Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020
Introduction: The coverage of the second dose of the measles-containing vaccine (MCV2) in Kenya has remained low since its introduction in 2013. We assessed the MCV2 vaccination coverage and identified the factors associated with low MCV2 coverage in Alego-Usonga Sub-County, Siaya County, Kenya....
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African Field Epidemiology Network
2023-01-01
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| Series: | Journal of Interventional Epidemiology and Public Health |
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| Online Access: | https://www.afenet-journal.net/content/article/6/1/full/ |
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| author | Joseph Obiero Ogutu Gladys Mutethya Francis Denver Mariga Kamau Maurice Omondi Owiny Elvis Omondi Oyugi Grace Kaverenge Ettyang |
| author_facet | Joseph Obiero Ogutu Gladys Mutethya Francis Denver Mariga Kamau Maurice Omondi Owiny Elvis Omondi Oyugi Grace Kaverenge Ettyang |
| author_sort | Joseph Obiero Ogutu |
| collection | DOAJ |
| description | Introduction: The coverage of the second dose of the measles-containing vaccine (MCV2) in Kenya has remained low since its introduction in 2013. We assessed the MCV2 vaccination coverage and identified the factors associated with low MCV2 coverage in Alego-Usonga Sub-County, Siaya County, Kenya.
Methods: We conducted a community-based cross-sectional study between July and August 2020 in the Alego-Usonga Sub-County targeting parents/guardians of children aged 19 – 59 months. We used the mother-child (MCH) booklet to identify the eligible children and interviewed their parents/guardians at the household level using structured questionnaires. We calculated mean, median, and standard deviations for continuous variables and frequencies and proportions for categorical variables. We calculated prevalence odds ratios (POR) at the bivariate level and adjusted prevalence odds ratios (APOR) at the multivariable level together with their corresponding 95% confidence intervals to identify factors associated with low MCV2 coverage. We considered those factors which had p<0.05 at the multivariable level as independently associated with low MCV2 coverage.
Results: A total of 417 records of the 420 children who were recruited into the study were included in the analysis. Of these, 51.1%(213/417) children had received MCV2 vaccination. The MCV2 vaccination coverage was higher in Urban 58.0%(/(141/243)) compared to rural 41.4% (72/174) populations. Factors that were independently associated with low MCV2 vaccination for the urban area included; a child's birth order (APOR 2.6; 95% CI=1.33–4.89) and caregiver education (APOR 1.9; 95% CI=1.10–3.31). For the rural; child's birth order (APOR 2.8; 95% CI=1.21–6.32); number of ANC visits (APOR 2.30; 95% C.I =1.17–4.52); caregiver not accompanied by the partner to the clinic (APOR=2.6; 95.5% CI=1.26–5.32); and caregiver not preferring nearby health facility (APOR 2.6; 95% CI=1.32–5.22) remained significantly associated with low MCV2 vaccination. Major reasons for non-vaccination were lack of caregiver awareness of MCV2 and vaccine stock-outs.
Conclusion: The MCV2 coverage remained sub-optimal below the WHO-recommended ≥ 95%. Caregivers' lack of information on MCV2 and vaccine stock-outs were the main reason for the low coverage. Efforts should focus on raising public awareness of MCV2 vaccination. |
| format | Article |
| id | doaj-art-9012dbf186fa4c09adcf27f95c6fa04d |
| institution | Kabale University |
| issn | 2664-2824 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | African Field Epidemiology Network |
| record_format | Article |
| series | Journal of Interventional Epidemiology and Public Health |
| spelling | doaj-art-9012dbf186fa4c09adcf27f95c6fa04d2025-08-20T03:53:47ZengAfrican Field Epidemiology NetworkJournal of Interventional Epidemiology and Public Health2664-28242023-01-0161https://doi.org/10.37432/jieph.2023.6.1.73Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020Joseph Obiero Ogutu0Gladys Mutethya Francis1Denver Mariga Kamau2Maurice Omondi Owiny3Elvis Omondi Oyugi4Grace Kaverenge Ettyang5Kenya Field Epidemiology and Laboratory Training Program (KFELTP), Ministry of Health, P.O Box 225, Nairobi, Kenya; Division of Disease Surveillance and Epidemic Response (DDSR), Ministry of Health, P. O Box 20781 Nairobi, Kenya; Department of Health and Sanitation, County Government of Siaya, P.O Box 597, Siaya, KenyaKenya Field Epidemiology and Laboratory Training Program (KFELTP), Ministry of Health, P.O Box 225, Nairobi, Kenya; Division of Disease Surveillance and Epidemic Response (DDSR), Ministry of Health, P. O Box 20781 Nairobi, KenyaKenya Field Epidemiology and Laboratory Training Program (KFELTP), Ministry of Health, P.O Box 225, Nairobi, KenyaKenya Field Epidemiology and Laboratory Training Program (KFELTP), Ministry of Health, P.O Box 225, Nairobi, KenyaNational Malaria Control Program (NMCP), Ministry of Health, P.O Box 30016-00100, Nairobi, KenyaDepartment of Human Nutrition, School of Public Health, Moi University, P.O Box 4606 Eldoret, KenyaIntroduction: The coverage of the second dose of the measles-containing vaccine (MCV2) in Kenya has remained low since its introduction in 2013. We assessed the MCV2 vaccination coverage and identified the factors associated with low MCV2 coverage in Alego-Usonga Sub-County, Siaya County, Kenya. Methods: We conducted a community-based cross-sectional study between July and August 2020 in the Alego-Usonga Sub-County targeting parents/guardians of children aged 19 – 59 months. We used the mother-child (MCH) booklet to identify the eligible children and interviewed their parents/guardians at the household level using structured questionnaires. We calculated mean, median, and standard deviations for continuous variables and frequencies and proportions for categorical variables. We calculated prevalence odds ratios (POR) at the bivariate level and adjusted prevalence odds ratios (APOR) at the multivariable level together with their corresponding 95% confidence intervals to identify factors associated with low MCV2 coverage. We considered those factors which had p<0.05 at the multivariable level as independently associated with low MCV2 coverage. Results: A total of 417 records of the 420 children who were recruited into the study were included in the analysis. Of these, 51.1%(213/417) children had received MCV2 vaccination. The MCV2 vaccination coverage was higher in Urban 58.0%(/(141/243)) compared to rural 41.4% (72/174) populations. Factors that were independently associated with low MCV2 vaccination for the urban area included; a child's birth order (APOR 2.6; 95% CI=1.33–4.89) and caregiver education (APOR 1.9; 95% CI=1.10–3.31). For the rural; child's birth order (APOR 2.8; 95% CI=1.21–6.32); number of ANC visits (APOR 2.30; 95% C.I =1.17–4.52); caregiver not accompanied by the partner to the clinic (APOR=2.6; 95.5% CI=1.26–5.32); and caregiver not preferring nearby health facility (APOR 2.6; 95% CI=1.32–5.22) remained significantly associated with low MCV2 vaccination. Major reasons for non-vaccination were lack of caregiver awareness of MCV2 and vaccine stock-outs. Conclusion: The MCV2 coverage remained sub-optimal below the WHO-recommended ≥ 95%. Caregivers' lack of information on MCV2 and vaccine stock-outs were the main reason for the low coverage. Efforts should focus on raising public awareness of MCV2 vaccination.https://www.afenet-journal.net/content/article/6/1/full/measlesvaccinationcoveragekenya |
| spellingShingle | Joseph Obiero Ogutu Gladys Mutethya Francis Denver Mariga Kamau Maurice Omondi Owiny Elvis Omondi Oyugi Grace Kaverenge Ettyang Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020 Journal of Interventional Epidemiology and Public Health measles vaccination coverage kenya |
| title | Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020 |
| title_full | Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020 |
| title_fullStr | Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020 |
| title_full_unstemmed | Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020 |
| title_short | Factors associated with low coverage of the second dose of Measles containing vaccine among children aged 19–59 Months, Alego-Usonga Sub-County, Kenya, 2020 |
| title_sort | factors associated with low coverage of the second dose of measles containing vaccine among children aged 19 59 months alego usonga sub county kenya 2020 |
| topic | measles vaccination coverage kenya |
| url | https://www.afenet-journal.net/content/article/6/1/full/ |
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