International Journal For Multidisciplinary Research

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Vaccine-specific Aspects Associated with the Abandonment of Early Childhood Vaccination in the City of Kisangani, DR Congo

Author(s) Ependja Towaka Antoine, Losimba Likwela Joris, Panda Lukongo Jean, Akuku Mokato Florent, Alukana Atholi Sengi Albert, IsetchaBoluwa Faustin, MokariaLisono Marie Thérèse
Country Congo (Democratic)
Abstract In Kisangani, the dropout rate of 17.5% among children aged 12 to 23 months is higher than the threshold of less than 10% tolerated by the WHO, despite the free availability of vaccines. This study aims to analyze vaccine-specific aspects in order to identify predictors associated with vaccine dropout among children aged 12 to 23 months. A cross-sectional observational study was conducted from October 25, 2022 to February 25, 2023 among mothers of 336 children aged 12 to 23 months in Kisangani. A pre-tested and administered questionnaire was used for data collection based on three-stage cluster sampling. Analyses were performed on STATA 13 using stepwise logistic regression with a threshold of 0.05. A total of 336 children aged 12 to 23 months from 5 health zones in the city of Kisangani were included in the analysis. We observed a 37.5% prevalence of early childhood vaccination drop-out in Kisangani. After adjustment by multivariate logistic regression, the following determinants were significantly associated with drop-out from early childhood vaccination : preference for vaccine administration mode, refusal of a vaccine during a mass campaign, delay in vaccinating when a new vaccine is introduced, lack of confidence in vaccinators who go door-to-door, preference of vaccination site, presence of adverse events following immunization and poor reception by health professionals. Thus, the results of this study can help planners, policy-makers and decision-makers to focus on both individuals and the communities in which they live.
Keywords Immunization, vaccine, vaccine hesitancy, early childhood, Kisangani
Field Medical / Pharmacy
Published In Volume 5, Issue 5, September-October 2023
Published On 2023-09-09
DOI https://doi.org/10.36948/ijfmr.2023.v05i05.6009
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