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Journal of Public Health

, Volume 26, Issue 5, pp 495–499 | Cite as

Determinants of factors associated with childhood immunization in Punjab, Pakistan: evidence from the multiple indicator cluster survey

  • Muhammad Ameen
  • Sajid Rasul
  • Muhammad Ahsan ul Haq
  • Qaisar Khalid Mahmood
Original Article
  • 104 Downloads

Abstract

Aim

Immunization is a significant public health intervention to reduce childhood morbidity and mortality. This study aimed to detect socio-demographic factors affecting the immunization process among the children under 3 years old.

Subjects and methods

This study was based on secondary data taken from the 2011 Multiple Indicators Cluster Survey (MICS). This survey was conducted in Punjab, the most populous province in Pakistan. From these secondary data, information related to socio-demographic characteristics and the status of immunization among children up to 3 years old were taken as study variables. The analysis was comprised of descriptive statistics and binary logistic regression.

Results

The findings reveal that only 56.18% of the total children were fully immunized. The results showed that place of birth, availability of an immunization card and the mother’s education level were primary factors based on which immunization of the child differed. However, the sex and type of family of the child did not predict any difference in the immunization status of the child.

Conclusions

Immunization of children is significantly associated with predictors, i.e., the mother’s education level, residence, gender and wealth index.

Keywords

Immunization status MICS Coverage Socio-demographic factors 

Notes

Acknowledgments

The authors would like to thank Punjab Bureau of Statistics Department for providing the data for this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Competing interests

The authors declare that they have no competing interests.

Informed consent

Not applicable.

References

  1. Animaw W, Taye W, Merdekios B, Tilahun M, Ayele G (2014) Expanded program of immunization coverage and associated factors among children age 12–23 months in Arba Minch town and Zuria District, southern Ethiopia. BMC Public Health 14:464.  https://doi.org/10.1186/1471-2458-14-464 CrossRefPubMedPubMedCentralGoogle Scholar
  2. Black RE, Hopkins Bloomberg J (2008) The lancet series on maternal and child undernutrition, executive summary. Lancet 371:1–10CrossRefGoogle Scholar
  3. Chhabra P, Nair P, Gupta A, Sandhir M, Kannan AT (2007) Immunization in urbanized villages of Delhi. Indian J Pediatr 74:131–134CrossRefPubMedGoogle Scholar
  4. Chidiebere OD, Uchenna E, Kenechi OS (2014) Maternal sociodemographic factors that influence full child immunisation uptake in Nigeria. South African J Child Health 8:138–142CrossRefGoogle Scholar
  5. Dalal A, Silveira MP (2005) Immunization status of children in Goa. Indian Pediatr 42:401–402PubMedGoogle Scholar
  6. Dwumoh D, Essuman EE, Afagbedzi SK (2014) Determinant of factors associated with child health outcomes and service utilization in Ghana: multiple indicator cluster survey conducted in 2011. Arch Public Health 72:42CrossRefPubMedPubMedCentralGoogle Scholar
  7. Etana B, Deressa W (2012) Factors associated with complete immunization coverage in children aged 12–23 months in Ambo Woreda, Central Ethiopia. BMC Public Health 12:566CrossRefPubMedPubMedCentralGoogle Scholar
  8. Gatchell M, Thind A, Hagigi F (2008) Informing state-level health policy in India: the case of childhood immunizations in Maharashtra and Bihar. Acta Paediatr 97:124–126CrossRefPubMedGoogle Scholar
  9. Juliano Y, Compri PC, Almeida LR, Freire PV, Moreira FT, Vieira FH, Rossi S, Figueira K (2008) Segunda Etapa da Campanha Nacional de Multivacinação do município de São Paulo, 2005: Perfil de Cobertura de diferentes Unidades Básicas de Saúde. Rev Paul Pediatr 26:14–19CrossRefGoogle Scholar
  10. Lakew Y, Bekele A, Biadgilign S (2015) Factors influencing full immunization coverage among 12–23 months of age children in Ethiopia: evidence from the national demographic and healthGoogle Scholar
  11. Luhm KR, Cardoso MR, Waldman EA (2011) Vaccination coverage among children under two years of age based on electronic immunization registry in southern Brazil. Rev Saude Publica 45:90–98CrossRefPubMedGoogle Scholar
  12. Luman ET, McCauley MM, Shefer A, Chu SY (2003) Maternal characteristics associated with vaccination of young children. Pediatrics 111:1215–1218PubMedGoogle Scholar
  13. Malkar VR, Joge US, Khadilakar H, Choudhari SG, Lakde RN (2013) Assessment of sociodemographic factors affecting immunization status of children in age group of 12–23 months in a rural area. 164–169Google Scholar
  14. Mehta, S (2015) Study of socio-demographic factors influencing the vaccination status of children. Med Pharm Sci 699–708Google Scholar
  15. Miranda AS, Scheibel IM, Tavares MR, Takeda SM (1995) Assessment of immunization coverage for the basic schedule in children. Rev Saude Publica 29:208–214CrossRefPubMedGoogle Scholar
  16. Moraes JC, Ribeiro MC (2008) Desigualdades Sociais e Cobertura vacinal: Uso de inquéritos domiciliares. Rev Bras Epidemiol 11:113–124CrossRefGoogle Scholar
  17. Multiple Indicator Cluster Survey (2011) Bureau of Statistics, Planning and Development Department - Government of the Punjab, Pakistan Google Scholar
  18. Nath B, Singh J, Awasthi S, Bhushan V, Kumar V, Singh S (2007) A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Med Sci 61:598CrossRefPubMedGoogle Scholar
  19. Okoro JC, Ojinnaka NC, Ikefuna AN, Onyenwe NE (2015) Sociodemographic influences on immunization of children with chronic neurological disorders in Enugu, Nigeria. Trials in Vaccinol 4:9–13CrossRefGoogle Scholar
  20. Shrivastwa N (2015) Understanding disparities in vaccination coverage among Indian ChildrenGoogle Scholar
  21. Singh P, Yadav RJ (2000) Immunization status of children of India. Indian Pediatr 37:1194–1199PubMedGoogle Scholar
  22. Total Fertility Rate (2009) Population, labor force and employment. Economic SurveyGoogle Scholar
  23. World Health Organization (2012) Global routine vaccination coverage, the weekly epidemiological Record. World Health OrganizationGoogle Scholar
  24. World Health Organization (2015) Make every mother and child count. World Health OrganizationGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Punjab Bureau of Statistics, Planning and Development DepartmentGovernment of the PunjabLahorePakistan
  2. 2.Quality Enhancement Cell (QEC)National College of ArtsLahorePakistan
  3. 3.Department of SociologyInternational Islamic University IslamabadIslamabadPakistan

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