Community vaccine perceptions and its role on vaccination uptake among children aged 12-23 months in the Ileje District, Tanzania: a cross section study.
Community vaccine perceptions and its role on vaccination uptake among children aged 12-23 months in the Ileje District, Tanzania: a cross section study.
复制标题
DOI：
10.11604/pamj.2016.23.162.8925
复制
发表时间：
2016-01-01
期刊：
影响因子：
--
通讯作者：
Semali, Innocent
中科院分区：
文献类型：
--
作者：
Chambongo, Pai Elia;Nguku, Patrick;Semali, Innocent
导言：疫苗利用不足在世界许多地区仍然是一个挑战。伊莱杰地区是坦桑尼亚五价疫苗接种率一直较低的地区之一(69%)，辍学率为15%。我们确定了口服脊髓灰质炎病毒、麻疹、卡介苗和五价疫苗的接种完成率及其与社区对疫苗认知的关系。方法：我们于2013年10月至12月在伊列耶区进行了横断面研究。我们使用多阶段随机抽样技术对380名母亲进行了抽样。我们使用EPI INFO分析数据。我们用均值和标准差概括了描述性变量，用比例概括了分类变量。结果：母亲的平均年龄为27岁(SD 6.5岁)，孩子的平均年龄为16个月(SD 3.6个月)。儿童完全接种率为71.1%，部分接种率为28.9%，卡介苗接种率为99.2%，OPV全免接种率为73.4%。疫苗接种完成率的预测因素包括对疫苗供需关系的负面看法(AOR 1.86，95%CI 1.03~3.35)、对疫苗接种服务的满意度(AOR 2.63，95%CI 1.1~6.3)。其他因素包括在卫生机构出生的儿童(AOR 13.8，95%CI 8.04-25.8)和儿童年龄较小(AOR 0.51，95%CI 0.29-0.9)。结论：提高疫苗接种服务质量，促进健康教育，提高社区对卫生机构提供服务的认识，将提高该地区儿童疫苗接种完成率。
INTRODUCTION: Underutilization of vaccines still remains a challenge in many regions across the world. Ileje district is one of the districts in Tanzania with consistently low pentavalent vaccine uptake (69%) and with drop out of 15%. We determined the vaccination completion with regard to Oral Polio virus, Measles, Bacillus Calmette-Guerin, and pentavalent vaccines and its association with community perceptions on vaccines.METHODS: We conducted a cross sectional study in Ileje district from October to December 2013. We sampled 380 mothers using a multistage random sampling technique. We analysed data using EPI INFO. We summarized descriptive variables using mean and standard deviation and categorical variables using proportions. We conducted bivariate and multivariate logistic regression to identify factors influencing vaccination uptake, statistical significance was assessed at 95% confidence interval.RESULTS: Mean age of the mothers was 27 years (SD 6.5 years) while that of their children was 16 months (SD 3.6 months). Fully vaccinated children were 71.1% and partially vaccinated were 28.9%, 99.2% were vaccinated with BCG vaccine and 73.4% were vaccinated with all OPV vaccine. Predictors of vaccination completion included negative perception on the vaccine provider-client relationship (AOR 1.86, 95%CI1.03-3.35), Perceived satisfaction with vaccination services (AOR 2.63, 95%CI 1.1 - 6.3). Others include child being born in the health facility (AOR 13.8 95% CI 8.04-25.8) and younger age of a child (AOR 0.51, 95%CI 0.29-0.9).CONCLUSION: Improving quality of vaccination services, promoting health education and sensitizing community on health facility delivery will improve child vaccination completion in the district.