Vaccination coverage and factors associated with adherence to the vaccination schedule in young children of a rural area in Burkina Faso

Bibliographic Data

ID19529786
AuthorsMoubassira Kagoné (0000-0002-7297-0810, Heidelberg University, corresponding author), Maurice Ye (0000-0002-4982-0814, Centre de Recherche en Santé de Nouna), Eric Nebié (0000-0003-1005-7898, Centre de Recherche en Santé de Nouna), Ali Sié (0000-0002-3959-2520, Centre de Recherche en Santé de Nouna), Anja Schoeps (0000-0002-6129-3519, Heidelberg University), Heiko Becher (0000-0002-8808-6667, Universität Hamburg), Olaf Müller (0000-0002-9303-5282, Heidelberg University), Ane Bærent Fisker (0000-0002-8521-0992, Statens Serum Institut)
Year2017
Volume10
Issue1
Pages1399749-1399749
Publication date2017-01-01
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2017.1399749
PMID29185899
OpenAlexW2768518468
LanguageEN
Citations received6
References cited29

BACKGROUND: Vaccination is an important tool for reducing infectious disease morbidity and mortality. In the past, less than 80% of children 12-23 months of age were fully immunized in Burkina Faso. OBJECTIVES: To describe coverage and assess factors associated with adherence to the vaccination schedule in rural area Burkina Faso. METHODS: The study population was extracted from the Nouna Health and Demographic surveillance system cohort. Data from four rounds of interviews conducted between November 2012 and June 2014 were considered. This study included 4016 children aged 12-23 months. We assessed the effects of several background factors, including sex, factors reflecting access to health care (residence, place of birth), and maternal factors (age, education, marital status), on being fully immunized defined as having received Bacillus Calmette-Guérin (BCG), three doses of diphtheria-tetanus-pertussis and oral polio vaccine, and measles vaccine by 12 months of age. The associations were studied using binomial regression to derive prevalence ratios (PRs) in univariate and multivariate regression models. RESULTS: The full vaccination coverage increased significantly over time (72% in 2012, 79% in 2013, and 81% in 2014, p = 0.003), and the coverage was significantly lower in urban than in rural areas (PR 0.84; 0.80-0.89). Vaccination coverage was neither influenced by sex nor influenced by place of birth or by maternal factors. CONCLUSION: The study documented a further improvement in full vaccination coverage in Burkina Faso in recent years and better vaccination coverage in rural than in urban areas. The organization of healthcare systems with systematic outreach activities in the rural areas may explain the difference between rural and urban areas

Diphtheria · Environmental health · Immunization · Logistic regression · Marital status · Measles · Measles vaccine · Poisson regression · Poliomyelitis · Population · Rural area · Tetanus · Vaccination · Vaccination schedule · Bacterial Infections and Vaccines · Demography · Immune responses and vaccinations · Medicine · Vaccine Coverage and Hesitancy · Immunology · Pediatrics

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