Assessment of factors associated with complete immunization coverage in children aged 12-23 months: a cross-sectional study in Nouna district, Burkina Faso

Abstract

Background: The Expanded Program on Immunization (EPI) is still in need of improvement. In Burkina Faso in 2003, for example, the Nouna health district had an immunization coverage rate of 31.5%, compared to the national rate of 52%. This study identifies specific factors associated with immunization status in Nouna health district in order to advance improved intervention strategies in this district and in those with similar environmental and social contexts. Methods: A cross-sectional study was undertaken in 41 rural communities and one semi-urban area (urban in the text). Data on 476 children aged 12 to 23 months were analyzed from a representative sample of 489, drawn from the Nouna Health Research Centre's Demographic Surveillance System (DSS) database. The vaccination history of these children was examined. The relationships between their immunization status and social, economic and various contextual variables associated with their parents and households were assessed using Chi square test, Pearson correlation and logistic regression. Results: The total immunization coverage was 50.2% (CI, 45.71; 54.69). Parental knowledge of the preventive value of immunization was positively related to complete immunization status (p = 0.03) in rural areas. Children of parents who reported a perception of communication problems

Vaccination coverage and factors associated with adherence to the vaccination schedule in young children of a rural area in Burkina Faso

“…However, many countries still fall short of these targets [9]. Research has been undertaken in a number of SSA countries to identify the determinants of childhood vaccination coverage [10–15]. Factors that commonly affect vaccination programme performance are either health-system-related (e.g.…”

Identifying households with low immunisation completion in Bangladesh

“…Odusanya et al identified that completeness of vaccination significantly correlated with knowledge of mothers on immunisation [3]. A study by Sanou et al showed that in rural areas, children from Muslim families had lower immunisation coverage rates compared to others and that religion was not significantly related to lower immunisation coverage in urban areas [20]. Similarly, a study in India by Nath et al showed that Muslim religion was a significant independent predictor of partial immunisation status of the child and that Muslim religion was associated with the unimmunised status of the child [21,22].…”

Complete Child Immunisation: A Cluster Analysis of Positive Deviant Regions in Ghana

“…This seems a puzzle, since in several prior studies religious affiliation has been shown to be positively associated with children's immunisation status [26,29]. Thus, it is prudent to hold open the possibility that anther research methodology, which might preserve the substantial heterogeneity in these data, might illuminate associations with immunisation that are not evident in the present findings.…”

“…Moving on, one expects socio-economic status to correlate positively with complete child immunisation [28][29]32]. Yet at the regional level in Ghana, this relationship does not hold.…”

“…On the other hand, antenatal care follow-up, being born in a health facility and wealth index, have been associated with vaccination status [24,25]. The many socio-demographic factors associated with immunisation coverage in recent research include ethnicity and religion [26], caregiver's education [27], household economic status [28,29], maternal health literacy [29], maternal decision latitude [30], use of maternal and child health facilities [27], participation in vaccination campaigns [31] and urban versus rural living [32]. Few studies investigate why coverage has improved in some settings and not others [33,34] or use positive deviance lens [35].…”