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Association Between Caregivers’ Socio-Demographic Factors and Missed Opportunities for Measles Vaccination in Kajiado, Kenya

Immunization is regarded as one of the most important achievements of public health. Immunization coverage in children in Kenya is about 88%. Regional disparities however exist and these are mediated by provider, system and client related factors. The aim of this study was to investigate factors associated with missed opportunities for measles vaccination among children 9 – 23 months attending Ngong sub–County Hospital in Kajiado County. A cross sectional study was conducted between December 2019 and January 2020. Data was collected from a sampled population of 242 out of the 246 expected respondents using qualitative and quantitative methods. Factors associated with missed opportunities for vaccination were assessed through chi square tests and bivariate logistic regression methods. The proportion of completely immunized children was 73% (95% CI). At invariable levels, the factors associated with missed opportunities for vaccination included caregiver’s age, marital status and relationship to the child (p<0.05). Economic factors and health facility factors were also associated with missed opportunities for vaccination. Of the variables investigated, health facility factors, economic factors and socio-demographic factors were associated with missed opportunities for vaccination in that order. Conclusion is therefore made that Immunization uptake in the study are central is still low compared to the national levels. Various sociodemographic characteristics, economic and health facility factors are associated with missed opportunities for vaccination. Further inquiry is required in the health facilities to fully comprehend the inextricable linkage between factors associated with missed opportunities for vaccination. Programs and policies could also target a reduction of the cases of missed opportunities for vaccination in the study area.

Immunization, Missed Opportunities, Fully Immunized Child, Caregiver, Vaccine Coverage

APA Style

Samson Thuo, Isaac Okeyo. (2023). Association Between Caregivers’ Socio-Demographic Factors and Missed Opportunities for Measles Vaccination in Kajiado, Kenya. American Journal of Nursing and Health Sciences, 4(2), 50-56. https://doi.org/10.11648/j.ajnhs.20230402.13

ACS Style

Samson Thuo; Isaac Okeyo. Association Between Caregivers’ Socio-Demographic Factors and Missed Opportunities for Measles Vaccination in Kajiado, Kenya. Am. J. Nurs. Health Sci. 2023, 4(2), 50-56. doi: 10.11648/j.ajnhs.20230402.13

AMA Style

Samson Thuo, Isaac Okeyo. Association Between Caregivers’ Socio-Demographic Factors and Missed Opportunities for Measles Vaccination in Kajiado, Kenya. Am J Nurs Health Sci. 2023;4(2):50-56. doi: 10.11648/j.ajnhs.20230402.13

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Chai, J. F., Qi, S. W., Ten, K. S., Long, X., 2007. Special Characteristics of Deep Fractures in High and Steep Slopes in Southwestern of China. Journal of Engineering Geology, 17 (4), 730-738.
2. Chen, Z., 1994. Rheological Analysis of Stability on North Side Slope of Western Open Mine at Fushun. Thesis Collection of Third Session Conference for Rock Mechanics and Engineering.
3. Chen, Z., Li, M., 2019. Is there any rheological failure for material inside earth interior due to long time action at low stress? Progress in Geophysics (in Chinese), 34 (1), 1-5.
4. Chen, Z., Jin, Z., Huang, X., Qi, S., 2022. A Damage Mechanics Analysis on Rheological Failure of Rocks under High Temperatures and Pressures. American Journal of Physics and Application, 10 (2), 24-32.
5. Tan, Z., Kang, W., 1983. Time Dependent Dilatancy Prior to Rock Failure and Earthquake. Chinese Journal of Rock Mechanics and Engineering, 2 (1), 11-21.
6. Cui, X. H., Fu, Z. L., 2006. Experimental Study on Rheology Properties and Long Term Strength of Rocks. Chinese Journal of Rock Mechanics and Engineering, 25 (5), 1021-1024.
7. Guo, S.. Qi, S., Zhan, Z., Zheng, B., 2017. Plastic- strain- dependent strength model to simulate the cracking process of brittle rocks with an existing non-persistent joint, Engineering Geology, 231, 114-125.
8. Hoek, E., Carranza-Torres, C., Corkum, B., 2002. Hoek-Brown failure criterion-2002 edition. In: Proceedings of NARMS-Tac, 1, pp. 267-273.
9. Huang, K, Han R. Q., 2019. Solid state physics. Science Press.
10. Jaeger, J. C., Cook, N. G. W., 1981. Fundamentals of Rock Mechanics. Science Press.
11. Wang, X. D., Fu, X. M., 2009. Numerical Simulation Test for Physical Compress Creep Experiment. Journal of Engineering Geology, 17 (4), 533-537.
12. Wang, Z. X., 1960. Thermodynamics. Higher Education Press.
13. Tang, D. X., Liu Y. R., Zhang, W. S., Wang Q., 1998. Engineering Geotechnics. (Second Edition) Geological Publishing House.
14. Xu, Q., 2012. Theoretical Studies on Prediction of Landslides Using Slope Deformation Process Data. Journal of Engineering Geology, 20 (2), 145-151.
15. Xu, Q., Ding, L., 2015. Paleoelevation research on Gangdise Mountains and Qinghai Tibet Plateau. China Science Foundation.
16. Xu, Z. L., 1979. Elastic mechanics. People's Education Press.
17. Yin, X. C. 1988. Solid Mechanics. Seismological Publishing House.
18. Zhu, Q. Z., 2017. A new rock strength criterion from microcracking mechanisms which provides theoretical evidence of hybrid failure. Rock Mechanics and Rock Engineering, 50 (2): 341-352.
19. Zhu, Q., Li, T., Zhang, H., Ran, J. et al., 2022. True 3D Geomechanical Model Test for Research on Rheological Deformation and Failure Characteristics of Deep Soft Rock Roadways. Tunnelling and Underground Space Technology, Vol. 128, October 2022, 104653. 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. J Public Health Epidemiol, 3 (4), 194-203.
20. Abuya, B. A., Onsomu, E. O., Kimani, J. K., & Moore, D. (2011). Influence of maternal education on child immunization and stunting in Kenya. Maternal and child health journal, 15 (8), 1389-1399.
21. Adamu, A. A., Uthman, O. A., Gadanya, M. A., Adetokunboh, O. O., & Wiysonge, C. S. (2019). A multilevel analysis of the determinants of missed opportunities for vaccination among children attending primary healthcare facilities in Kano, Nigeria: Findings from the pre-implementation phase of a collaborative quality improvement programme. PloS one, 14 (7).
22. Adedokun, S. T., Uthman, O. A., Adekanmbi, V. T., & Wiysonge, C. S. (2017). Incomplete childhood immunization in Nigeria: a multilevel analysis of individual and contextual factors. BMC public health, 17 (1), 236.
23. Agarwal, K., Karnawat, B. S., Singh, M., Garg, P., Jain, A. K., & Singh, K. (2019). Study of immunization status of under: five children in relation to various demographic variables of their mothers. International Journal of Contemporary Pediatrics, 6 (5), 1964.
24. Awino, O. J. (2016). Determinants of immunization coverage among children aged 12-23 months in kenya (Doctoral dissertation).
25. Baguune, B., Ndago, J. A., & Adokiya, M. N. (2017). Immunization dropout rate and data quality among children 12–23 months of age in Ghana. Archives of Public Health, 75 (1), 18.
26. Berry, N. J., Henry, A., Danchin, M., Trevena, L. J., Willaby, H. W., & Leask, J. (2017). When parents won’t vaccinate their children: a qualitative investigation of australian primary care providers’ experiences. BMC pediatrics, 17 (1), 19.
27. Boulton, M. L., Carlson, B. F., Power, L. E., & Wagner, A. L. (2018). Socioeconomic factors associated with full childhood vaccination in Bangladesh, 2014. International Journal of Infectious Diseases, 69, 35-40.
28. Canavan, M. E., Sipsma, H. L., Kassie, G. M., & Bradley, E. H. (2014). Correlates of complete childhood vaccination in East African countries. PloS one, 9 (4).
29. de Cantuária Tauil, M., Sato, A. P. S., & Waldman, E. A. (2016). Factors associated with incomplete or delayed vaccination across countries: a systematic review. Vaccine, 34 (24), 2635-2643.
30. Dessie, D. B., & Negeri, M. A. (2018). Determining factors of full immunization of children among 12-23 months old in rural Ethiopia. Am J Public Health, 6 (3), 160-165.
31. Devkota, S., & Panda, B. (2016). Socioeconomic gradients in early childhood health: evidence from Bangladesh and Nepal. International journal for equity in health, 15 (1), 78.
32. Douba, A., Aka, L. B. N., Yao, G. H. A., Zengbé-Acray, P., & Akani, B. C. (2015). Sociodemographic factors associated with incomplete immunization of children aged 12 to 59 months in six West African countries. Sante Publique, 27 (4), 575-584.
33. Elizabeth, K., George, K., Raphael, N., & Moses, E. (2015). Factors influencing low immunization coverage among children between 12-23 months in east pokot, baringo country, kenya. Int J Vaccines Vaccin, 1 (2), 00012.
34. Erb, M. L., Erlanger, T. E., & Heininger, U. (2019). Child-parent immunization survey: How well are national immunization recommendations accepted by the target groups? Vaccine: X, 1, 100013.
35. Espinosa, C. M., Marshall, G. S., Woods, C. R., Ma, Q., Ems, D., Nsiah, I.,... & Smith, M. J. (2017). Missed opportunities for human papillomavirus vaccine initiation in an insured adolescent female population. Journal of the Pediatric Infectious Diseases Society, 6 (4), 360-365.
36. Fatiregun, A. A., & Okoro, A. O. (2012). Maternal determinants of complete child immunization among children aged 12–23 months in a southern district of Nigeria. Vaccine, 30 (4), 730-736.
37. Feletto, M., Sharkey, A., Rowley, E., Gurley, N., Sinha, A., Champions, E. R. G.,... & Tolhurst, R. (2018). A gender lens to advance equity in immunisation. New York: Equity Reference Group for Immunisation.
38. Francis, M. R., Nohynek, H., Larson, H., Balraj, V., Mohan, V. R., Kang, G., & Nuorti, J. P. (2018). Factors associated with routine childhood vaccine uptake and reasons for non-vaccination in India: 1998–2008. Vaccine, 36 (44), 6559-6566.
39. World Health Organization. (2018). Global and Regional Immunization Profile.
40. World Health Organization. (2013). Systematic review of missed opportunities for vaccination.