Vaccine coverage and determinants of incomplete vaccination in children aged 12–23 months in Dschang, West Region, Cameroon: a cross-sectional survey during a polio outbreak

Russo, Gianluca; Miglietta, Alessandro; Pezzotti, Patrizio; Biguioh, Rodrigue Mabvouna; Bouting Mayaka, Georges; Sobze, Martin Sanou; Stefanelli, Paola; Vullo, Vincenzo; Rezza, Giovanni

doi:10.1186/s12889-015-2000-2

Table 4 Socio-demographic characteristics^a associated with the children immunization status (by card plus parents’ recall) at the univariate analysis (row Chi-square), Dschang (Cameroon), Nov. 2013

From: Vaccine coverage and determinants of incomplete vaccination in children aged 12–23 months in Dschang, West Region, Cameroon: a cross-sectional survey during a polio outbreak

			Partially immunized		Fully immunized		Total	p-value
			N	%	N	%	N	p-value
Children characteristics	Birth order	≤2nd	6	1.8	325	98.2	331	<0.01
	Birth order	≥3rd	65	38	106	62	171	<0.01
	Place of birth	Hospital/Health Facilities	59	12.1	430	87.9	489	<0.01
	Place of birth	Home	12	92.3	1	7.7	13	<0.01
Parents’ characteristics	Mother’s age group	≤24	35	34	68	66	103	<0.01
		25–29	15	7.3	189	92.7	204
		≥30	21	10.8	174	89.2	195
	Father’s age group	≤24	15	65.2	8	34.8	23	<0.01
		25–29	20	16.1	104	83.9	124
		≥30	36	10.1	319	89.9	355
	Mother’s education	Primary education	49	18.1	221	81.9	270	<0.01
		Secondary education	6	4.8	119	95.2	125
		High school/University	16	14.9	91	85.1	107
	Father’s education	Primary education	45	21.5	164	78.5	209	<0.01
		Secondary education	8	5.6	134	94.4	142
		High school/University	18	12	132	88	150
	Mother’s occupation	Unemployed	36	20	144	80	180	0.03
		Trader	12	10.4	103	89.6	115
		Craftsman	4	11.8	30	88.2	34
		Farmer	6	6.4	88	93.6	94
		Official	6	13	40	87	46
		Professionals	7	21.2	26	78.8	33
	Parent’s Religion	Catholic	34	13.2	224	86.8	258	0.03
		Protestant	3	5.3	54	94.7	57
		Muslims	13	14.6	76	85.4	89
		Atheists	21	21.4	77	78.6	98
	Number of pre-natal visits	≤2	64	36.2	113	63.8	177	<0.01
	Number of pre-natal visits	≥3	7	2.2	317	97.8	324	<0.01
	Number of post-natal visits	None	58	16.3	297	83.7	355	0.01
	Number of post-natal visits	≥1	13	8.9	133	91.1	146	0.01
Household characteristics	Type of family	2-parents family	38	8.7	400	91.3	438	<0.01
	Type of family	Single-parent family	33	51.6	31	48.4	64	<0.01
	Socio-economic tertiles	Poorest	48	17.8	221	82.2	269	0.01
		Middle	9	6.9	122	93.1	131
		Richest	14	13.7	88	86.3	102
	Distance to vaccination centre	≤7 Km	36	9.4	347	90.6	383	<0.01
	Distance to vaccination centre	≥8 Km	35	29.4	84	70.6	119	<0.01
	N° of children <5 years old in the family	≤2	11	4	265	96	276	<0.01
	N° of children <5 years old in the family	≥3	45	21.7	162	78.3	207	<0.01
	Family-living time in Dschang	≤2 years	7	16.3	36	83.7	43	<0.01
		3–6 years	32	32	68	68	100
		≥7	32	8.9	327	91.1	359
Parents’ perceptions, knowledge and attitudes	Vaccination knowledge score	Good	2	0.8	250	99.2	252	<0.01
	Vaccination knowledge score	Poor	69	27.6	181	72.4	250	<0.01
	Attitude towards immunization	Positive	24	5.6	405	94.4	429	<0.01
	Attitude towards immunization	Negative	47	64.4	26	35.6	73	<0.01
	Parents receive regularly information on vaccinations	Present	10	2.5	384	97.5	394	<0.01
	Parents receive regularly information on vaccinations	Absent	61	57	46	43	107	<0.01
	Opinion of Dschang immunization services	Good	37	9.2	367	90.8	404	<0.01
	Opinion of Dschang immunization services	Bad	21	26.6	58	73.4	79	<0.01

^aOnly significant association included [children sex (p = 0.43), possessing immunization card (p = 0.41), father’s occupation (p = 0.07), and family ethnic group (p = 0.94) were not associated with immunization status at the univariate analysis]

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