Factors associated with routine vaccination card retention among children aged 0–59 months in Yaounde-Cameroon: A cross-sectional survey

Yakum, Martin Ndinakie; Funwie, Atanga D; Ajong, Atem Bethel; Tsafack, Marcellin; Ze, Linda Evans Eba; Ekukole, Ekome Serge Raoul; Shah, Zahir

doi:10.1371/journal.pone.0273515

Cited by 5 publications

(7 citation statements)

References 29 publications

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“…In this study, factors associated with the non-availability of vaccination cards were maternal age below 25 years and the mother having a paid job. A study recently conducted in Yaoundé (Cameroon) corroborate our results 30 . It suggests that mothers who are employed have little time to follow their children’s immunization and might occasionally delegate this to a third party (say a family member), with vaccination card getting missed consequently 30 .…”

Section: Discussionsupporting

confidence: 92%

Coverage and determinants of childhood vaccination during the COVID-19 pandemic in Fortaleza, Northeastern Brazil: a longitudinal analysis

Araújo,

Correia,

Lima

et al. 2024

Cad. Saúde Pública

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Brazil has seen a decrease in vaccination coverage since 2016. This study analyzes the immunization status of children born during the COVID-19 pandemic in Fortaleza, Northeastern Brazil. This is a longitudinal analysis that included vaccination data of 313 children aged 12 and 18 months. Vaccination cards were checked for dose application considering the schedule of immunization recommended by the Brazilian Ministry of Health. Factors associated with no retention of vaccination cards and incomplete immunization by 18 months were identified by Tobit regression analysis. About 73% of mothers presented their child’s vaccination card. Non-availability of vaccination cards was associated with maternal age < 25 years and mothers with paid jobs. Only 33% and 45% of the children aged 12 and 18 months had all vaccines up to date, respectively. For 3-dose vaccines, the delay rate was around 10% for the first dose application, but 40% for the third dose. Despite delays, most children with available vaccine cards had coverage above 90% by 18 months of age. Adjusted factors associated with incomplete vaccination included living in a household with more than one child (p = 0.010) and monthly income of less than one minimum wage (p = 0.006). Therefore, delays in child vaccine application were high during the COVID-19 pandemic but a considerable uptake by 18 months of age was found. Poorer families with more than one child were particularly at risk of not fully immunizing their children and should be the target of public policies.

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Section: Discussionsupporting

confidence: 92%

Coverage and determinants of childhood vaccination during the COVID-19 pandemic in Fortaleza, Northeastern Brazil: a longitudinal analysis

Araújo,

Correia,

Lima

et al. 2024

Cad. Saúde Pública

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“…A vaccination card was defined as any document given by a healthcare provider stating the vaccination status of an eligible child [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

“…A study conducted by Wagner reported retention rate of 23.3% in Nigeria, 49.6% in Angola, 29.5% in Ethiopia, and 20.7% in Democratic Republic of Congo [ 12 ]. Studies conducted in Yaounde-Cameroon [ 13 ] and Senegal [ 14 ] also reported retention rates of 24% and 86.6% respectively. While child age and maternal employment were found to be negatively associated with card retention, being a girl child, living in rich household and respondent being the biological parent of the child were positively associated with card retention in Yaounde-Cameroon [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies conducted in Yaounde-Cameroon [ 13 ] and Senegal [ 14 ] also reported retention rates of 24% and 86.6% respectively. While child age and maternal employment were found to be negatively associated with card retention, being a girl child, living in rich household and respondent being the biological parent of the child were positively associated with card retention in Yaounde-Cameroon [ 13 ]. In Senegal, child age and maternal exposure to the media were associated with card retention.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of vaccination card retention in Tamale Metropolis, Ghana

Konlan,

Mahama,

Abubakari

et al. 2024

PLoS ONE

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Background The home-based vaccination card is an important health record for determining vaccination status of children during surveys, particularly in low- and middle-income countries. However, there are limited evidence on the factors that influence its retention in Ghana. We assessed the predictors of vaccination card retention in Tamale Metropolis, Ghana. Methods We conducted a cross-sectional study from 21st December 2022 to 10th January 2023 among children aged 0–59 months in the Tamale Metropolis. Multi-stage sampling was used to select caregivers of children aged 0–59 months for enrolment in the study. Data were collected using validated questionnaire through face-to-face interviews of caregivers. A vaccination card was retained if it was presented for physical inspection by research assistants. The factors that influence vaccination card retention were determined in a multivariate logistic regression analysis at p<0.05. Results A total of 1,532 eligible children were enrolled in this study. Vaccination card retention was 91.5%. Negative predictors of card retention included: being resident in the Nyohini (AOR = 0.28; 95% CI = 0.15–0.50) and Tamale Central (AOR = 0.51; 95% CI = 0.29–0.90) sub-Metro areas and being caregivers of children aged 24–59 months (AOR = 0.39; 95% CI = 0.22–0.68). On the other hand, paying for the vaccination card (AOR = 5.14; 95% CI = 2.95–8.95) was a positive predictor of vaccination card retention. Conclusion In this study, vaccination card retention among children aged 0–59 months was higher than national estimates. Vaccination card retention was mainly influenced by sub-Metro area, age of child and mode of acquisition of the card such as out-of-pocket payment. There is need to design and deliver tailored messages including the importance of vaccination card retention to caregivers of children based on geographic context. Additionally, the policy on sale of vaccination cards should be revised to allow for cost sharing to enhance its retention.

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“…A vaccination card was defined as any document given by a healthcare provider stating the vaccination status of an eligible child [17].…”

Section: Operational Definitionsmentioning

confidence: 99%

Predictors of vaccination card retention in Tamale Metropolis, Ghana

Konlan,

Mahama,

Abubakari

et al. 2023

Preprint

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BackgroundThe home-based vaccination card (HBR) is an important health record for determining vaccination status of children during surveys, particularly in low- and middle-income countries (LMICs). However, there are limited evidence on the factors that influence its retention in Ghana. We assessed the predictors of vaccination card retention in Tamale Metropolis, GhanaMethodsWe conducted a cross-sectional study from 21stDecember 2022 to 10thJanuary 2023 among children aged 0-59 months in the Tamale Metropolis. Multi-stage sampling was used to select caregivers of children aged 0-59 months for enrolment in the study. Data were collected using validated questionnaire through face-to-face interviews of caregivers. A vaccination card was retained if it was presented for physical inspection by research assistants. The factors that influence vaccination card retention were determined in a multivariate logistic regression analysis at p<0.05.ResultsA total of 1,566 eligible children were enrolled in this study. Vaccination card retention was 89.5%. Negative predictors of card retention included: being resident in the Nyohini (AOR=0.26; 95% CI=0.15-0.47) and Tamale Central (AOR= 0.52; 95% CI=0.30-0.92) sub-Metro areas, and children belonging to age group 24-59 months (AOR=0.40; 95% CI=0.23-0.67). On the other hand, paying for the vaccination card (AOR=5.20; 95% CI=2.98-9.04) was a positive predictor of vaccination card retention.ConclusionIn this study, vaccination card retention among children aged 0-59 months was higher than national estimates. Vaccination card retention was mainly influenced by place of residence, age of child and mode of acquisition of the card such as out-of-pocket payment. There is need to design and deliver tailored messages including the importance of vaccination card retention to caregivers of children based on geographic context. Additionally, the vaccination cards should be supplied to health facilities and made readily accessible to caregivers to prevent out-of-pocket payment.

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Factors associated with routine vaccination card retention among children aged 0–59 months in Yaounde-Cameroon: A cross-sectional survey

Cited by 5 publications

References 29 publications

Coverage and determinants of childhood vaccination during the COVID-19 pandemic in Fortaleza, Northeastern Brazil: a longitudinal analysis

Coverage and determinants of childhood vaccination during the COVID-19 pandemic in Fortaleza, Northeastern Brazil: a longitudinal analysis

Predictors of vaccination card retention in Tamale Metropolis, Ghana

Predictors of vaccination card retention in Tamale Metropolis, Ghana

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