Abstract:

In 2011 the health district of Djoungolo experienced two measles epidemics with a 69% vaccination completion rate according to district data. The objective of this study was to determine immunization coverage and factors associated with the non-completeness of vaccination of children aged 12-23 months in Djoungolo district in 2012. We used a cross-sectional, community-based study was conducted in 2012. A total of 210 mothers / nannies of 12 to 23-month-old children from Djoungolo district, selected according to the WHO 30 X 7 cluster survey method, were interviewed about vaccines; received by the child before the age of one and the reasons for non-vaccination using a structured questionnaire. Vaccine completeness was 64.3%, ranging from 85.7% for BCG to 66.2% for measles Vaccine. Multivariate logistic regression showed that mothers who were afraid of side effects (P = 0.0454), who did not know the importance of vaccination (P = 0.0139), had missed opportunities for vaccination (P = 0.0055), who took more than one hour to vaccinate their child (P = 0.0005) and who did not master the vaccination schedule (P = 0.00001) were significantly associated with vaccine non-completeness children.

Keywords: Immunization coverage, factors, non-completeness, children from 12 to 23 months.

References:

[1].   Eduard Bos, Amie Batson. Using immunization coverage rates for monitoring health sector performance: Measurement and interpretation issues. Washington DC, Human development network, The World Bank. 2000; 16-17. PubMed | Google Scholar.

[2].   WHO. Immunization policy. Global program for vaccines and immunization. WHO/EPI/GEN/95.3 : 21p. PubMed | Google Scholar.

[3].   OMS, UNICEF. La vaccination dans le monde : vision stratégique 2006 - 2015. 2006. 82 p.

[4].   Ministère de la santé publique. Plan d'action annuel 2011 du programme élargi de vaccination du Cameroun. 2011 ; 3p.

[5].   District de santé de Djoungolo. Rapport annuel 2011. 2012 ; 11-15 (Non publié).

[6].   District de santé de Djoungolo. Plan de travail annuel 2012. 2012 ; 3-4 (Non publié).

[7].   WHO Immunization coverage cluster survey. Reference manual. WHO/IVB/04 - 23 June 2005. Available at www.who.int/vaccines-documents/. Acceder le 3 Mai 2013.

[8].   Institut National de la Statistique (INS) (Cameroun). Enquête Démographique et de Santé et à indicateurs multiples, Cameroun; Calverton, maryland, USA : INS et ORC Macro. Octobre 2011. Google Scholar.

[9].   Institut National de la Statistique (INS) (Cameroun). Enquête nationale de couverture vaccinale des enfants de 12 à 23 mois au Cameroun. Calverton, maryland, USA : INS et ORC Macro. Décembre 2005. PubMed | Google Scholar.

[10].  Institut National de la Statistique (INS) (Cameroun). Juin 2005. Enquête Démographique et de Santé, Cameroun 2004. Calverton, maryland, USA: INS et ORC Macro. Google Scholar.

[11].  Central Statistical Agency (CSA) (Ethiopia) and ORC Macro 20 Ethiopia Demographic and Health Survey 20 Ethiopia and Calverton, Maryland, USA: CSA and ORC Macro. Google Scholar.

[12].  Centre National de la Statistique et des Etudes Economiques (CNSEE) (Congo-Brazzaville), Enquête Démographique et de Santé Du Congo 2011-20 Calverton, Maryland: CNSEE and ICF International. Google Scholar.

[13].  Agence Nationale de la Statistique et de la Démographie (ANSD) Sénégal, Enquête Démographique et de Santé À Indicateurs Multiples 2010-2011. Senegal, Calverton, Maryland: ANSD and Macro International, Inc. Google Scholar.

[14].  Zimbabwe National Statistics Agency (ZIMSTAT). (Zimbabwe) and Macro International, Inc. 2011. Zimbabwe Demographic and Health Survey 2010-11. Calverton, Maryland: ZIMSTAT and Macro International, Inc. Google Scholar.

[15].  Institut National de la Statistique et de la Démographie (INSD) [Burkina Faso], USAID ans ICF International. 2011. Enquête démographique et de santé et à indicateurs multiples 2010. Calverton, Maryland, USA: INSD, USAID and ICF International. Google Scholar.

[16].  Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro. Google Scholar.

[17].  Wiysonge CS, Uthman OA, Ndumbe PM, Hussey GD. (2012) Individual and Contextual Factors Associated with Low Childhood Immunisation Coverage in Sub-Saharan Africa: A Multilevel Analysis. PLoS ONE 7(5): e37905 doi: 10.1371/journal.pone.0037905. PubMed | Google Scholar.

[18].  Olumuyiwa O Odusanya, Ewan F Alufohai, Francois P Meurice and Vincent I Ahonkhai. Determinants of vaccination coverage in rural Nigeria. BMC Public Health 2008, 8:381 doi: 10.1186/1471-2458-8-381. PubMed | Google Scholar.

[19].  Ndeye Magatte, Ndiaye Papa Ndiaye, Abdoulaye Diedhiou, Abdou Salam Gueye, Anta TalDia. Facteurs d'abandon de la vaccination des enfants âgés de 10 à 23 mois à Ndoulo au Sénégal en 2005. Cahiers Santé. Janvier-Février-Mars 2009. PubMed | Google Scholar.

[20].  Belachew Etana. Factors Affecting Immunization Status of Children Aged 12-23 Months in Ambo Woreda, West Shewa Zone of Oromia Regional State Ethiopia 2011. Thèse master en santé publique, School of Public Health. Addis Abeba University 2011.

[21].  Abdulraheem I, Onajole A, Jimoh A and Oladipo A. Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. Journal of Public Health and Epidemiology. April 2011; 3(4):194-203. PubMed | Google Scholar.