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Trust in health workers and patient-centeredness of care were strongest factors associated with vaccination for Kenyan children born between 2017-2022.
Moucheraud, Corrina; Ochieng, Eric; Ogutu, Vitalis; Sudhinaraset, May; Szilagyi, Peter G; Hoffman, Risa M; Glenn, Beth; Golub, Ginger; Njomo, Doris.
Afiliación
  • Moucheraud C; New York University, School of Global Public Health, 708 Broadway, New York, NY 10003, USA.
  • Ochieng E; Innovations for Poverty Action Kenya, P.O. Box 72427-00200, Nairobi, Kenya.
  • Ogutu V; Innovations for Poverty Action Kenya, P.O. Box 72427-00200, Nairobi, Kenya.
  • Sudhinaraset M; University of California Los Angeles, Fielding School of Public Health, 650 Charles E Young Dr S, Los Angeles, CA 90095 USA.
  • Szilagyi PG; University of California Los Angeles, David Geffen School of Medicine, 855 Tiverton Dr, Los Angeles, CA 90024 USA.
  • Hoffman RM; University of California Los Angeles, David Geffen School of Medicine, 855 Tiverton Dr, Los Angeles, CA 90024 USA.
  • Glenn B; University of California Los Angeles, Fielding School of Public Health, 650 Charles E Young Dr S, Los Angeles, CA 90095 USA.
  • Golub G; Innovations for Poverty Action Kenya, P.O. Box 72427-00200, Nairobi, Kenya.
  • Njomo D; Kenya Medical Research Institute, P.O. Box 54840-00200, Nairobi, Kenya.
Vaccine X ; 19: 100523, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39070930
ABSTRACT

Objective:

Although vaccination confidence is declining globally, there is little detailed information from low- and middle-income countries about factors influencing routine vaccination behavior in these contexts.

Methods:

In mid-2022, we surveyed people who gave birth in Kenya between 2017-2022, and asked them about their children's vaccination history and about hypothesized correlates of vaccination per the Behavioural and Social Drivers of Vaccination model.

Results:

Of 873 children in this sample, 117 (13%) were under-vaccinated (i.e., delayed or missing vaccine dose(s)) - and under-vaccination was more common among births during the COVID-19 pandemic (2020-2022) versus pre-pandemic (2017-2019). In multi-level multivariable models, children of respondents who expressed concerns about serious side effects from vaccines had significantly higher odds of missed vaccine dose(s) (aOR 2.06, 95 % CI 1.14-3.72), and there was a strong association between having more safety concerns now versus before the COVID-19 pandemic (aOR missed dose(s) 4.44, 95 % CI 1.71-11.51; aOR under-vaccination 3.03, 95 % CI 1.28-7.19). People with greater trust in health workers had lower odds of having a child with missed vaccine dose(s) (aOR 0.85, 95 % CI 0.75-0.97). People who reported higher patient-centered quality of vaccination care had much lower odds of having children with delayed or missed vaccine dose(s) (aOR missed dose(s) 0.14, 95 % CI 0.04-0.58; aOR under-vaccination 0.27, 95 % CI 0.10-0.79).

Conclusions:

These findings highlight potential strategies to improve vaccine coverage greater focus on patient-centered quality of care, training healthcare workers on how to address safety concerns about vaccines, and building trust in the health care system and in health workers.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vaccine X Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Vaccine X Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido