Determinants of full vaccination among children aged 12-23 months in Katheka Kai location Machakos County Kenya
Introduction:
Since inception of the Expanded Programme on Immunization EPI by WHO in 1974 immunization coverage has been steadily increasing and currently stands at 86 globally. Consequently this has led to a significant reduction in child mortality and morbidity. It is estimated that two to three million deaths from polio diphtheria tuberculosis pertussis measles and tetanus are averted through EPI. According to the Kenya Demographic and Health Survey KDHS 2014 75 of children aged 12-23 months were fully vaccinated with BCG measles Diphtheria Pertussis Tetanus Haemophilus Influenza type B Hepatitis B and polio vaccines under the Kenta Program KEPI. As a result millions of lives of children have been saved over the years. Despite these obvious benefits vaccination coverage remains low especially in developing countries.
Objectives:
This cross sectional study was undertaken to determine vaccination coverage and to determine vaccination coverage and its determinants among children aged 12 23 months in Katheka Kai Location Machakos County.
Methodology:
A total of 384 households with children aged 12- 23 months were sampled using simple random sampling for interviews. Respondents were mothers/caretakers of the children in those households. Random sampling was used to identify households for inclusion in the study and then mothers or caregivers in the identified households interviewed. Data was collected using an interviewer administered questionnaire and an immunization checklist. Data was coded and input into SPSS version 19 for analysis.
Findings:
Slightly more than half of the respondents 230 59.9 had at least secondary education and above and 276 71.9 of the households earned a monthly income of KES 5000 and above. More than half of the households 217 56.5 dwelt less than four kilometers to the nearest health facility. The study found that 83 of the children were fully vaccinated. Knowledge on immunization was high 360 93.8 knew the reasons why children get vaccination and slightly more than half 212 55.4 knew at least three correct vaccines that are administered to children while almost an proportion 58.1 knew at least three vaccine preventable childhood diseases. Factors associated with full immunization were education level of respondents 282.178 P 0.001 knowledge on routine childhood vaccinations 2 119.275 P0.001 and vaccine preventable diseases among children 2 17.579 P 0.004 mothers antenatal clinic ANC attendance 2 115.52 P0.001 and distance from the respondents home to the health facility 2 45.332 P0.000. Other factors were place of birth of child 2204.714 P0.001 and household income 2 84.178 P0.000. Predictors of full immunization were level of education of mother/caretaker place of delivery for the child and number of ANC visits. The vaccination coverage for the Sub Location 83 was below the Countys coverage 90 and below the national target of 90. Efforts need to be stepped up to reach the children who are no fully immunized so as to reach the national target. Strategies to increase health facility deliveries should be implemented as this significantly leads to increased vaccination coverage. Since inception of the Expanded Programme on Immunization EPI by WHO in 1974 immunization coverage has been steadily increasing and currently stands at 86 globally. Consequently this has led to a significant reduction in child mortality and morbidity. It is estimated that two to three million deaths from polio diphtheria tuberculosis pertussis measles and tetanus are averted through EPI. According to the Kenya Demographic and Health Survey KDHS 2014 75 of children aged 12-23 months were fully vaccinated with BCG measles Diphtheria Pertussis Tetanus Haemophilus Influenza type B Hepatitis B and polio vaccines under the Kenya Program KEPI. As a result millions of lives of children have been saved over the years. Despite these obvious benefits vaccination coverage remains low especially in developing countries. This cross sectional study was undertaken to determine vaccination coverage and to determine vaccination coverage and its determinants among children aged 12 23 months in Katheka Kai Location Machakos County. A total of 384 households with children aged 12- 23 months were sampled using simple random sampling for interviews. Random sampling was used to identify households for inclusion in the study and then mothers or caregivers in the identified households interviewed. Data was collected using an interviewer administered questionnaire and an immunization checklist. Data was coded and input into SPSS version 19 for analysis. Slightly more than half of the respondents 230 59.9 had at least secondary education and above and 276 71.9 of the households earned a monthly income of KES 5000 and above. More than half of the households 217 56.5 dwelt less than four kilometers to the nearest health facility.
Results:
Conclusion:
The study found that 83 of the children were fully vaccinated. Knowledge on immunization was high 360 93.8 knew the reasons why children get vaccination and slightly more than half 212 55.4 knew at least three correct vaccines that are administered to children while almost an equal proportion 58.1 knew at least three vaccine preventable childhood diseases. Factors associated with full immunization were education level of respondents 282.178 P 0.001 knowledge on routine childhood vaccinations 2 119.275 P0.001 and vaccine preventable diseases among children 2 17.579 P 0.004 mothers antenatal clinic ANC attendance 2 115.52 P0.001 and distance from the respondents home to the health facility 2 45.332 P0.000. Other factors were place of birth of child 2204.714 P0.001 and household income 2 84.178 P0.0001. Predictors of full immunization were level of education of mother/caretaker place of delivery for the child and number of ANC visits. The vaccination coverage for the Sub Location 83 was below the Countys coverage 90 and below the national target of 90.
Publication Information
Author(s):
Focus County(s):
Machakos County
Programme Area(s):
Biotechnology
Research Priority Area(s):
Disease Domain(s):
DRUGS AND VACCINES
Document History:
Publication Date: 01.Jan.1970
Conference Title:
Venue: