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Determinants of immunisation coverage in Butere-Mumias district, Kenya
1Nairobi Hospital School of Nursing, P.O. Box 30026, Nairobi, Kenya.
Insights
Low immunisation coverage in Butere-Mumias district is linked to factors like education, distance to facilities, and maternal knowledge. Addressing these barriers is crucial to reduce child mortality from preventable diseases.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Butere-Mumias district exhibits poor immunisation coverage rates, as indicated by Kenya Expanded Programme of Immunisation reports.
- Understanding the determinants of low immunisation uptake is critical for improving child health outcomes.
Purpose of the Study:
- To identify key factors contributing to suboptimal immunisation coverage among children under five years in the Butere-Mumias district.
- To inform targeted interventions aimed at increasing childhood immunisation rates.
Main Methods:
- A cross-sectional descriptive study design was employed.
- Data was collected from mothers in the Butere-Mumias district.
Main Results:
- Immunisation coverage in the district was found to be 35%.
- Significant factors influencing coverage included maternal education level (80% primary, 20% secondary+), long distances to health facilities, poor road conditions, maternal age, and knowledge/attitude towards immunisation.
Conclusions:
- Low maternal education, geographical barriers (long distances, poor roads), limited knowledge about immunisation, and inadequate healthcare staff contribute to low immunisation coverage.
- Interventions addressing these identified factors are necessary to reduce child mortality associated with non-immunisation.
Background:
Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports.
Objective:
To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years.
Design:
Cross-sectional descriptive study.
Setting:
Butere-Mumias district.
Results:
Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage.
Conclusion:
Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
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