Factors predicting the non-utilisation of immunisation services using logistic regression technique.

Area of Science:

• Public Health
• Epidemiology
• Child Health

Background:

• Immunization is crucial for child survival and preventing infectious diseases.
• Understanding factors influencing immunization non-utilization is vital for public health strategies.
• Previous studies have explored various socioeconomic and demographic determinants of vaccine uptake.

Purpose of the Study:

• To identify independent predictors of non-utilization of immunization services in children aged 12-23 months.
• To analyze the association between maternal literacy, healthcare access, and child immunization status.
• To inform targeted interventions for improving immunization coverage.

Main Methods:

• A cross-sectional study involving 200 children aged 12-23 months.
• Data collection using a pretested interview schedule.
• Statistical analysis included descriptive statistics, Chi-square tests, and multivariate logistic regression.

Main Results:

• 56% of the children studied were fully immunized.
• Maternal illiteracy (p < 0.05) and poor access to health facilities (> 3 km) (p < 0.001) were significant independent predictors of non-utilization.
• Child's sex, parity, and socioeconomic status did not show independent predictive power.

Conclusions:

• Maternal education and proximity to healthcare facilities are critical factors in childhood immunization.
• Targeted efforts focusing on illiterate mothers and improving access in remote areas can address immunization gaps.
• Identifying and addressing these specific barriers can help reach underserved populations and improve overall vaccination rates.