Correlates of Complete Childhood Vaccination in East African Countries

摘要: Despite the benefits of childhood vaccinations, vaccination rates in low-income countries (LICs) vary widely. Increasing coverage vaccines to 90% poorest over next 10 years has been estimated prevent 426 million cases illness and avert nearly 6.4 deaths worldwide. Consequently, we sought provide a comprehensive examination contemporary patterns East Africa identify common country-specific barriers complete vaccination. Using data from Demographic Health Surveys (DHS) for Burundi, Ethiopia, Kenya, Rwanda, Tanzania, Uganda, looked at prevalence polio, measles, Bacillus Calmette-Guerin (BCG) DTwPHibHep (DTP) as recommended by WHO among children ages 12 23 months. We conducted multivariable logistic regression within each country estimate associations between status health care access sociodemographic variables using backwards stepwise regression. Vaccination varied significantly country. In all countries, majority received least one dose vaccine; however, Uganda less than 50% schedule vaccines. Being delivered public or private institution compared with being home was associated increased odds status. Sociodemographic covariates were not consistently across countries. Although no consistent set predictors accounted status, observed differences based on region location delivery. These point need examine historical, political, economic context order maximize coverage. against these diseases is critical step towards reaching Millennium Development Goal reducing under-five mortality two-thirds 2015 thus should be global priority.