Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis
Vaccination is a proven equitable intervention if people take advantage of the opportunity to get vaccinated. Niger is a low-income country in West Africa, with a 76% measles 1 vaccination coverage rate in 2016. This study was conducted to identify individual- and neighborhood-level factors that cou...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/10/9/1513 |
| _version_ | 1797481545589587968 |
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| author | Mika Kondo Kunieda Mahamane Laouali Manzo S. V. Subramanian Masamine Jimba |
| author_facet | Mika Kondo Kunieda Mahamane Laouali Manzo S. V. Subramanian Masamine Jimba |
| author_sort | Mika Kondo Kunieda |
| collection | DOAJ |
| description | Vaccination is a proven equitable intervention if people take advantage of the opportunity to get vaccinated. Niger is a low-income country in West Africa, with a 76% measles 1 vaccination coverage rate in 2016. This study was conducted to identify individual- and neighborhood-level factors that could improve measles 1 vaccination coverage in Niamey, the capital. In October 2016, 460 mothers with children aged 12–23 months were surveyed. The outcome was to determine whether the mother’s child had been vaccinated against measles 1 or not. For individual-level variables of measles 1 vaccination status, the following were included: mother’s age group, mother tongue, maternal education level, husband’s job, where the mother gave birth (at home or at a health center) and whether the mother discussed vaccination with friends. Neighborhood-level factors were access time to the health center, household access to electricity, and a grand-mean-centered wealth score. Multilevel logistic regression analysis was performed. At the individual-level, primary and secondary-educated mothers were more likely to vaccinate their children against measles 1 (aOR 1.97, 95% CI 1.11–3.51). At the neighborhood-level, no factors were identified. Therefore, a strengthened focus on equity-based, individual factors is recommended, including individual motivation, prompts and ability to access vaccination services. |
| first_indexed | 2024-03-09T22:16:08Z |
| format | Article |
| id | doaj.art-4cbe5a3b236a46eb99d5580ba668222e |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-09T22:16:08Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-4cbe5a3b236a46eb99d5580ba668222e2023-11-23T19:22:23ZengMDPI AGVaccines2076-393X2022-09-01109151310.3390/vaccines10091513Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel AnalysisMika Kondo Kunieda0Mahamane Laouali Manzo1S. V. Subramanian2Masamine Jimba3Department of Community and Global Health, The University of Tokyo Graduate School of Medicine, Tokyo 113-0033, JapanMinistry of Public Health, Niamey BP 613, NigerHarvard Center for Population and Development Studies, Cambridge, MA 02138, USADepartment of Community and Global Health, The University of Tokyo Graduate School of Medicine, Tokyo 113-0033, JapanVaccination is a proven equitable intervention if people take advantage of the opportunity to get vaccinated. Niger is a low-income country in West Africa, with a 76% measles 1 vaccination coverage rate in 2016. This study was conducted to identify individual- and neighborhood-level factors that could improve measles 1 vaccination coverage in Niamey, the capital. In October 2016, 460 mothers with children aged 12–23 months were surveyed. The outcome was to determine whether the mother’s child had been vaccinated against measles 1 or not. For individual-level variables of measles 1 vaccination status, the following were included: mother’s age group, mother tongue, maternal education level, husband’s job, where the mother gave birth (at home or at a health center) and whether the mother discussed vaccination with friends. Neighborhood-level factors were access time to the health center, household access to electricity, and a grand-mean-centered wealth score. Multilevel logistic regression analysis was performed. At the individual-level, primary and secondary-educated mothers were more likely to vaccinate their children against measles 1 (aOR 1.97, 95% CI 1.11–3.51). At the neighborhood-level, no factors were identified. Therefore, a strengthened focus on equity-based, individual factors is recommended, including individual motivation, prompts and ability to access vaccination services.https://www.mdpi.com/2076-393X/10/9/1513measlesvaccination coverageindividual-level factorsneighborhood-level factorsmultilevel logistic modelNiger |
| spellingShingle | Mika Kondo Kunieda Mahamane Laouali Manzo S. V. Subramanian Masamine Jimba Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis Vaccines measles vaccination coverage individual-level factors neighborhood-level factors multilevel logistic model Niger |
| title | Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis |
| title_full | Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis |
| title_fullStr | Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis |
| title_full_unstemmed | Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis |
| title_short | Individual- and Neighborhood-Level Factors of Measles Vaccination Coverage in Niamey, Niger: A Multilevel Analysis |
| title_sort | individual and neighborhood level factors of measles vaccination coverage in niamey niger a multilevel analysis |
| topic | measles vaccination coverage individual-level factors neighborhood-level factors multilevel logistic model Niger |
| url | https://www.mdpi.com/2076-393X/10/9/1513 |
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