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- Title
Cluster survey evaluation of a measles-rubella vaccination campaign in the northwestern province in Zambia, 2016.
- Authors
Rudatsikira, Emmanuel; Mazaba, Mazyanga L.; Mulenga, David; Marufu, Tawanda; Chirambo-Kalolekesha, Memory; Tinago, Willard; Siapila, Paul; Banda, Chikafuna; Daka, Victor; Njunju, Eric M.; Silitongo, Moono; Siziya, Seter
- Abstract
The first rubella vaccination campaign in combination with the measles virus vaccine was conducted in all the provinces of Zambia, including Northwestern province in 2016. The objective of this study is to evaluate the cluster survey of a measles-rubella vaccination campaign in Northern-Western province of Zambia. A secondary analysis of data from the post Measles-Rubella Campaign Survey was conducted. The outcome variable was vaccination status while independent variables included age and gender of the child; paternal and maternal education, occupation, and religion; and household size. Overall, 85.1% of the participants (83.0% of males and 87.3% of females) were vaccinated. Children who lived in households of less than five individuals were seven times more likely to have been vaccinated, compared to those who lived in households of 10 or more individuals (OR = 7.11; 95% CI [6.88, 7.55]). Children whose mothers had 1-12 grade education were less likely to be vaccinated, compared to those whose mothers had higher education (OR = 0.54; 95% CI [0.52, 0.55]). Children whose fathers were employed were more likely to be vaccinated than those whose fathers were unemployed (OR = 4.28; 95% CI [4.15, 4.44]). Compared to children whose mothers were 50 years or older, those whose mothers were in the 40-49 years age group were more likely to be vaccinated (OR = 5.05; 95% CI [4.86, 5.24]), while those with mothers aged 39 or less were less likely to be vaccinated (OR = 0.96; 95% CI [0.93, 0.98]) and (OR = 0.21; 95% CI [0.21, 0.22]) for 30-39 years old and <30 years old, respectively. A coverage of 85.1% in Northwestern province is similar to the recommended regional coverage of 80% or higher by the World Health Organization. This coverage should be maintained or better still increased by designing interventions that will consider factors identified in this study.
- Subjects
ZAMBIA; AGE distribution; CONFIDENCE intervals; FATHERS; INCOME; MEASLES vaccines; MOTHERS; RUBELLA vaccines; SURVEYS; VACCINATION; RESIDENTIAL patterns; SECONDARY analysis; EDUCATIONAL attainment; DESCRIPTIVE statistics; ODDS ratio; CHILDREN
- Publication
International Journal of Child & Adolescent Health, 2019, Vol 12, Issue 3, p259
- ISSN
1939-5930
- Publication type
Article