Factors influencing full immunization coverage among 12–23 months of age children in Ethiopia: evidence from the national demographic and health survey in 2011

Lakew, Yihunie; Bekele, Alemayhu; Biadgilign, Sibhatu

doi:10.1186/s12889-015-2078-6

Cited by 188 publications

(261 citation statements)

References 33 publications

(31 reference statements)

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“…Further, older maternal and child's age and lower distance from the immunization centre among others were found to be strongly linked with the likelihood of increased influenza vaccination up take for children in Kenya (Otieno et al, 2014). Also belonging in the rich index by mother was found by Lakew et al (2015) to be one of the determinants of full immunization of children in Ethiopia. On Ghana, it has been found that children membership of National Health Insurance Scheme (NHIS), mother's education and geographical location determined full immunization of children (Dwumoh et al (2014).…”

Section: Review Of Literaturementioning

confidence: 93%

What factors influence the utilisation of all doses of vaccines with subsequent doses for under-five children in Ghana?

Immurana

Urmi

2017

IJM

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Pneumonia, Diarrhoea, Measles, Polio and Whooping Cough are major killers of children in the world. However, one of the most effective ways of preventing these diseases is through utilising completely their respective vaccines which are normally administered in doses. Therefore given that the 2014 Ghana Demographic and Health Survey (GDHS) report showed a fall in the coverage of the subsequent doses of the Pentavalent, Pneumococcal, Polio and Rotavirus vaccines for children in Ghana, this study investigated the factors that influence the Utilisation of all Doses of these vaccines as well as the Measles vaccine. Using Data from the 2014 GDHS and employing the binary probit model, the study among other findings revealed that, children from the Eastern, Northern and Western regions were found to be less probable to have received all the doses of the Polio and Pentavalent vaccines. Also unemployed mothers were found to be less likely to demand for all the doses of the Measles, Pentavalent, Pneumococcal and Rotavirus vaccines for their children. Moreover, rising age of the household head was associated with falling utilization of all the doses of the Pneumococcal, Pentavalent and Polio vaccines for children. Furthermore, children with single mothers were found to be less likely to have received all doses of both the Polio and Pentavalent vaccines. Also uneducated mothers were found to be less likely to demand for all the doses of the Polio, Pentavalent and Measles vaccines for their children relative to mothers with secondary education. In addition mothers without health insurance were found to be less likely to utilize all the doses of the Measles and Polio vaccines for their children. Therefore reinvigoration of regional centeredness of child health utilization drives, aiding single, unemployed and uneducated women as well as strengthening the free maternal health insurance registration scheme, could be effective tools in ensuring full utilisation of all doses of these vaccines.

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Section: Review Of Literaturementioning

confidence: 93%

What factors influence the utilisation of all doses of vaccines with subsequent doses for under-five children in Ghana?

Immurana

Urmi

2017

IJM

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“…On the empirical front with regards to the determinants of immunization or vaccine utilization, Russo et al (2015) found in Dschang of Cameroon that, less usage of antenatal care by mothers, immunization card retention, child being the third or beyond with regards to birth order, younger mother's age, poor parental information on vaccination as well as poor parental attitude towards immunization are the major factors affecting incomplete immunization among children aged 12-23 months. Lakew et al (2015) found that, mother being in the rich wealth index, mothers being aware of community conversation programme, getting postnatal check-up within 2 months after birth, and sources of information from vaccination cards were the determinants of full immunization among children aged 12-23 months in Ethiopia. Cockcroft et al (2014) found in Nigeria that mothers education, having birth certificates, discussion of immunization at home and mother's thinking of immunization as important were associated with the probability that a child aged 12-23 months received measles vaccination.…”

Section: Review Of Literaturementioning

confidence: 99%

“…Thus with regards to the pneumococcal and rotavirus vaccines, children in Ghana are expected to receive all the three doses of the pneumococcal vaccine (pneumococcal 1, pneumococcal 2 and pneumococcal 3 vaccines) as well as all the two doses of the rotavirus vaccines (rotavirus 1 and rotavirus 2 vaccines) in order to be fully protected against these diseases. However, recent report from the 2014 Ghana Demographic and Health Survey (GDHS) states that, there has been a fall in immunization coverage for children aged [12][13][14][15][16][17][18][19][20][21][22][23] , it was imperative that a study is conducted to investigate the factors that determine the demand for the subsequent doses of the pneumococcal and the rotavirus vaccines among children in Ghana. Thus, helping in bringing out the factors that affect the uptake of the subsequent doses of these vaccines for children less than five years of age in Ghana, which would help in churning out policies that would aid in reducing the mortality of children in Ghana.…”

Section: Introductionmentioning

confidence: 99%

Determinants of demand for subsequent doses of pneumococcal and rotavirus vaccines for children less than five years of age in Ghana

Immurana

Arabi

2016

IJH

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The mortality of children which has pneumonia and diarrhoea as some of its major causes remains a major concern for all countries of which Ghana is no exception. Ghana's current child mortality rate is far above the sustainable development goal 3.2. However, given that vaccination is one of the most effective ways of preventing childhood diseases, it was surprising that, the 2014 Ghana demographic and health survey (GDHS) report showed a falling up-take or coverage in the successive doses of the pneumococcal (pneumonia vaccine) and rotavirus (diarrhoea vaccine) vaccines among children in Ghana. This study therefore using data from the children's recode file of the 2014 GDHS, investigated the determinants of demand for subsequent doses of the pneumococcal and rotavirus vaccines for children in Ghana by employing the binary probit model. The study among other findings revealed that, unemployed mothers were less likely to demand for the subsequent and initial doses of both the pneumococcal and rotavirus vaccines for their children. Also male household heads were revealed to be less likely to demand for all the doses of the rotavirus vaccines for children. In addition, single mothers were also revealed to be less likely to demand for all the subsequent doses of the pneumococcal and rotavirus vaccines. Therefore targeting unemployed and single mothers as well as women empowerment through job opportunities coupled with public education, especially of household heads, would serve as effective tools in tackling the falling demand for subsequent doses of the pneumococcal and rotavirus vaccines for children in Ghana.

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“…Immunization can reduce children mortality rate by 2.5 million per year in low and middleincome countries (Lakew et al, 2015).…”

Section: Known As Complete Basic Immunization (Idl)mentioning

confidence: 99%

PRECEDE- PROCEED Model on Determinants of Completeness Immunization Status among Infants in Bangkalan District, Madura

Putri

Dewi

Rahardjo

2017

J HEALTH PROMOT BEHAV

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Background: Complete Basic Immunization or Imunisasi Dasar Lengkap (IDL) Program is conducted as a disease prevention effort among children, however the CBI in Indonesia does not yet achieve national target. Bangkalan Regency is one of the regencies in East Java with low immunization achievement. The study aimed to analyze determinants that influence complete basic immunization status using PRECEDE-PROCEED model. Subjects and Method:The study was analytic observational study with cross sectional approach. The study was conducted at 10 community health centers, Bangkalan Regency, from AugustOctober 2017. A total sample of 200 mothers who have infant age 9-12 months old were selected using cluster sampling technique and purposive sampling. The dependent variable was complete basic immunization status. The independent variables were education, knowledge, occupation, attitude, distance of health care facilities, information exposure, family support, and health workers support. The data were colected using questionnaires and MCH book. The data were analyzed by path analysis. Result: Complete basic immunization status was influenced by attitude (b=0.82; 95% CI= 0.10 to 1.55; p= 0.027), health personnel support (b= 0.79; 95% CI= -0.10 to 1.67; p= 0.081), distance of healthcare facilities (b= -1.28; 95% CI= -2.13 to -0.44; p= 0.003), and information exposure (b= 1.52; 95% CI= 0.75 to 2.29; p= 0.001). Attitude was influenced by family support (b= 1.35; 95% CI= 0.71 to 2.00; p= 0.001) and knowledge (b= 2.29; 95% CI= 1.06 to 3.54; p= 0.001). Knowledge was influenced by information exposure (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002). Family support was influenced by occupation (b= 0.64; 95% CI= 0.03 to 1.26; p= 0.040). Occupation (b= 1.12; 95% CI= 0.51 to 1.75; p= 0.001) and knowledge (b= 1.27; 95% CI= 0.42 to 2.13; p= 0.003) were influenced by education. Conclusion: There is a direct and positive influence of attitude, health worker support, and information exposure toward complete basic immunization status. There is direct and negative influence of distance of healthcare facilities toward complete basic immunization status. There is indirect and positive influence of education, knowledge, occupation and family support toward complete basic immunization status. PRECEDE-PROCEED model can be used to analyze factors that influence complete basic immunization status.

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Factors influencing full immunization coverage among 12–23 months of age children in Ethiopia: evidence from the national demographic and health survey in 2011

Cited by 188 publications

References 33 publications

What factors influence the utilisation of all doses of vaccines with subsequent doses for under-five children in Ghana?

What factors influence the utilisation of all doses of vaccines with subsequent doses for under-five children in Ghana?

Determinants of demand for subsequent doses of pneumococcal and rotavirus vaccines for children less than five years of age in Ghana

PRECEDE- PROCEED Model on Determinants of Completeness Immunization Status among Infants in Bangkalan District, Madura

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