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Int Health. 2017 Jul 1;9(4):234-242. doi: 10.1093/inthealth/ihx020.

Determinants of full vaccination status in children aged 12-23 months in Gurùé and Milange districts, Mozambique: results of a population-based cross-sectional survey.

Author information

1
Vanderbilt Institute for Global Health, 2525 West End Avenue Suite 725, Nashville, Tennessee, USA, 37203.
2
Department of Biostatistics, Vanderbilt University Medical Center 2525 West End Avenue Suite 11000, Nashville, Tennessee, USA, 37203.
3
Friends in Global Health, Avenida dos Trabalhadores #32, Maputo, Mozambique.
4
UNICEF, Health & Nutrition Section, Avenida do Zimbabwe, Maputo, Mozambique.
5
Department of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, 1161 21st Ave S #D7235, Nashville, Tennessee, USA, 37203.

Abstract

Background:

In 2011, 64% of children in Mozambique, ages 12-23 months, were fully immunized. Large provincial differences in vaccine uptake exist.

Methods:

We conducted a survey of 1650 females with children aged 12-23 months in the districts of Gurùé and Milange. Implementation occurred from November to December 2014. Descriptive statistics and logistic regression using R-software 3.0.2 were used to examine factors associated with full vaccination status. ArcGIS version 10.3.1 (ESRI, Redlands, CA, USA) was used to map spatial patterns of vaccine uptake.

Results:

Full vaccination was roughly 48%. Identifying 'hospital' as a location to get vaccinated was associated with having a fully vaccinated child (OR=1.87, 95% CI=1.02, 3.41, p=0.043). Households where health decisions are made solely by the male or the female had 38% (95% CI=0.32, 1.21) and 55% (95% CI=0.29, 0.69) lower odds, respectively, of their child being fully immunized. For every 10 km increase from the nearest health facility there was a 36% lower odds of the child being fully immunized (OR=0.64, 95% CI=0.44, 0.93, p<0.001).

Conclusion:

Zambézia Province, as a whole and the districts of Gurùé and Milange specifically, is falling short of vaccination targets. Intensified efforts focused on the least educated, most distant and which take a more family-centered approach are needed to improve vaccine uptake.

KEYWORDS:

Immunization; Mozambique; Sub-Saharan Africa; Vaccination

PMID:
28810665
PMCID:
PMC5881253
DOI:
10.1093/inthealth/ihx020
[Indexed for MEDLINE]
Free PMC Article

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