title: Effective role of lady health workers in immunization of children in Pakistan.
abstract: OBJECTIVE
  To determine the association of Lady Health Worker's role with immunization of children in Pakistan.
  
  
  METHODS
  Secondary analysis was conducted on data obtained from Pakistan's Demographic and Health Survey. Children who did not receive all doses of vaccines were considered incompletely immunized or vice versa. The association between determinants was assessed by simple and multivariable binary logistic regression.
  
  
  RESULTS
  The mothers and fathers had a mean age of 32.7 (SD+8.6) years and 37.9 (SD +10.1) years, respectively. Age of mother greater than 35 (OR=0.93; 95% CI:0.70-1.25); born in Baluchistan (OR=3.47,95% CI:2.21-5.49); rural area dwellers (OR=2.04; 95% CI:1.65-2.51); female gender (OR=1.06; 95% CI:0.87-1.29); birth order (of last born child) greater than 7 (OR=2.21, 95% CI:1.60-3.06); delivered at home (OR=2.20, 95% CI:1.76-2.74); long distance to health care facility (OR=2.66, 95% CI:2.16-3.28); and no LHW visit in last 12 months (OR=1.91, CI:1.48-2.47) were significantly associated with incomplete immunization in bivariate analysis. In final model of multinomial regression analysis the absence of visit by LHW in last 12 months was the most significant factor when all risk factors were analyzed in last model.
  
  
  CONCLUSIONS
  This study has concluded that visit of LHW in last 12 months was significantly associated with immunization.
authors.affiliation: Dr. Saira Afzal, MBBS, MPhil, MCPS, FCPS, PhD Post Doctoral Fellow (US), Chairperson and Head, Department of Community Medicine, Faculty of Public Health, King Edward Medical University, Lahore, Pakistan.
authors.forename: Saira
authors.initials: S
authors.lastname: Afzal
authors.affiliation: Azka Naeem (MBBS Student KEMU), King Edward Medical University, Lahore, Pakistan.
authors.forename: Azka
authors.initials: A
authors.lastname: Naeem
authors.affiliation: Unaiza Shahid (MBBS Student KEMU), King Edward Medical University, Lahore, Pakistan.
authors.forename: Unaiza
authors.initials: U
authors.lastname: Shahid
authors.affiliation: Wajiha Noor Syed (MBBS student KEMU), King Edward Medical University, Lahore, Pakistan.
authors.forename: Wajiha
authors.initials: W
authors.lastname: Noor Syed
authors.affiliation: Urva Khan (UK Student KEMU), King Edward Medical University, Lahore, Pakistan.
authors.forename: Urva
authors.initials: U
authors.lastname: Khan
authors.affiliation: Nayyar Misal Zaidi (MBBS Student KEMU), King Edward Medical University, Lahore, Pakistan.
authors.forename: Nayyar
authors.initials: N
authors.lastname: Misal Zaidi
keywords: Determinants; Immunization; Lady health worker program