From: Vaccination card availability and childhood immunization in Senegal
Measles | Yellow fever | Complete immunization† | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Vaccinationcard n = 2973 | p | No card n = 1059 | p | Vaccination card n = 2973 | p | No card n = 1059 | p | Vaccination card n = 2973 | p | No card n = 1059 | p | |
aOR 95% CI† | aOR 95% CI‡ | aOR 95% CI† | aOR 95% CI‡ | aOR 95% CI† | aOR 95% CI‡ | |||||||
Age of the child at interview (ref. 12–23 mths | ||||||||||||
24–36 months | NS | 1.69[1.16;2.47] | 0.007 | 1.44[1.14;1.82] | 0.002 | 1.57[1.09;2.27] | 0.015 | 1.36[1.11;1.67] | 0.003 | NS | ||
Sex of the child (ref. male) | ||||||||||||
Female | NS | NS | NS | NS | NS | NS | ||||||
Birth order (ref. 1) | ||||||||||||
2 | NS | NS | NS | NS | NS | NS | ||||||
3+ | ||||||||||||
Mother’s age at child birth (ref. 20–30) | ||||||||||||
15–19 | 0.62[0.44;0.88] | 0.007 | NS | NS | NS | NS | NS | |||||
30+ | 0.79[0.62;1.00] | 0.052 | ||||||||||
Mother’s education level (ref. no education) | ||||||||||||
Primary | 1.37[1.02;1.84] | 0.037 | 1.71[1.03;2.87] | 0.040 | 1.46[1.09;1.94] | 0.010 | 1.47[0.90;2.39] | 0.122 | 1.12[0.87;1.44] | 0.387 | NS | |
Secondary or higher | 1.76[1.21;2.55] | 0.003 | 4.24[1.85;9.71] | 0.001 | 2.03[1.41;2.93] | < 0.001 | 3.89[1.77;8.58] | 0.001 | 1.70[1.22;2.37] | 0.002 | ||
Mother’s exposure to media | ||||||||||||
Less than once a week | 1.45[0.96;2.20] | 0.077 | 2.23[1.25;3.97] | 0.007 | 1.33[0.88;2.00] | 0.173 | 2.35[1.32;4.19] | 0.004 | 1.25[0.87;1.80] | 0.233 | 2.45[1.28;4.71] | 0.007 |
At least once a week | 1.90[1.30;2.78] | 0.001 | 3.59[2.09;6.17] | < 0.001 | 1.71[1.17;2.48] | 0.005 | 3.10[1.81;5.28] | < 0.001 | 1.55[1.09;2.21] | 0.014 | 2.53[1.38;4.62] | 0.003 |
Mother’s ethnic group (ref. Wolof) | ||||||||||||
Puular | 1.03[0.76;1.40] | 0.831 | 0.42[0.25;0.71] | 0.001 | 0.97[0.72;1.29] | 0.818 | 0.57[0.35;0.94] | 0.028 | 1.05[0.81;1.36] | 0.709 | 0.42[0.28;0.63] | < 0.001 |
Serer | 1.50[1.06;2.14] | 0.023 | 0.74[0.37;1.44] | 0.372 | 1.59[1.12;2.25] | 0.009 | 0.89[0.47;1.69] | 0.722 | 1.63[1.20;2.22] | 0.002 | 1.16[0.76;1.77] | 0.487 |
Manding | 0.54[0.34;0.84] | 0.007 | 0.25[0.12;0.50] | < 0.001 | 0.51[0.33;0.78] | 0.002 | 0.36[0.18;0.70] | 0.003 | 0.68[0.45;1.01] | 0.057 | 0.63[0.34;1.17] | 0.145 |
Other | 0.91[0.61;1.37] | 0.661 | 0.46[0.23;0.92] | 0.027 | 0.93[0.62;1.37] | 0.701 | 0.68[0.35;1.31] | 0.248 | 1.20[0.83;1.72] | 0.329 | 0.57[0.35;0.94] | 0.027 |
Household wealth quintile (ref. middle) | ||||||||||||
Poorest | NS | 2.07[1.18;3.64] | 0.011 | NS | 1.60[0.90;2.84] | 0.110 | 0.86[0.64;1.17] | 0.342 | 0.53[0.33;0.85] | 0.014 | ||
Poorer | 3.32[1.85;5.96] | < 0.001 | 2.44[1.37;4.33] | 0.003 | 1.01[0.75;1.35] | 0.960 | 0.98[0.64;1.50] | 0.920 | ||||
Richer | 2.16[1.09;4.28] | 0.027 | 2.99[1.49;5.98] | 0.002 | 1.37[0.97;1.92] | 0.071 | 1.33[0.83;2.10] | 0.303 | ||||
Richest | 4.10[1.43;11.81] | 0.009 | 4.89[1.82;13.17] | 0.002 | 2.31[1.54;3.47] | < 0.001 | 1.29[0.79;2.11] | 0.337 | ||||
Place of delivery (ref. at health facility) | ||||||||||||
At home | NS | 0.45[0.29;0.69] | < 0.001 | NS | 0.34[0.23;0.52] | < 0.001 | NS | NS | ||||
Mother attended antenatal care (ref. no) | ||||||||||||
Yes | NS | 7.17[2.75;18.72] | < 0.001 | NS | 5.20[2.02;13.39] | < 0.001 | NS | NS | ||||
Postnatal check-up within 3 months (ref. no) | ||||||||||||
Yes | NS | 2.85[1.84;4.42] | < 0.001 | 1.39[1.04;1.85] | 0.025 | 3.14[2.05;4.81] | < 0.001 | 1.35[1.04;1.75] | 0.025 | 1.56[1.03;2.35] | 0.337 | |
Place of residence (ref. urban) | ||||||||||||
Rural | NS | NS | NS | 1.68[1.01;2.80] | 0.047 | NS | NS | |||||
Region (ref. North) | ||||||||||||
West | 1.41[0.96;2.07] | 0.078 | NS | 1.37[0.94;1.99] | 0.098 | NS | 1.16[0.82;1.64] | 0.404 | 0.40[0.26;0.63] | < 0.001 | ||
Center | 0.64[0.45;0.92] | 0.078 | 0.62[0.44;0.87] | 0.006 | 0.74[0.55;1.00] | 0.051 | 0.53[0.34;0.82] | 0.004 | ||||
South | 1.07[0.72;1.59] | 0.738 | 0.95[0.65;1.39] | 0.806 | 0.90[0.65;1.26] | 0.544 | 0.58[0.37;0.92] | 0.022 |