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Determinants of factors associated with childhood immunization in Punjab, Pakistan: evidence from the multiple indicator cluster survey

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Abstract

Aim

Immunization is a significant public health intervention to reduce childhood morbidity and mortality. This study aimed to detect socio-demographic factors affecting the immunization process among the children under 3 years old.

Subjects and methods

This study was based on secondary data taken from the 2011 Multiple Indicators Cluster Survey (MICS). This survey was conducted in Punjab, the most populous province in Pakistan. From these secondary data, information related to socio-demographic characteristics and the status of immunization among children up to 3 years old were taken as study variables. The analysis was comprised of descriptive statistics and binary logistic regression.

Results

The findings reveal that only 56.18% of the total children were fully immunized. The results showed that place of birth, availability of an immunization card and the mother’s education level were primary factors based on which immunization of the child differed. However, the sex and type of family of the child did not predict any difference in the immunization status of the child.

Conclusions

Immunization of children is significantly associated with predictors, i.e., the mother’s education level, residence, gender and wealth index.

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References

  • Animaw W, Taye W, Merdekios B, Tilahun M, Ayele G (2014) Expanded program of immunization coverage and associated factors among children age 12–23 months in Arba Minch town and Zuria District, southern Ethiopia. BMC Public Health 14:464. https://doi.org/10.1186/1471-2458-14-464

    Article  PubMed  PubMed Central  Google Scholar 

  • Black RE, Hopkins Bloomberg J (2008) The lancet series on maternal and child undernutrition, executive summary. Lancet 371:1–10

    Article  Google Scholar 

  • Chhabra P, Nair P, Gupta A, Sandhir M, Kannan AT (2007) Immunization in urbanized villages of Delhi. Indian J Pediatr 74:131–134

    Article  PubMed  Google Scholar 

  • Chidiebere OD, Uchenna E, Kenechi OS (2014) Maternal sociodemographic factors that influence full child immunisation uptake in Nigeria. South African J Child Health 8:138–142

    Article  Google Scholar 

  • Dalal A, Silveira MP (2005) Immunization status of children in Goa. Indian Pediatr 42:401–402

    PubMed  Google Scholar 

  • Dwumoh D, Essuman EE, Afagbedzi SK (2014) Determinant of factors associated with child health outcomes and service utilization in Ghana: multiple indicator cluster survey conducted in 2011. Arch Public Health 72:42

    Article  PubMed  PubMed Central  Google Scholar 

  • Etana B, Deressa W (2012) Factors associated with complete immunization coverage in children aged 12–23 months in Ambo Woreda, Central Ethiopia. BMC Public Health 12:566

    Article  PubMed  PubMed Central  Google Scholar 

  • Gatchell M, Thind A, Hagigi F (2008) Informing state-level health policy in India: the case of childhood immunizations in Maharashtra and Bihar. Acta Paediatr 97:124–126

    Article  PubMed  Google Scholar 

  • Juliano Y, Compri PC, Almeida LR, Freire PV, Moreira FT, Vieira FH, Rossi S, Figueira K (2008) Segunda Etapa da Campanha Nacional de Multivacinação do município de São Paulo, 2005: Perfil de Cobertura de diferentes Unidades Básicas de Saúde. Rev Paul Pediatr 26:14–19

    Article  Google Scholar 

  • Lakew Y, Bekele A, Biadgilign S (2015) Factors influencing full immunization coverage among 12–23 months of age children in Ethiopia: evidence from the national demographic and health

  • Luhm KR, Cardoso MR, Waldman EA (2011) Vaccination coverage among children under two years of age based on electronic immunization registry in southern Brazil. Rev Saude Publica 45:90–98

    Article  PubMed  Google Scholar 

  • Luman ET, McCauley MM, Shefer A, Chu SY (2003) Maternal characteristics associated with vaccination of young children. Pediatrics 111:1215–1218

    PubMed  Google Scholar 

  • Malkar VR, Joge US, Khadilakar H, Choudhari SG, Lakde RN (2013) Assessment of sociodemographic factors affecting immunization status of children in age group of 12–23 months in a rural area. 164–169

  • Mehta, S (2015) Study of socio-demographic factors influencing the vaccination status of children. Med Pharm Sci 699–708

  • Miranda AS, Scheibel IM, Tavares MR, Takeda SM (1995) Assessment of immunization coverage for the basic schedule in children. Rev Saude Publica 29:208–214

    Article  PubMed  Google Scholar 

  • Moraes JC, Ribeiro MC (2008) Desigualdades Sociais e Cobertura vacinal: Uso de inquéritos domiciliares. Rev Bras Epidemiol 11:113–124

    Article  Google Scholar 

  • Multiple Indicator Cluster Survey (2011) Bureau of Statistics, Planning and Development Department - Government of the Punjab, Pakistan

  • Nath B, Singh J, Awasthi S, Bhushan V, Kumar V, Singh S (2007) A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Med Sci 61:598

    Article  PubMed  Google Scholar 

  • Okoro JC, Ojinnaka NC, Ikefuna AN, Onyenwe NE (2015) Sociodemographic influences on immunization of children with chronic neurological disorders in Enugu, Nigeria. Trials in Vaccinol 4:9–13

    Article  Google Scholar 

  • Shrivastwa N (2015) Understanding disparities in vaccination coverage among Indian Children

  • Singh P, Yadav RJ (2000) Immunization status of children of India. Indian Pediatr 37:1194–1199

    CAS  PubMed  Google Scholar 

  • Total Fertility Rate (2009) Population, labor force and employment. Economic Survey

  • World Health Organization (2012) Global routine vaccination coverage, the weekly epidemiological Record. World Health Organization

  • World Health Organization (2015) Make every mother and child count. World Health Organization

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Acknowledgments

The authors would like to thank Punjab Bureau of Statistics Department for providing the data for this study.

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Correspondence to Muhammad Ahsan ul Haq.

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The authors declare that they have no conflict of interest.

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The authors declare that they have no competing interests.

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Ameen, M., Rasul, S., ul Haq, M.A. et al. Determinants of factors associated with childhood immunization in Punjab, Pakistan: evidence from the multiple indicator cluster survey. J Public Health (Berl.) 26, 495–499 (2018). https://doi.org/10.1007/s10389-018-0902-z

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  • DOI: https://doi.org/10.1007/s10389-018-0902-z

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