Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey

Objective: To assess the association between the continuum of care of mothers and the immunization status of their 12–23 months old children. Study design: A secondary data analysis using the Myanmar Demographic and Health Survey (2015–16) data, a cross-sectional, household-based, nationally represe...

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Main Authors: Phway Phway, Aung Tin Kyaw, Aye Sandar Mon, Kyaw Swa Mya
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535222001112
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author Phway Phway
Aung Tin Kyaw
Aye Sandar Mon
Kyaw Swa Mya
author_facet Phway Phway
Aung Tin Kyaw
Aye Sandar Mon
Kyaw Swa Mya
author_sort Phway Phway
collection DOAJ
description Objective: To assess the association between the continuum of care of mothers and the immunization status of their 12–23 months old children. Study design: A secondary data analysis using the Myanmar Demographic and Health Survey (2015–16) data, a cross-sectional, household-based, nationally representative survey conducted during 2015–2016. Methods: We included 1669 pairs of mothers and their children in this analysis. We categorized the children into fully immunized and no/not fully immunized children and define a continuum of care (CoC) of the mother if women received antenatal care ≥ four times, delivered with skilled birth attendances, and received postnatal care within 48 h after delivery. We used the multivariable binary logistics regression using STATA version 15.1 with the survey command (svy) and reported the results by adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: The mother's CoC prevalence was 42.5%, and that of fully immunized children was 33.5%. However, only one-fifth of mothers and their children received the continuum of care services altogether. The children of mothers who received CoC were more likely to be fully vaccinated than those who did not (aOR = 1.60, 95%CI: 1.21, 2.13, P < 0.001). The child's birth order, employment status, and wealth status of the households are independent predictors of the full immunization of children. Conclusions: We concluded that receiving the CoC in mothers influenced their children's vaccination status. Hence, integrating maternal health programs and immunization programs is essential to achieving sustainable development goals in Myanmar.
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spelling doaj.art-efd9e93f2a5648c9aee092fa509a2a842022-12-22T04:23:15ZengElsevierPublic Health in Practice2666-53522022-12-014100335Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health SurveyPhway Phway0Aung Tin Kyaw1Aye Sandar Mon2Kyaw Swa Mya3Department of Public Health, Ministry of Health, Naypyitaw, MyanmarDepartment of Population and Family Health, University of Public Health, Yangon, MyanmarDepartment of Biostatistics and Medical Demography, University of Public Health, Yangon, MyanmarDepartment of Preventive and Social Medicine, University of Medicine, Taunggyi, Myanmar; Corresponding author. No 22, Hledan 7th street, 3rd quarter, Kamayut, Yangon, 11041, Myanmar.Objective: To assess the association between the continuum of care of mothers and the immunization status of their 12–23 months old children. Study design: A secondary data analysis using the Myanmar Demographic and Health Survey (2015–16) data, a cross-sectional, household-based, nationally representative survey conducted during 2015–2016. Methods: We included 1669 pairs of mothers and their children in this analysis. We categorized the children into fully immunized and no/not fully immunized children and define a continuum of care (CoC) of the mother if women received antenatal care ≥ four times, delivered with skilled birth attendances, and received postnatal care within 48 h after delivery. We used the multivariable binary logistics regression using STATA version 15.1 with the survey command (svy) and reported the results by adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: The mother's CoC prevalence was 42.5%, and that of fully immunized children was 33.5%. However, only one-fifth of mothers and their children received the continuum of care services altogether. The children of mothers who received CoC were more likely to be fully vaccinated than those who did not (aOR = 1.60, 95%CI: 1.21, 2.13, P < 0.001). The child's birth order, employment status, and wealth status of the households are independent predictors of the full immunization of children. Conclusions: We concluded that receiving the CoC in mothers influenced their children's vaccination status. Hence, integrating maternal health programs and immunization programs is essential to achieving sustainable development goals in Myanmar.http://www.sciencedirect.com/science/article/pii/S2666535222001112Childhood immunizationContinuum of careDemographic and health surveyMyanmar
spellingShingle Phway Phway
Aung Tin Kyaw
Aye Sandar Mon
Kyaw Swa Mya
Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey
Public Health in Practice
Childhood immunization
Continuum of care
Demographic and health survey
Myanmar
title Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey
title_full Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey
title_fullStr Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey
title_full_unstemmed Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey
title_short Continuum of care of mothers and immunization status of their children: A secondary analysis of 2015–2016 Myanmar Demographic and Health Survey
title_sort continuum of care of mothers and immunization status of their children a secondary analysis of 2015 2016 myanmar demographic and health survey
topic Childhood immunization
Continuum of care
Demographic and health survey
Myanmar
url http://www.sciencedirect.com/science/article/pii/S2666535222001112
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