Determinants of complete immunization among senegalese children aged 12–23 months: evidence from the demographic and health survey

BMC Public Health

Research Article

Fatou Bintou Niang Camara¹  Adama Faye²  Ousseynou Badiane³  Souleymane Mboup⁴  Tandakha Ndiaye Dieye⁵  Mouhamed Abdou Salam Mbengue⁶  Moussa Sarr⁷ 

[1] Agence National de la Statistique et de la Démographie-Dakar, Dakar, Senegal;Department of Public Health and Preventive Medicine Cheikh Anta Diop University- Dakar, Dakar, Senegal;Division of Immunization / Expanded Program on Immunization, Ministry of Health-Dakar, Dakar, Senegal;IRESSEF: Institut de Recherche en Santé, de Surveillance Epidemiologique et de Formations-Dakar, Arrondissement 4 Rue 2 D1. Pole urbain de Diamniadio, 7325, Dakar, BP, Senegal;IRESSEF: Institut de Recherche en Santé, de Surveillance Epidemiologique et de Formations-Dakar, Arrondissement 4 Rue 2 D1. Pole urbain de Diamniadio, 7325, Dakar, BP, Senegal;Laboratory of Immunology, Cheikh Anta Diop University- Dakar, Dakar, Senegal;IRESSEF: Institut de Recherche en Santé, de Surveillance Epidemiologique et de Formations-Dakar, Arrondissement 4 Rue 2 D1. Pole urbain de Diamniadio, 7325, Dakar, BP, Senegal;University of the Witwatersrand, Faculty of Health Sciences. School of Public Health, Johannesburg, South Africa;Westat, Rockville, Maryland, USA;

关键词: Childhood;    Immunization;    Coverage;    Vaccines;    EPI;    Senegal;   

DOI  :  10.1186/s12889-017-4493-3

 received in 2016-07-14, accepted in 2017-06-09,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe expanded Programme on Immunization (EPI) is one of the most cost-effective interventions to reduce childhood mortality and morbidity. However, determinants of childhood immunization have not been well studied in Senegal. Thus, the aim of our study is to assess routine immunization uptake and factors associated with full immunization status among Senegalese children aged 12–23 months.MethodsWe used the 2010–2011 Senegalese Demographic and Health Survey data. The DHS was a two stages cross-sectional survey carried out in 2010–2011. The analysis included 2199 children aged 12–23 months. The interviewers collected information on vaccine uptake based on information from vaccination cards or maternal recall Univariate and multivariable logistic regressions models were used to identify the determinants of full childhood immunization.ResultsThe prevalence of complete immunization coverage among boys and girls based on both vaccination card information and mothers’ recall was 62.8%. The immunization coverage as documented on vaccination cards was 37.5%. Specific coverage for the single dose of BCG at birth, the third dose of polio vaccine, the third dose of pentavalent vaccine and the first dose of measles vaccine were 94.7%, 72.7%, 82.6%, and 82.1%, respectively. We found that mothers who could show a vaccination card [AOR 7.27 95% CI (5.50–9.60)], attended at least secondary education level [AOR 1.8 95% CI (1.20–2.48)], attended four antenatal visits [AOR 3.10 95% CI (1.69–5.63)], or delivered at a health facility [AOR 1.27 95% CI (1–1.74)] were the predictors of full childhood immunization. Additionally, children living in the eastern administrative regions of the country were less likely to be fully vaccinated [AOR 0.62 95% CI (0.39–0.97)].ConclusionsWe found that the full immunization coverage among children aged between 12 and 23 months was below the national (> 80%) and international targets (90%). Geographic area, mother’s characteristics, antenatal care and access to health care services were associated with full immunization. These findings highlight the need for innovative strategies based on a holistic approach to overcome the barriers to childhood immunization in Senegal.

【 授权许可】

CC BY   
© The Author(s). 2017