Publication date: Available online 9 March 2017
Source:Vaccine
Author(s): Peter Austin Morton Ntenda, Kun-Yang Chuang, Fentanesh Nibret Tiruneh, Ying-Chih Chuang
BackgroundEmpirical evidence regarding the relationship between childhood immunization and individual- and community-level factors in low-income countries has received little attention. We compared the trends and the effects of a wide range of individual- and community-level socioeconomic factors on the likelihood of a child being immunized between 2004 and 2010 in Malawi.MethodsWe used data from the 2004 and 2010 Malawi Demographic and Health Survey and applied generalized estimating logistic regression equation to analyze data respectively on 2042 and 3496 children aged 12–23months. We compared the relationship between individual- and community-level socioeconomic factors and a child's vaccination status for four basic vaccines recommended by the World Health Organization: bacillus Calmette-Guérin (BCG) vaccine, diphtheria-tetanus-pertussis (DPT3) vaccine, oral polio vaccine (OPV3), and measles-containing vaccine 1 (MCV1).ResultsThe trends of vaccination had a similar pattern in 2004 and 2010. The coverage of the four vaccinations was highest for BCG and lowest for OPV3 and complete immunization was higher in 2010. The multivariate analyses show that mother's low education, having one or none antenatal visits, having no immunization card, having immunization card but not seen, residing in poor households, and living in central region were the most significant factors associated with decreased odds of achieving vaccination coverage and complete vaccination in both 2004 and 2010. However, maternal education was more likely to be associated with children's immunization in 2010, while the geographical region was more likely to be associated with children's immunization in 2004.ConclusionsThere were marked improvements in the national immunization coverage from 2004 to 2010. In order to achieve complete immunization, to further enhance the national immunization coverage as well as to lessen the gaps and disparities in childhood vaccination in Malawi, policy makers should design interventions based on the factors addressed in this study.
http://ift.tt/2mnuNaY
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Social and quality of life impact using a voice pr...
- Dysphagia management in tracheostomized patients: ...
- Voice and swallowing outcomes for adults undergoin...
- The use of practice guidelines in the management o...
- Self-reported postoperative recovery in children a...
- Foreign body aspiration in children: Focus on the ...
- Anti-angiogenic treatment for breast cancer?
- The role of drug-drug interactions in prostate can...
- Incidental Findings on Pediatric Abdominal Magneti...
- Dosimetric Analysis of Liver Toxicity Post Liver M...
- Outcomes and Toxicity following High-Dose Radiatio...
- Persistent nasal carriers of Acinetobacter baumann...
- A New Keystone Flap “Plus” Design: Case Series and...
- Failure to Diagnose an Incompetent Cervix,Prematur...
- Permanent prostate brachytherapy pubic arch evalua...
- Assessment of clinical and radiologic differences ...
- Use of hepatobiliary phase images in Gd-EOB-DTPA-e...
- Unusual ultrasound appearance of small bowel intus...
- Contrast-enhanced ultrasound and computed tomograp...
- Neocortical and hippocampal TREM2 protein levels d...
- Engineering intravaginal vaccines to overcome muco...
- Islet encapsulation with polyphenol coatings decre...
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- Murine Th17 cells utilize IL-2 receptor gamma chai...
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- Unique characteristics of algal dissolved organic ...
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- Hypofractionated radiotherapy in older patients wi...
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