Journal of Vaccines & Vaccination

Predictors of incompletion of immunization among the children residing in the slums of Kathmandu Valley, Nepal

12^th Asia Pacific Global Summit and Expo on Vaccines & Vaccination

November 24-25, 2016 Melbourne, Australia

Sumina Shrestha

Tribhuvan University, Nepal

Posters & Accepted Abstracts: J Vaccines Vaccin

Abstract:

Background: Around two-thirds of early child deaths are attributed to vaccine preventable diseases. In Nepal, infants are immunized with standard WHO recommended vaccines. However, 16.4% of children had not received complete immunization by 12 months of age. Studies have revealed that partial immunization is even higher in slums. Aim: The objective of this study was to identify the predictors of incompletion of immunization among children aged 12-23 months in slums of capital city of Nepal. Methods: Unmatched case control study was conducted in randomly selected 22 slums of Kathmandu Valley. Sampling frame was first identified by screening from which 59 incompletely immunized children as cases and 177 completely immunized children as controls were chosen randomly in 1:3 ratio. Data were collected with primary care-taker of the child using standard screening questionnaire and pre-tested structured questionnaire. Backward logistic regression with adjusted odds ratio (AOR) and 95% confidence interval was performed to identify the independent predictors. Result: 26% of the children were found incompletely vaccinated during screening survey. The independent predictors of incomplete immunization were teenage primary care-taker, those living on rent, primary care-taker with poor knowledge on benefit and schedule of vaccination and negative perception towards vaccinating sick child, delayed vaccine schedule and lost immunization card. Birth in health institution was found to be the factor that leads to complete vaccination. Conclusion: Incompletion of immunization should be addressed by increasing awareness about immunization and retention of card through educational and communication channels focusing especially among teenage care-takers and those living on rent.

Biography :

Email: sumaseem@gmail.com