The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage.
| Published in | Central African Journal of Public Health (Volume 4, Issue 4) |
| DOI | 10.11648/j.cajph.20180404.13 |
| Page(s) | 112-118 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Vaccine Completeness, Expanded Program of Vaccination, Determinants, Implementation, Financing Based on the Performance
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APA Style
Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul. (2018). Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Central African Journal of Public Health, 4(4), 112-118. https://doi.org/10.11648/j.cajph.20180404.13
ACS Style
Ka’aba Mongo Charles Josias; Bassong Mankollo Olga Yvonne; Assam Assam Jean Paul. Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Cent. Afr. J. Public Health 2018, 4(4), 112-118. doi: 10.11648/j.cajph.20180404.13
AMA Style
Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul. Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Cent Afr J Public Health. 2018;4(4):112-118. doi: 10.11648/j.cajph.20180404.13
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Download@article{10.11648/j.cajph.20180404.13,
author = {Ka’aba Mongo Charles Josias and Bassong Mankollo Olga Yvonne and Assam Assam Jean Paul},
title = {Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District},
journal = {Central African Journal of Public Health},
volume = {4},
number = {4},
pages = {112-118},
doi = {10.11648/j.cajph.20180404.13},
url = {https://doi.org/10.11648/j.cajph.20180404.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180404.13},
abstract = {The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage.},
year = {2018}
}
TY - JOUR T1 - Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District AU - Ka’aba Mongo Charles Josias AU - Bassong Mankollo Olga Yvonne AU - Assam Assam Jean Paul Y1 - 2018/09/05 PY - 2018 N1 - https://doi.org/10.11648/j.cajph.20180404.13 DO - 10.11648/j.cajph.20180404.13 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 112 EP - 118 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20180404.13 AB - The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage. VL - 4 IS - 4 ER -
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