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Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study

Received: 17 August 2022    Accepted: 3 September 2022    Published: 27 September 2022
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Abstract

Background: The purpose of this study was to determine the proportion of children aged 12 to 23 months who were fully vaccinated in the commune of Matam and to identify the factors that influence this vaccination. Methods: this was a cross-sectional study with an analytical focus. The Kobocollect application was used for data collection over a 4-month period, from June 1 to September 30, 2021. This study included mothers or caregivers and children aged 12 to 23 months in the commune of Matam in the city of Conakry. Three-stage cluster sampling was used for target selection: sectors, households, and mothers/children. Standard statistics (median, proportion) were used to describe the sample. A multivariate logistic regression model was used to identify factors associated with incomplete vaccination among children aged 12-23 months. Results: Mothers or caregivers were young with a median age of 34 years (28-38). Out-of-school mothers, unemployed mothers, married mothers, and Muslim mothers represented 37.93%; 63.24%; 70.00%; and 85.68% of the sample, respectively. The average age of the children was 18 months (15-21). Mothers' lack of schooling, mothers' lack of employment, children's first birth rank, occurrence of health problems in the child after vaccination, difficulties in accessing vaccination centers, and mothers' lack of knowledge of the vaccination schedule were the main factors associated with incomplete vaccination of children aged 12 to 23 months, with adjusted odds ratios (AOR) of 2.715, 3.13, 2.802, 3.053, 3.487, and 3.926 respectively. Conclusions: Despite the efforts made by the government and its partners, complete immunization coverage of children aged 12-23 months remains low in the commune of Matam. Socioeconomic factors and access to health services are the factors that influence the vaccination of children aged 12 to 23 months. The effective implementation of the "reach every child" strategy, taking into account the above-mentioned factors, would contribute to an improvement in the complete immunization coverage of children aged 12 to 23 months.

Published in Central African Journal of Public Health (Volume 8, Issue 5)
DOI 10.11648/j.cajph.20220805.11
Page(s) 189-197
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Incomplete Vaccination, Children, Determinants, Conakry, Guinea

References
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    Niouma Nestor Leno, Ibrahima Sory Diallo, Alioune Camara, Amy Kognouma Diarrassouba, Ibrahima Doukoure, et al. (2022). Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study. Central African Journal of Public Health, 8(5), 189-197. https://doi.org/10.11648/j.cajph.20220805.11

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    Niouma Nestor Leno; Ibrahima Sory Diallo; Alioune Camara; Amy Kognouma Diarrassouba; Ibrahima Doukoure, et al. Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study. Cent. Afr. J. Public Health 2022, 8(5), 189-197. doi: 10.11648/j.cajph.20220805.11

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    AMA Style

    Niouma Nestor Leno, Ibrahima Sory Diallo, Alioune Camara, Amy Kognouma Diarrassouba, Ibrahima Doukoure, et al. Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study. Cent Afr J Public Health. 2022;8(5):189-197. doi: 10.11648/j.cajph.20220805.11

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  • @article{10.11648/j.cajph.20220805.11,
      author = {Niouma Nestor Leno and Ibrahima Sory Diallo and Alioune Camara and Amy Kognouma Diarrassouba and Ibrahima Doukoure and Alexandre Delamou},
      title = {Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study},
      journal = {Central African Journal of Public Health},
      volume = {8},
      number = {5},
      pages = {189-197},
      doi = {10.11648/j.cajph.20220805.11},
      url = {https://doi.org/10.11648/j.cajph.20220805.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20220805.11},
      abstract = {Background: The purpose of this study was to determine the proportion of children aged 12 to 23 months who were fully vaccinated in the commune of Matam and to identify the factors that influence this vaccination. Methods: this was a cross-sectional study with an analytical focus. The Kobocollect application was used for data collection over a 4-month period, from June 1 to September 30, 2021. This study included mothers or caregivers and children aged 12 to 23 months in the commune of Matam in the city of Conakry. Three-stage cluster sampling was used for target selection: sectors, households, and mothers/children. Standard statistics (median, proportion) were used to describe the sample. A multivariate logistic regression model was used to identify factors associated with incomplete vaccination among children aged 12-23 months. Results: Mothers or caregivers were young with a median age of 34 years (28-38). Out-of-school mothers, unemployed mothers, married mothers, and Muslim mothers represented 37.93%; 63.24%; 70.00%; and 85.68% of the sample, respectively. The average age of the children was 18 months (15-21). Mothers' lack of schooling, mothers' lack of employment, children's first birth rank, occurrence of health problems in the child after vaccination, difficulties in accessing vaccination centers, and mothers' lack of knowledge of the vaccination schedule were the main factors associated with incomplete vaccination of children aged 12 to 23 months, with adjusted odds ratios (AOR) of 2.715, 3.13, 2.802, 3.053, 3.487, and 3.926 respectively. Conclusions: Despite the efforts made by the government and its partners, complete immunization coverage of children aged 12-23 months remains low in the commune of Matam. Socioeconomic factors and access to health services are the factors that influence the vaccination of children aged 12 to 23 months. The effective implementation of the "reach every child" strategy, taking into account the above-mentioned factors, would contribute to an improvement in the complete immunization coverage of children aged 12 to 23 months.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study
    AU  - Niouma Nestor Leno
    AU  - Ibrahima Sory Diallo
    AU  - Alioune Camara
    AU  - Amy Kognouma Diarrassouba
    AU  - Ibrahima Doukoure
    AU  - Alexandre Delamou
    Y1  - 2022/09/27
    PY  - 2022
    N1  - https://doi.org/10.11648/j.cajph.20220805.11
    DO  - 10.11648/j.cajph.20220805.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 189
    EP  - 197
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20220805.11
    AB  - Background: The purpose of this study was to determine the proportion of children aged 12 to 23 months who were fully vaccinated in the commune of Matam and to identify the factors that influence this vaccination. Methods: this was a cross-sectional study with an analytical focus. The Kobocollect application was used for data collection over a 4-month period, from June 1 to September 30, 2021. This study included mothers or caregivers and children aged 12 to 23 months in the commune of Matam in the city of Conakry. Three-stage cluster sampling was used for target selection: sectors, households, and mothers/children. Standard statistics (median, proportion) were used to describe the sample. A multivariate logistic regression model was used to identify factors associated with incomplete vaccination among children aged 12-23 months. Results: Mothers or caregivers were young with a median age of 34 years (28-38). Out-of-school mothers, unemployed mothers, married mothers, and Muslim mothers represented 37.93%; 63.24%; 70.00%; and 85.68% of the sample, respectively. The average age of the children was 18 months (15-21). Mothers' lack of schooling, mothers' lack of employment, children's first birth rank, occurrence of health problems in the child after vaccination, difficulties in accessing vaccination centers, and mothers' lack of knowledge of the vaccination schedule were the main factors associated with incomplete vaccination of children aged 12 to 23 months, with adjusted odds ratios (AOR) of 2.715, 3.13, 2.802, 3.053, 3.487, and 3.926 respectively. Conclusions: Despite the efforts made by the government and its partners, complete immunization coverage of children aged 12-23 months remains low in the commune of Matam. Socioeconomic factors and access to health services are the factors that influence the vaccination of children aged 12 to 23 months. The effective implementation of the "reach every child" strategy, taking into account the above-mentioned factors, would contribute to an improvement in the complete immunization coverage of children aged 12 to 23 months.
    VL  - 8
    IS  - 5
    ER  - 

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Author Information
  • African Center of Excellence for Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • National Institute of Child Health, Conakry, Guinea

  • African Center of Excellence for Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • African Center of Excellence for Prevention and Control of Communicable Diseases, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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