title: Determinants and coverage of vaccination in children in western Kenya from a 2003 cross-sectional survey.
abstract: This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to participate in a survey. Full vaccination coverage was 31.1% among 244 children. Only 2.2% received all vaccinations in the target month for each vaccination. In multivariate logistic regression, children of mothers of higher parity (odds ratio [OR] = 0.27, 95% confidence interval [95% CI] = 0.13-0.65, P ≤ 0.01), children of mothers with lower maternal education (OR = 0.35, 95% CI = 0.13-0.97, P ≤ 0.05), or children in households with the spouse absent versus present (OR = 0.40, 95% CI = 0.17-0.91, P ≤ 0.05) were less likely to be fully vaccinated. These data serve as a baseline from which changes in vaccination coverage will be measured as interventions to improve vaccination timeliness are introduced.
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, Michigan; Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Kenya Medical Research Institute/Centers for Disease Control and Prevention Research and Public Health Collaboration, Centre for Global Health Research, Kisumu, Kenya.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Calhoun
authors.forename: Anna M
authors.initials: AM
authors.lastname: van Eijk
authors.forename: Kim A
authors.initials: KA
authors.lastname: Lindblade
authors.forename: Frank O
authors.initials: FO
authors.lastname: Odhiambo
authors.forename: Mark L
authors.initials: ML
authors.lastname: Wilson
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Winterbauer
authors.forename: Laurence
authors.initials: L
authors.lastname: Slutsker
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Hamel
mesh_terms: D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs; D007223:Infant; D007630:Kenya; D016015:Logistic Models; D008297:Male; D009035:Mothers; D012959:Socioeconomic Factors; D014611:Vaccination / Q000706:statistics & numerical data*