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Table 4 Factors associated with incomplete immunization identified by multilevel multivariate logistic regression models

From: Incomplete immunization among children aged 12–23 months in Togo: a multilevel analysis of individual and contextual factors

 

Model 1 (empty) aOR [95% CI]

Model 2 aOR [95% CI]

Model 3 aOR [95% CI]

Model 4 aOR [95% CI]

Individual factors

Education level

 No education

 

1

 

1

 Primary school

 

0.75 [0.55–1.01]

 

0.76 [0.56–1.02]

 Secondary or higher education

 

0.67 [0.47–0.94]

 

0.67 [0.47–0.94]

Monthly income CFA/month

  < 30,000 FCFA

 

1

 

1

  ≥ 30,000 FCFA

 

0.73 [0.57–0.94]

 

0.73 [0.58–0.93]

Having an immunization card

 Yes

 

1

 

1

 No

 

13.35 [9.17–19.43]

 

13.41 [9.19–19.57]

Knowing that immunization is free of charge

 Yes

 

1

 

1

 No

 

1.80 [1.03–3.40]

 

1.82 [1.003–3.30]

Contextual factors

Walking time to reach a healthcare center

    

 Half an hour

  

1

1

 Half an hour – 1 h

  

1.52 [1.09–2.12]

1.57 [1.15–2.13]

  ≥ 1 h

  

0.93 [0.64–1.35]

0.95 [0.67–1.36]

Health region

 Lomé

  

1.64 [0.51–5.33]

 

 Maritime

  

7.08 [2.46–20.37]

 

 Plateaux

  

16.72 [6.03–46.36]

 

 Centrale

  

1

 

 Kara

  

5.29 [1.80–15.51]

 

 Savanes

  

3.08 [1.05–8.98]

 

Random effects

 District variance (SE)

1.07*(0.26)

1.16*(0.29)

0.53*(0.16)

1.16*(0.29)

 ICC (%)

59.37

62.33

36.13

62.56

 PCV (%)

Ref

−8.41%

50.5%

−8.41%

 MOR

2.67

2.78

2.00

2.78

 Model fit AIC

5243.54

5131.53

5890.03

5128.19

  1. aOR ajusted Odds-Ratio, SE Standard Error, AIC Akaike Information Criterion, CI confidence interval, ICC intra-class correlation, MOR median odds-ratio, PCV proportional change in variance
  2. Model 1 is the empty model, a baseline model with no independent variable
  3. Model 2 is adjusted for individual factors (education, income, having immunization card and knowing that immunization is free)
  4. Model 3 is adjusted for contextual factors (walking time, health region)
  5. Model 4 is adjusted for individual and contextual factors