Determinants and Coverage of Vaccination in Children in Western Kenya from a 2003 Cross-Sectional Survey

Calhoun, L. M., van Eijk, Anna ORCID: https://orcid.org/0000-0003-1635-1289, Lindblade, K. A., Odhiambo, F. O., Wilson, M. L., Winterbauer, E., Slutsker, L. and Hamel, M. J. (2014) 'Determinants and Coverage of Vaccination in Children in Western Kenya from a 2003 Cross-Sectional Survey'. American Journal of Tropical Medicine and Hygiene, Vol 90, Issue 2, pp. 234-241.

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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.

Item Type:	Article
Subjects:	QW Microbiology and Immunology > Immunotherapy and Hypersensitivity > QW 806 Vaccination WA Public Health > WA 105 Epidemiology WA Public Health > Preventive Medicine > WA 108 Preventive health services. Preventive medicine. Travel Medicine. WA Public Health > Preventive Medicine > WA 115 Immunization
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.4269/ajtmh.13-0127
Depositing User:	Lynn Roberts-Maloney
Date Deposited:	07 May 2015 15:03
Last Modified:	16 Aug 2019 13:40
URI:	https://archive.lstmed.ac.uk/id/eprint/5122

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