health screenings for the local community. The aim of the present paper is to evaluate the association between household participation in BIGPIC's microfinance program and vaccine adherence among children in the household. We hypothesize that microfinance group participation will have a positive impact on vaccine adherence among children in the household. METHODS: From 2018 to 2019, we surveyed a sample of 300 participants from two rural communities in Western Kenya, some of whom were participants in the BIGPIC Family's microfinance program. The primary outcome of interest was vaccine adherence of children in the household. Log-binomial models were used to estimate the relationship between microfinance group participation and vaccine adherence, adjusted for key covariates. We also assessed whether the relationship differed by gender of the adult respondent. RESULTS: Microfinance group members were more likely to have all children in their households fully vaccinated [aPR (95% CI): 1.68 (1.20,2.35)] compared to non-microfinance group members. Further, the association was stronger when women were the microfinance members [PR (95% CI): 1.87 (1.27,2.76)] compared to men [PR (95% CI): 1.24 (0.81,1.90)]. CONCLUSIONS: Microfinance participation was associated with higher childhood vaccine adherence in rural Western Kenya. Microfinance interventions should be further explored as strategies to improve child health and well-being in low- and middle-income countries.
Authors: Dustin G Gibson; Benard Ochieng; Eunice W Kagucia; David Obor; Frank Odhiambo; Katherine L O'Brien; Daniel R Feikin Journal: Vaccine Date: 2015-10-16 Impact factor: 3.641
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