scholarly journals Rapid survey to determine the predictive factors of vaccination coverage in children aged 0 to 59 months in Guinea

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Abdoulaye Touré ◽  
Ibrahima Camara ◽  
Alioune Camara ◽  
Mariama Sylla ◽  
Mamadou S. Sow ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Integrated Approach ◽  
Cross Sectional Study ◽  
Immunisation Coverage ◽  
Childhood Immunisation ◽  
Cross Sectional ◽  
Factors Associated ◽  
Prenatal Consultation ◽  
High Birth Order ◽  
Children Under 5

Background: The Expanded Program on Immunisation has made it possible to prevent more than 3 million deaths in children under 5 years. The objectives of this study were to estimate the vaccination coverage of children from 0 to 59 months and identify factors associated with incomplete vaccination coverage.Methods: A cross-sectional study was carried out in a dispensary in Conakry, Guinea between January and February 2020. Sociodemographic and vaccination information was collected from mothers of 380 randomly select children aged 0 to 59 months. Information on immunisation coverage was gathered from records vaccination cards and maternal reports. Logistic regression was used to identify factors independently associated with incomplete immunisation coverage.Results: Most (66.5%) children aged 12 months were up-to-date with their vaccinations. Factors associated with incomplete vaccination in this age group included: unavailability of vaccination cards (adjusted odds ratio [aOR] 7.58; 95% confidence interval [CI]: 2.56–22.44) and lack of prenatal consultation attendance (aOR 2.93; 95% CI: 1.15–7.48). In contrast only 19.8% (95% CI: 13.9–26.7) of children aged 12–59 months were fully immunised. Factors associated with incomplete vaccination coverage in children aged 12–59 months included high birth order (aOR 10.23; 95% CI: 2.06–19.43), and lack of prenatal consultation attendance (aOR 5.34; 95% CI: 1.48–19.23).Conclusion: Child immunisation coverage is low in Guinea. These results highlight the need to develop strategies based on an integrated approach to overcome obstacles to childhood immunisation in Guinea.

scholarly journals Factors associated with incomplete immunisation in children aged 12–23 months at subnational level, Nigeria: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e047445
Author(s):  
Paul Eze ◽  
Ujunwa Justina Agu ◽  
Chioma Lynda Aniebo ◽  
Sergius Alex Agu ◽  
Lucky Osaheni Lawani ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Immunisation Coverage ◽  
Cross Sectional ◽  
Routine Immunisation ◽  
Rural Districts ◽  
Local District ◽  
Factors Associated ◽  
Enugu State

ObjectivesNational immunisation coverage rate masks subnational immunisation coverage gaps at the state and local district levels. The objective of the current study was to determine the sociodemographic factors associated with incomplete immunisation in children at a sub-national level.DesignCross-sectional study using the WHO sampling method (2018 Reference Manual).SettingFifty randomly selected clusters (wards) in four districts (two urban and two rural) in Enugu state, Nigeria.Participants1254 mothers of children aged 12–23 months in July 2020.Primary and secondary outcome measuresFully immunised children and not fully immunised children.ResultsFull immunisation coverage (FIC) rate in Enugu state was 78.9% (95% CI 76.5% to 81.1%). However, stark difference exists in FIC rate in urban versus rural districts. Only 55.5% of children in rural communities are fully immunised compared with 94.5% in urban communities. Significant factors associated with incomplete immunisation are: children of single mothers (aOR=5.74, 95% CI 1.45 to 22.76), children delivered without skilled birth attendant present (aOR=1.93, 95% CI 1.24 to 2.99), children of mothers who did not receive postnatal care (aOR=6.53, 95% CI 4.17 to 10.22), children of mothers with poor knowledge of routine immunisation (aOR=1.76, 95% CI 1.09 to 2.87), dwelling in rural district (aOR=7.49, 95% CI 4.84 to 11.59), low-income families (aOR=1.56, 95% CI 1.17 to 2.81) and living further than 30 min from the nearest vaccination facility (aOR=2.15, 95% CI 1.31 to 3.52).ConclusionsAlthough the proportion of fully immunised children in Enugu state is low, it is significantly lower in rural districts. Study findings suggest the need for innovative solutions to improve geographical accessibility and reinforce the importance of reporting vaccination coverage at local district level to identify districts for more targeted interventions.

scholarly journals Determinants of childhood immunisation coverage in urban poor settlements of Delhi, India: a cross-sectional study

BMJ Open ◽  
2016 ◽  
Vol 6 (8) ◽  
pp. e013015 ◽  
Author(s):  
Niveditha Devasenapathy ◽  
Suparna Ghosh Jerath ◽  
Saket Sharma ◽  
Elizabeth Allen ◽  
Anuraj H Shankar ◽  
...  
Keyword(s):  
Urban Poor ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Immunisation Coverage ◽  
Childhood Immunisation ◽  
Cross Sectional

scholarly journals Vaccination against tuberculosis, polio and hepatitis B at birth in Podor health district, Northern Senegal: cross-sectional study of vaccination coverage and its associated factors

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Oumar Bassoum ◽  
Ndeye Mareme Sougou ◽  
Mouhamadou Faly Ba ◽  
Malick Anne ◽  
Mamoudou Bocoum ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Health Facility ◽  
Vaccination Coverage ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Health District ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Birth Dose

Abstract Background In Senegal, studies focusing specifically on vaccination coverage with the Bacille de Calmette et Guérin (BCG) vaccine, the birth dose of oral polio vaccine (OPV zero dose) and the birth dose of hepatitis B (HepB-BD) vaccine are insufficient. This study aimed to highlight vaccination coverages with birth doses and factors associated with timely vaccination in Podor health district. Methods A cross-sectional study was carried out from June 19 to 22, 2020. The study population consisted of children aged 12 to 23 months of which 832 were included. A stratified two-stage cluster survey was carried out. The sources of data were home-based records (HBR), health facility registries (HFR) and parental recalls. Timely vaccination refers to any vaccination that has taken place within 24 h after birth. Descriptive analyzes, the chi-square test and logistic regression were performed. Results The crude vaccination coverages with BCG, OPV zero dose and HepB-BD were 95.2%, 88.3% and 88.1%, respectively. Vaccination coverages within 24 h after birth were estimated at 13.9%, 30% and 42.1%, respectively. The factors associated with timely HepB-BD are delivery in a health facility (AOR = 1.55; 95% CI = 1.02–2.40), access to television (AOR = 1.63; 95% CI = 1.16–2.29), weighing (AOR = 3.92; 95% CI = 1.97–8.53) and hospitalization of the newborn immediately after birth (AOR = 0.42; 95% CI = 0.28–0.62). Conclusion Timely administration of birth doses is a challenge in the Podor health district. The solutions would be improving geographic access to health facilities, involving community health workers, raising awareness and integrating health services.

scholarly journals Assessment of the nutritional status and factor associated with children under 5 in remote areas at Don Duong district, Lam Dong province.

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Trần Thị Hải ◽  
Ngô Thanh Thảo
Keyword(s):  
Nutritional Status ◽  
Sick Child ◽  
Social Economic ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Remote Areas ◽  
Factors Associated ◽  
Social Economic Status ◽  
Children Under 5

A cross-sectional study established the nutritional status (wasted status) and factors associated with children under 5 years old living in remote areas, Don Duong district, Lam Dong province, 2019. The results showed: the percentage of underweight was 19.3%. There are several factors associated with the nutritional status included: Iron-folic tablet consumption, social-economic status of family, birth weight, breastfeeding, vitamin A consumption, sick child nursing.

scholarly journals Vaccination coverage and factors associated with incomplete childhood vaccination among children aged 12-59 months in Miagao, Iloilo, Philippines

2020 ◽  
Vol 7 (7) ◽  
pp. 2492 ◽  
Author(s):  
Serafin O. Malecosio ◽  
M. Jascha Lane D. Celis ◽  
Katie B. Delicana ◽  
Anarey M. Deopido ◽  
Keanah Marie F. Kang Bacale ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Binary Logistic Regression ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Childhood Vaccination ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Antenatal Visits ◽  
Significant Factors

Background: Complete Vaccination has made a significant contribution to the prevention of infectious diseases among children. However, not all children were completely vaccinated.  This study aimed to determine the vaccination coverage, timeliness, and maternal-related factors associated with incomplete vaccination of children in Miagao, Iloilo, Philippines.Methods: A cross-sectional study of children aged 12-59 months at the time the study was conducted between April 15 and 26, 2019 in Miagao, Iloilo. A total of 515 children were selected using a two-stage random sampling design. The data were collected from the Target Client Lists records, encoded, and analyzed using SPSS v21. Binary logistic regression was used to determine the factors associated with incomplete vaccination.  Crude and adjusted odds ratio (AOR) with their confidence interval were reported.Results: The complete vaccination coverage among children was low at 28.7%. Among those completely vaccinated, 2.7% to 88.5% had untimely Vaccination.  Significant factors associated with incomplete Vaccination were children born at home (AOR=2.1; 95% CI: 1.32-3.36) and mothers who had two or less postnatal visits (AOR=3.4; 95% CI: 1.39-8.44). Age and number of antenatal visits of the mothers did not influence the outcome.Conclusions: Maternal related factors significantly associated with incomplete vaccination were the place of child delivery and the number of postnatal visits of mothers.  The study recommends educating mothers on the importance of postnatal visits and enhancing maternal health services, especially the promotion of facility-based delivery.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

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