Predictors of measles vaccination coverage among children 6-59 months of age in the Democratic Republic of the Congo.

作者: Hayley R. Ashbaugh , Nicole A. Hoff , Reena H. Doshi , Vivian H. Alfonso , Adva Gadoth

DOI: 10.1016/J.VACCINE.2017.11.049

关键词:

摘要: Abstract Background Measles is a significant contributor to child mortality in the Democratic Republic of Congo (DRC), despite routine immunization programs and supplementary activities (SIA). Further, national coverage levels may hide disparities among certain groups children, making effective measles control even more challenging. This study describes vaccination reporting methods identifies predictors children participating 2013–2014 DRC Demographic Health Survey (DHS). Methods We examined 6947 aged 6–59 months. A multivariate logistic regression model was used identify via dated card order least reached children. also assessed spatial distribution report type by rural versus urban residence. Results Urban with educated mothers were likely be vaccinated (OR = 4.1, 95% CI: 1.6, 10.7) no education, as wealthier families (OR = 2.9, 1.9, 4.4). At provincial level, areas frequently reported than areas. Conclusions indicate that, while overall level 70% too low, socioeconomic geographic exist which could make some less vaccinated. Dated records must increased, greatest need should targeted. As access services limited DRC, identifying targeting under-reached strategic means increasing country-wide control.

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