Factors affecting full immunization coverage among children aged 12-23 months in urban and rural areas of Sindh

Tariq Masood; Jaishri Mehraj; Subhash Guriro; Muhammad Ali Shaikh

doi:10.17485/IJST/v13i12.149859

Article

Factors affecting full immunization coverage among children aged 12-23 months in urban and rural areas of Sindh

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Indian Journal of Science and Technology

DOI: 10.17485/IJST/v13i12.149859

Year: 2020, Volume: 13, Issue: 12, Pages: 1283-1292

Original Article

Factors affecting full immunization coverage among children aged 12-23 months in urban and rural areas of Sindh

Tariq Masood^1,2, Jaishri Mehraj^1,3,4*, Subhash Guriro⁵, Muhammad Ali Shaikh⁵

¹Shaheed Zulfikar Ali Bhutto Institute of Science and Technology (SZABIST), Karachi, Sindh, Pakistan.
²John Snow Inc. (JSI) Research and Training Inc.
³The Task Force for Global Health, Inc. TEPHINET Program, Pakistan.
⁴Emergency Operations Centre for Polio Eradication and Immunization, Karachi, Sindh, Pakistan.
⁵Sindh Madressatul Islam (SMI) University, Sindh, Karachi, Pakistan

*Author for correspondence
Jaishri Mehraj
Shaheed Zulfikar Ali Bhutto Institute of Science and Technology (SZABIST), Karachi, Sindh, Pakistan.
The Task Force for Global Health, Inc. TEPHINET Program, Pakistan.
Emergency Operations Centre for Polio Eradication and Immunization, Karachi, Sindh, Pakistan.
Email: [email protected]

Received Date:11 February 2020, Accepted Date:14 March 2020, Published Date:21 March 2020

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Objectives: Child mortality is still high in developing countries due to low vaccination coverage and outbreaks of vaccine-preventable diseases. Therefore, this study is conducted to determine the status of vaccination coverage and associated factors among children aged 12-23 months in urban and rural parts of Sindh, Pakistan. Methods: A cross-sectional study was conducted in the rural and urban settings of Sindh, Pakistan. Following the WHO guidelines, a 30 cluster household survey was conducted and 300 children were recruited for each study setting from Lyari, Karachi and Umerkot areas of Sindh province from Feb – Mar 2017. Information was obtained from consenting parents by trained interviewers through a pre-tested questionnaire. Multivariable logistic regression model was used to identify the factors associated with the vaccination. Findings: Overall 600 children from both settings were included in the analysis. A total of 62.8% children were vaccinated. About 80.3% children were fully vaccinated in Lyari in comparison to 45.3% in Umerkot. The logistic regression analysis factors associated with vaccination were: parent`s awareness of vaccination (AOR: 9.77; 95%CI: 1.76 – 54.28), knowledge about vaccination place (AOR: 2.51; 95% CI: 1.19 – 5.26) and mother's tetanus vaccination status (one dose AOR: 4.27; 95% CI: 1.84 – 9.93 and two doses AOR: 12.43; 95% CI: 7.71 –20.04). Conclusion: In the urban setting, vaccination coverage was better than compared to rural settings. Parent's knowledge about vaccination and vaccination centers were identified as the statistically significant determinants of vaccination among children aged 12-23 months.

Keywords: Children; Vaccination Coverage; Urban; Rural; Pakistan

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Copyright

Copyright: © 2020 Masood, Mehraj, Guriro, Shaikh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original author and source are credited.

Published By Indian Society for Education and Environment (iSee)