Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda?
Abstract Introduction On-time measles vaccination is essential for preventing measles infection among children as early in life as possible, especially in areas where measles outbreaks occur frequently. Characterizing the timing of routine measles vaccination (MCV1) among children and identifying ri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-022-13113-z |
| _version_ | 1818012378282852352 |
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| author | Bridget C. Griffith Sarah E. Cusick Kelly M. Searle Diana M. Negoescu Nicole E. Basta Cecily Banura |
| author_facet | Bridget C. Griffith Sarah E. Cusick Kelly M. Searle Diana M. Negoescu Nicole E. Basta Cecily Banura |
| author_sort | Bridget C. Griffith |
| collection | DOAJ |
| description | Abstract Introduction On-time measles vaccination is essential for preventing measles infection among children as early in life as possible, especially in areas where measles outbreaks occur frequently. Characterizing the timing of routine measles vaccination (MCV1) among children and identifying risk factors for delayed measles vaccination is important for addressing barriers to recommended childhood vaccination and increasing on-time MCV1 coverage. We aim to assess the timing of children's MCV1 vaccination and to investigate the association between demographic and healthcare factors, mothers'/caregivers' ability to identify information on their child’s vaccination card, and achieving on-time (vs. delayed) MCV1 vaccination. Methods We conducted a population-based, door-to-door survey in Kampala, Uganda, from June–August of 2019. We surveyed mothers/caregivers of children aged one to five years to determine how familiar they were with their child’s vaccination card and to determine their child’s MCV1 vaccination status and timing. We assessed the proportion of children vaccinated for MCV1 on-time and delayed, and we evaluated the association between mothers'/caregivers' ability to identify key pieces of information (child’s birth date, sex, and MCV1 date) on their child’s vaccination card and achieving on-time MCV1 vaccination. Results Of the 999 mothers/caregivers enrolled, the median age was 27 years (17–50), and median child age was 29 months (12–72). Information on vaccination status was available for 66.0% (n = 659) of children. Of those who had documentation of MCV1 vaccination (n = 475), less than half (46.5%; n = 221) achieved on-time MCV1 vaccination and 53.5% (n = 254) were delayed. We found that only 47.9% (n = 264) of the 551 mothers/caregivers who were asked to identify key pieces of information on their child's vaccination card were able to identify the information, but ability to identify the key pieces of information on the card was not independently associated with achieving on-time MCV1 vaccination. Conclusion Mothers'/caregivers' ability to identify key pieces of information on their child’s vaccination card was not associated with achieving on-time MCV1 vaccination. Further research can shed light on interventions that may prompt or remind mothers/caregivers of the time and age when their child is due for measles vaccine to increase the chance of the child receiving it at the recommended time. |
| first_indexed | 2024-04-14T06:19:23Z |
| format | Article |
| id | doaj.art-1fa657bc711745b7a1324ca66727bdea |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-14T06:19:23Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-1fa657bc711745b7a1324ca66727bdea2022-12-22T02:08:05ZengBMCBMC Public Health1471-24582022-04-0122111710.1186/s12889-022-13113-zDoes mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda?Bridget C. Griffith0Sarah E. Cusick1Kelly M. Searle2Diana M. Negoescu3Nicole E. Basta4Cecily Banura5Department of Epidemiology, Biostatistics, and Occupational Health, McGill University Faculty of Medicine and Health SciencesDepartment of Pediatrics, University of Minnesota Medical School Twin CitiesDivision of Epidemiology and Community Health, University of Minnesota School of Public HealthDepartment of Industrial and Systems Engineering, University of Minnesota College of Science and EngineeringDepartment of Epidemiology, Biostatistics, and Occupational Health, McGill University Faculty of Medicine and Health SciencesChild Health and Development Centre, School of Medicine, Makerere UniversityAbstract Introduction On-time measles vaccination is essential for preventing measles infection among children as early in life as possible, especially in areas where measles outbreaks occur frequently. Characterizing the timing of routine measles vaccination (MCV1) among children and identifying risk factors for delayed measles vaccination is important for addressing barriers to recommended childhood vaccination and increasing on-time MCV1 coverage. We aim to assess the timing of children's MCV1 vaccination and to investigate the association between demographic and healthcare factors, mothers'/caregivers' ability to identify information on their child’s vaccination card, and achieving on-time (vs. delayed) MCV1 vaccination. Methods We conducted a population-based, door-to-door survey in Kampala, Uganda, from June–August of 2019. We surveyed mothers/caregivers of children aged one to five years to determine how familiar they were with their child’s vaccination card and to determine their child’s MCV1 vaccination status and timing. We assessed the proportion of children vaccinated for MCV1 on-time and delayed, and we evaluated the association between mothers'/caregivers' ability to identify key pieces of information (child’s birth date, sex, and MCV1 date) on their child’s vaccination card and achieving on-time MCV1 vaccination. Results Of the 999 mothers/caregivers enrolled, the median age was 27 years (17–50), and median child age was 29 months (12–72). Information on vaccination status was available for 66.0% (n = 659) of children. Of those who had documentation of MCV1 vaccination (n = 475), less than half (46.5%; n = 221) achieved on-time MCV1 vaccination and 53.5% (n = 254) were delayed. We found that only 47.9% (n = 264) of the 551 mothers/caregivers who were asked to identify key pieces of information on their child's vaccination card were able to identify the information, but ability to identify the key pieces of information on the card was not independently associated with achieving on-time MCV1 vaccination. Conclusion Mothers'/caregivers' ability to identify key pieces of information on their child’s vaccination card was not associated with achieving on-time MCV1 vaccination. Further research can shed light on interventions that may prompt or remind mothers/caregivers of the time and age when their child is due for measles vaccine to increase the chance of the child receiving it at the recommended time.https://doi.org/10.1186/s12889-022-13113-zChild healthImmunisationPublic healthMeaslesCross-sectional survey |
| spellingShingle | Bridget C. Griffith Sarah E. Cusick Kelly M. Searle Diana M. Negoescu Nicole E. Basta Cecily Banura Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda? BMC Public Health Child health Immunisation Public health Measles Cross-sectional survey |
| title | Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda? |
| title_full | Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda? |
| title_fullStr | Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda? |
| title_full_unstemmed | Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda? |
| title_short | Does mothers’ and caregivers' access to information on their child’s vaccination card impact the timing of their child’s measles vaccination in Uganda? |
| title_sort | does mothers and caregivers access to information on their child s vaccination card impact the timing of their child s measles vaccination in uganda |
| topic | Child health Immunisation Public health Measles Cross-sectional survey |
| url | https://doi.org/10.1186/s12889-022-13113-z |
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