Determinants of Measles Vaccine Uptake among Mothers of Children between 9 and 24 Months in Narok-County, Kenya
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Date
2023-02
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Kenyatta University
Abstract
Vaccine hesitancy is one of the major determinants of low vaccination coverage in both developed and developing countries. The measles vaccination coverage in Kenya is considered considerably low, which has contributed to sporadic measles outbreaks. The present study assessed the determinants of low uptake and hesitancy of measles vaccination among mothers or caregivers of children aged 9 – 24 months in Narok North Sub-County, Narok County, Kenya. Using an analytical cross-sectional study, a structured questionnaire was used to collect data from 100 mother and caregivers. Analyses were conducted through Pearson’s chi-square, Kruskal-Wallis H, and logistic regression tests. A total of 69(69%) of the children (N =100) who had qualified for the first dose of measle vaccines (MCV1) had received the vaccines, while 31(31%) had not. Thirteen (26.5%) of the children (n = 49) who had qualified for second dose of measle vaccine (MCV2) had received the vaccine, while 36(73.5%) had not. Thus, 48(48%) of the all the children (N = 100) were considered to be fully immunized against measles, while 52(52%) were either partially or not immunized. The main maternal determinants included; maternal age (p = .019), number of antenatal clinic visits (p = .04), vaccine hesitancy (p = .001), concerns about side effects and adverse reactions of the vaccines (p = .020), and maternal level of education (p = .030). The child’s determinants were; place of birth (p = .001), history of experiencing vaccine side effects (p = .004), and birth order (p = .032). The socioeconomic factors included; low socioeconomic background (p = .004) and cultural and religious issues (p = .003). The healthcare determinants included; provision of dates for vaccination to mothers or caregivers (p = .000), distance from the health facility (p = .020), availability of vaccines in the health centre (p = .000), outreaches (p = .000), and display of immunization guideline to mothers or caregivers (p = .002). The uptake of the measle vaccine was very low compared to the WHO recommended coverage rate of >95%. Thus there is need to provide health education and information to mothers or caregivers on measle vaccines uptake
Description
A Research Project Submitted In Partial Fulfilment Of The Requirements for the Award of Degree of Master of Science (Pediatric Nursing) at Kenyatta University, February, 2023.
Supervisors:
1.Sarah Bett
2.Jacob Masika