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[Complete immunization coverage and reasons for non-vaccination in a periurban area of Abidjan]
K J Sackou1, A S S Oga, A A Desquith
1Departement de sante publique, Universite de Cocody, Abidjan, Cote d'Ivoire. juliekouakou@yahoo.fr
Insights
This study found that 68.6% of children aged 12-59 months in Abidjan received full immunization. Maternal education and knowledge of the immunization schedule significantly influenced vaccination status.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Immunization is crucial for child survival and preventing infectious diseases.
- Suboptimal vaccination coverage remains a challenge in many urban and suburban settings globally.
- Understanding local determinants of immunization is key to effective public health interventions.
Purpose of the Study:
- To assess complete immunization coverage among children aged 12-59 months in a suburban area of Abidjan.
- To identify reasons for non-vaccination and factors associated with immunization status.
- To inform strategies for improving childhood vaccination rates.
Main Methods:
- An exhaustive sampling survey was conducted in a suburban neighborhood of Abidjan.
- Mothers of 669 children aged 12-59 months were interviewed using a standardized questionnaire.
- Logistic regression analysis was used to identify factors associated with full immunization.
Main Results:
- Overall vaccination coverage was 68.6%; 1.2% of children had never received any vaccine.
- Maternal education level, knowledge of the immunization schedule, marital status, and type of habitat were significantly associated with full immunization.
- These factors highlight specific areas for targeted intervention.
Conclusions:
- Maternal socio-demographic factors and knowledge play a significant role in childhood immunization.
- Interventions aimed at improving maternal education and awareness of immunization schedules are needed.
- Addressing habitat-related factors may also contribute to enhanced vaccination coverage in Abidjan.
Abstract:
An immunization coverage survey was conducted among children aged 12-59 months in a suburban neighbourhood in Abidjan. The objective was to determine the complete immunization coverage, the reasons for non-vaccination and factors influencing the immunization status of children. The method of exhaustive sampling enabled us to interview the mothers of 669 children using a questionnaire. Overall vaccination coverage was 68.6% with 1.2%, with 1.2% of children never having received vaccine. The logistic regression analysis showed that the level of education, knowledge of the immunization schedule and the marital status of mothers, as well as the type of habitat, were associated with full immunization of children. These determinants must be taken into account to improve vaccination coverage.
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