Effects of Differential Household Characteristics on Immunization Coverage for Children Aged 12-23 Months in Alego Usonga, Nyakach and Butere Sub Counties, Kenya

Grace Ochola; Edwin Atitwa; Charles Wafula

doi:10.37284/eajhs.5.1.703

Grace Ochola Great Lakes University of Kisumu
Edwin Atitwa, PhD Great Lakes University of Kisumu
Charles Wafula, PhD Great Lakes University of Kisumu

DOI: https://doi.org/10.37284/eajhs.5.1.703

Keywords: Immunisation Coverage, Household Characteristics, Antigens

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Abstract

Immunisation remains one of the most important public health interventions to reduce child morbidity and mortality. The purpose of this study was to analyse the differential effects of household characteristics on immunisation coverage for children aged 12-23 months in Butere, Nyakach and Alego Usonga Sub Counties in Western Kenya. The specific objectives were: to describe the household characteristics, to determine the level of immunisation coverage by antigens and lastly, to analyse the association of household characteristics with immunisation. The study design was analytical statistics utilising secondary data that was collected during a larger study on community health units’ systems strengthening in three Sub Counties with a total number of 11,160 households. The findings established that there existed varied distributions in proportions for the household characteristics within the regions. The study also revealed that there was a high proportion of the different antigens examined. Finally, the study established that there exists a significant association between different household characteristics and immunisation coverage in all three sites. In Alego Usonga significant association between all the five household characteristics (education level of household headship, staple food availability, latrine availability, water treatment, and housing type) and immunisation. Butere recorded a significant association between two household characteristics (education and housing type) and immunisation coverage, and lastly, Nyakach displayed latrine and food availability to be significant associations with immunisation coverage. The study makes four recommendations for; stakeholders, policymakers, health service providers, and researchers regarding the importance of differential household characteristics in relation to improving immunisation coverage in the population.

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References

Abdulraheem, I. S., Onajole, A. T., Jimoh, A. A. G., & Oladipo, A. R. (2011). Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. Journal of Public Health and Epidemiology, 3(4), 194-203.

Andre, F. E., Booy, R., Bock, H. L., Clemens, J., Datta, S. K., John, T. J. ... & Schmitt, H. J. (2008). Vaccination greatly reduces disease, disability, death and inequity worldwide. Bulletin of the World health organisation, 86, 140-146.

Babalola, S., Fatusi, A (2009). Determinants of use of maternal health services in Nigeria - looking beyond individual and household factors. BMC Pregnancy Childbirth 9, 43 https://doi.org/10.1186/1471-2393-9-43

Dustin, G. G., Ochieng, B., Kagucia, E. W., Obor, D., Odhiambo, F., O’Brien, K. L., & Feikin, D. R. (2015). Individual-level determinants for not receiving immunisation, receiving immunisation with delay, and being severely under immunised among rural western Kenyan children. Vaccine, 33(48), 6778-6785.

Keja, K., Chan, C., Hayden, G., & Henderson, R. H. (1988). Expanded programme on immunisation. World health statistics quarterly, 41(2), 59-63.

Kenya Demographic and Health Survey (2008/2009)

Kenya Demographic and Health Survey (2014)

Kenya Health News- 2014

Kenya National Bureau of Statistics (KNBS) and ICF Macro. (2010). Kenya Demographic and Health Survey 2008–09. Calverton, MD: KNBS and ICF Macro. http://www.unfpa.org/sowmy/resources/docs/library/R313_KNBS_2010_Kenya_DHS_ 2009_ﬁnal_report.pdf. Accessed 06 Jan 2012.

Kirimi, S. (2011). Kenya: Polio outbreak warning issued. All Africa. http://allafrica.com/stories/201109070469.html.

Kruk, M. E., Mbaruku, G., McCord, C. W., Moran, M., Rockers, P. C., & Galea, S. (2009). Bypassing primary care facilities for childbirth: a population-based study in rural Tanzania. Health policy and planning, 24(4), 279-288.

Madhi, A., Cunliffe, A., Steele, D., Witte, D., & Kirsten, M. (2010). Effect of human rotavirus vaccine on severe diarrhoea in African infants. N Engl J Med,36(2), 289–298.

Ministry of Health (MOH). (2013). Kenya National Policy Guideline on Immunization; Division of vaccines and immunisation.

Ndiritu, M., Cowgill, K. D., Ismail, A., Chiphatsi, S., Kamau, T., Fegan, G. ... & Scott, J. A. G. (2006). Immunisation coverage and risk factors for failure to immunise within the Expanded Programme on Immunisation in Kenya after introduction of new Haemophilus influenzae type b and hepatitis b virus antigens. BMC public health, 6(1), 1-8.

Omole, M. K., & Owodunni, K. O. (2012). Mothers’ knowledge of immunisation programme and factors influencing their compliance at a children hospital in South West Nigeria. J Pharm Biomed Sci, 21(21), 1-4.

Partha De, B. N. Bhattacharya (2002). Determinants of Child Immunisation in Four Less-Developed States of North India

Rainey, J. J., Watkins, M., Ryman, T. K., Sandhu, P., Bo, A., & Banerjee, K. (2011). Reasons related to non-vaccination and under-vaccination of children in low and middle income countries: findings from a systematic review of the published literature, 1999–2009. Vaccine, 29(46), 8215-8221.

Simons, E., Ferrari, M., Fricks, J., Wannemuehler, K., Anand, A., Burton, A., & Strebel, P. (2012). Assessment of the 2010 global measles mortality reduction goal: results from a model of surveillance data. The Lancet, 379(9832), 2173-2178.

United Nations Children Fund (UNICEF). (2010). Immunisation Summary a statistical reference containing data through 2008. UNICEF.

United Nations Sustainable Development Summit (UNSD) (2015), https:// www.un.org

Wiradnyani, L., Khusun, H., Achadi, E., Ocviyanti, D., & Shankar, A. (2016). Role of family support and women’s knowledge on pregnancy-related risks in adherence to maternal iron–folic acid supplementation in Indonesia. Public Health Nutrition, 19(15), 2818- 2828. doi:10.1017/S1368980016001002

Wiysonge, C. S., Nomo, E., Ticha, J. M., Shang, J. D., Njamnshi, A. K., & Shey, M. S. (2007). Effectiveness of the oral polio vaccine and prospects for global eradication of polio. Tropical doctor, 37(2), 125-126.

World Health Organization (WHO). (2011), Pandemic influenza preparedness planning.

World Health Organization (WHO). (2012). Global routine vaccination coverage; The Weekly Epidemiological Record on 2 November 2012. World Health Organization (WHO). (2013). Global immunisation data.

World Health Organization (WHO). (2014), World Health Statistics