Factors Associated with Drop-Out between Tuberculosis and Measles Immunization among Infants in Parakou (Benin) in 2012

Adedemy, Didier Julien

doi:10.4172/2161-0665.1000219

Cited by 2 publications

(2 citation statements)

References 1 publication

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“…In fact this might be due to missed appointment date and lack of awareness by caretakers for the scheduled date by health facility. More over this report is higher than finding in n Basra 19.3% [11], Haryana India, 13.88% [12] and Arba Minch 11.7% [13]. This might be due to access to immunization service, and EPI implanting plane different from one area to others.…”

Section: Discussioncontrasting

confidence: 62%

“…In Ethiopia, 70-80% of children received BCG initially, however 50-54% of them received end measles containing vaccine on schedule [5,6]. Many peer reviewed research on immunization dropout rate indicated that socio-economic and demographic factor, difficult on topography, armed conflict, maternal knowledge are factors that affect the completion of childhood immunization [7][8][9][10][11].…”

Section: Independent Factors Associated With Immunization Dropoutmentioning

confidence: 99%

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Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia

Kassaw¹,

Gebere²,

Alemi³

et al. 2021

Int J Pediatr Res

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Vaccination is the epicenters of preventive care for good children health outcomes in each nation. Nevertheless, numbers of factors have been hindering the attainment of targets to provide complete vaccination in different nations. The aim of this study is to assessed predictors of immunizations in 12-23 months aged children in Abobo District, Gambela regions south west Ethiopia.Method: A community based cross-sectional study was employed in 436 pairs of mothers to children aged 12-23 months from 12 march -27 April 2019. The study participant were recruited by multistage-sampling were used for each kebele. Data were entered into Epi-Data version 3.1 after cleaned and coded, exported to STATA/SE-14/R analysis of logistic regression. Variables with P-value < 0.25 in bivariate logistic regression were transported in to multivariable logistic regression; a variable with 95% CI in AOR was used claim predictors for dropout rate. Results:The overall dropout rate of immunization from completion was found 25.8% (95% CI: 21.5-30.2). Factors like mothers did not attend ANC (AOR = 4.59, 95% CI: 2.58, 7.84), being home delivery (AOR = 6.46, 95% CI: (3.5-11.4), postponed last immunization scheduled (AOR = 3.44, 95% CI: 1.98-5.97), children ill during measles vaccine (AOR = 1.83, 95% CI: (1.02-3.28), Mothers refused ≥ 30 minutes for vaccine service waiting (AOR = 3.58, 95% CI: (1.99, 6.44) were significantly associated with immunization dropout out. Conclusion:The immunization dropout rate was unacceptable and higher as compare with WHO reference (< 10%). Home deliver, postponed measles vaccine, child illness, ANC status Service refusal ≥ 30 minutes waiting for vaccine were independently associated with dropout.

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Section: Discussioncontrasting

confidence: 62%

Section: Independent Factors Associated With Immunization Dropoutmentioning

confidence: 99%

Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia

Kassaw¹,

Gebere²,

Alemi³

et al. 2021

Int J Pediatr Res

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Reasons for defaulting from childhood immunization program: a qualitative study from Hadiya zone, Southern Ethiopia

A¹,

Letebo²,

Mekonnen³

2016

BMC Public Health

117

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BackgroundReduction of mortality and morbidity from vaccine-preventable diseases in developing countries involves successfully implementing strategies that ensure high coverage and minimize drop-outs and missed opportunities. Achieving maximum coverage, however, has been a challenge due to many reasons, including high rates of defaulters from the program. The objective of this study was to explore the reasons behind defaulting from the immunization program.MethodsA qualitative study was conducted in two districts of Hadiya zone, Southern Ethiopia between November 2014 and April 2015. A total of twenty-six in-depth interviews were held with mothers of defaulted children aged 6-11months old and key informants from the communities, health centers, and health offices. Observations and review of relevant documents were also conducted. Thematic analysis was used to analyze the data.ResultsIn this study, the main reason for defaulting from the immunization was inadequate counseling of mothers that led to a lack of information about vaccination schedules and service arrangements, including in unusual circumstances such as after missed appointment, loss of vaccination card and when the health workers failed to make home visits. Provider-client relationships are poor with mothers reporting fear of mistreatment and lack of cooperation from service providers. Contrary to what health workers and managers believe, mothers were knowledgeable about the benefits of vaccination. The high workload on mothers compounded by the lack of support from male partners was also found to contribute to the problem. Health system factors that contributed to the problem were poorly arranged and coordinated immunization services, vaccine and supplies stock outs, and lack of viable defaulter tracking systems in the health facilities.ConclusionsThe main reasons for defaulting from the immunization program are poor counseling of mothers, unsupportive provider-client relationships, poor immunization service arrangements, and lack of systems for tracking defaulters. Efforts to reduce defaulter rates from the immunization program need to focus on improving counseling of mothers and strengthening the health systems, especially with regards to service arrangements and tracking of defaulters.

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Factors Associated with Drop-Out between Tuberculosis and Measles Immunization among Infants in Parakou (Benin) in 2012

Cited by 2 publications

References 1 publication

Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia

Magnitudes of Immunization Dropout Rate and Predictors for 12-23 Months Aged Children in Abobo District Southwest Ethiopia

Reasons for defaulting from childhood immunization program: a qualitative study from Hadiya zone, Southern Ethiopia

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