Cargando…
Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo
(1) Introduction: The Democratic Republic of the Congo (DRC) has one of the largest cohorts of un- and under-vaccinated children worldwide. This study aimed to identify and compare the main reasons for there being zero-dose (ZD) or under-vaccinated children in the DRC. (2) Methods: This is a seconda...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10459103/ https://www.ncbi.nlm.nih.gov/pubmed/37631938 http://dx.doi.org/10.3390/vaccines11081370 |
_version_ | 1785097328903847936 |
---|---|
author | Ishoso, Daniel Katuashi Mafuta, Eric Danovaro-Holliday, M. Carolina Ngandu, Christian Menning, Lisa Cikomola, Aimé Mwana-Wabene Lungayo, Christophe Luhata Mukendi, Jean-Crispin Mwamba, Dieudonné Mboussou, Franck-Fortune Manirakiza, Deo Yapi, Moise Désiré Ngabo, Gaga Fidele Riziki, Richard Bahizire Aluma, Adele Daleke Lisi Tsobeng, Bienvenu Nguejio Mwanga, Cedric Otomba, John Lulebo, Aimée Lusamba, Paul Nimpa, Marcellin Mengouo |
author_facet | Ishoso, Daniel Katuashi Mafuta, Eric Danovaro-Holliday, M. Carolina Ngandu, Christian Menning, Lisa Cikomola, Aimé Mwana-Wabene Lungayo, Christophe Luhata Mukendi, Jean-Crispin Mwamba, Dieudonné Mboussou, Franck-Fortune Manirakiza, Deo Yapi, Moise Désiré Ngabo, Gaga Fidele Riziki, Richard Bahizire Aluma, Adele Daleke Lisi Tsobeng, Bienvenu Nguejio Mwanga, Cedric Otomba, John Lulebo, Aimée Lusamba, Paul Nimpa, Marcellin Mengouo |
author_sort | Ishoso, Daniel Katuashi |
collection | PubMed |
description | (1) Introduction: The Democratic Republic of the Congo (DRC) has one of the largest cohorts of un- and under-vaccinated children worldwide. This study aimed to identify and compare the main reasons for there being zero-dose (ZD) or under-vaccinated children in the DRC. (2) Methods: This is a secondary analysis derived from a province-level vaccination coverage survey conducted between November 2021 and February 2022; this survey included questions about the reasons for not receiving one or more vaccines. A zero-dose child (ZD) was a person aged 12–23 months not having received any pentavalent vaccine (diphtheria–tetanus–pertussis–Hemophilus influenzae type b (Hib)–Hepatitis B) as per card or caregiver recall and an under-vaccinated child was one who had not received the third dose of the pentavalent vaccine. The proportions of the reasons for non-vaccination were first presented using the WHO-endorsed behavioral and social drivers for vaccination (BeSD) conceptual framework and then compared across the groups of ZD and under-vaccinated children using the Rao–Scott chi-square test; analyses were conducted at province and national level, and accounting for the sample approach. (3) Results: Of the 51,054 children aged 12–23 m in the survey sample, 19,676 ZD and under-vaccinated children were included in the study. For the ZD children, reasons related to people’s thinking and feelings were cited as 64.03% and those related to social reasons as 31.13%; both proportions were higher than for under-vaccinated children (44.7% and 26.2%, respectively, p < 0.001). Regarding intentions to vaccinate their children, 82.15% of the parents/guardians of the ZD children said they wanted their children to receive “none” of the recommended vaccines, which was significantly higher than for the under-vaccinated children. In contrast, “practical issues” were cited for 35.60% of the ZD children, compared to 55.60% for the under-vaccinated children (p < 0.001). The distribution of reasons varied between provinces, e.g., 12 of the 26 provinces had a proportion of reasons for the ZD children relating to practical issues that was higher than the national level. (4) Conclusions: reasons provided for non-vaccination among the ZD children in the DRC were largely related to lack of parental/guardian motivation to have their children vaccinated, while reasons among under-vaccinated children were mostly related to practical issues. These results can help inform decision-makers to direct vaccination interventions. |
format | Online Article Text |
id | pubmed-10459103 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104591032023-08-27 Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo Ishoso, Daniel Katuashi Mafuta, Eric Danovaro-Holliday, M. Carolina Ngandu, Christian Menning, Lisa Cikomola, Aimé Mwana-Wabene Lungayo, Christophe Luhata Mukendi, Jean-Crispin Mwamba, Dieudonné Mboussou, Franck-Fortune Manirakiza, Deo Yapi, Moise Désiré Ngabo, Gaga Fidele Riziki, Richard Bahizire Aluma, Adele Daleke Lisi Tsobeng, Bienvenu Nguejio Mwanga, Cedric Otomba, John Lulebo, Aimée Lusamba, Paul Nimpa, Marcellin Mengouo Vaccines (Basel) Article (1) Introduction: The Democratic Republic of the Congo (DRC) has one of the largest cohorts of un- and under-vaccinated children worldwide. This study aimed to identify and compare the main reasons for there being zero-dose (ZD) or under-vaccinated children in the DRC. (2) Methods: This is a secondary analysis derived from a province-level vaccination coverage survey conducted between November 2021 and February 2022; this survey included questions about the reasons for not receiving one or more vaccines. A zero-dose child (ZD) was a person aged 12–23 months not having received any pentavalent vaccine (diphtheria–tetanus–pertussis–Hemophilus influenzae type b (Hib)–Hepatitis B) as per card or caregiver recall and an under-vaccinated child was one who had not received the third dose of the pentavalent vaccine. The proportions of the reasons for non-vaccination were first presented using the WHO-endorsed behavioral and social drivers for vaccination (BeSD) conceptual framework and then compared across the groups of ZD and under-vaccinated children using the Rao–Scott chi-square test; analyses were conducted at province and national level, and accounting for the sample approach. (3) Results: Of the 51,054 children aged 12–23 m in the survey sample, 19,676 ZD and under-vaccinated children were included in the study. For the ZD children, reasons related to people’s thinking and feelings were cited as 64.03% and those related to social reasons as 31.13%; both proportions were higher than for under-vaccinated children (44.7% and 26.2%, respectively, p < 0.001). Regarding intentions to vaccinate their children, 82.15% of the parents/guardians of the ZD children said they wanted their children to receive “none” of the recommended vaccines, which was significantly higher than for the under-vaccinated children. In contrast, “practical issues” were cited for 35.60% of the ZD children, compared to 55.60% for the under-vaccinated children (p < 0.001). The distribution of reasons varied between provinces, e.g., 12 of the 26 provinces had a proportion of reasons for the ZD children relating to practical issues that was higher than the national level. (4) Conclusions: reasons provided for non-vaccination among the ZD children in the DRC were largely related to lack of parental/guardian motivation to have their children vaccinated, while reasons among under-vaccinated children were mostly related to practical issues. These results can help inform decision-makers to direct vaccination interventions. MDPI 2023-08-16 /pmc/articles/PMC10459103/ /pubmed/37631938 http://dx.doi.org/10.3390/vaccines11081370 Text en © World Health Organization 2023. https://creativecommons.org/licenses/by/3.0/igo/Licensee MDPI. This article is distributed under the terms of the Creative Commons Attribution IGO License. (https://creativecommons.org/licenses/by/3.0/igo/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. |
spellingShingle | Article Ishoso, Daniel Katuashi Mafuta, Eric Danovaro-Holliday, M. Carolina Ngandu, Christian Menning, Lisa Cikomola, Aimé Mwana-Wabene Lungayo, Christophe Luhata Mukendi, Jean-Crispin Mwamba, Dieudonné Mboussou, Franck-Fortune Manirakiza, Deo Yapi, Moise Désiré Ngabo, Gaga Fidele Riziki, Richard Bahizire Aluma, Adele Daleke Lisi Tsobeng, Bienvenu Nguejio Mwanga, Cedric Otomba, John Lulebo, Aimée Lusamba, Paul Nimpa, Marcellin Mengouo Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo |
title | Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo |
title_full | Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo |
title_fullStr | Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo |
title_full_unstemmed | Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo |
title_short | Reasons for Being “Zero-Dose and Under-Vaccinated” among Children Aged 12–23 Months in the Democratic Republic of the Congo |
title_sort | reasons for being “zero-dose and under-vaccinated” among children aged 12–23 months in the democratic republic of the congo |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10459103/ https://www.ncbi.nlm.nih.gov/pubmed/37631938 http://dx.doi.org/10.3390/vaccines11081370 |
work_keys_str_mv | AT ishosodanielkatuashi reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT mafutaeric reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT danovarohollidaymcarolina reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT nganduchristian reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT menninglisa reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT cikomolaaimemwanawabene reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT lungayochristopheluhata reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT mukendijeancrispin reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT mwambadieudonne reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT mboussoufranckfortune reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT manirakizadeo reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT yapimoisedesire reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT ngabogagafidele reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT rizikirichardbahizire reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT alumaadeledalekelisi reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT tsobengbienvenunguejio reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT mwangacedric reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT otombajohn reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT luleboaimee reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT lusambapaul reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo AT nimpamarcellinmengouo reasonsforbeingzerodoseandundervaccinatedamongchildrenaged1223monthsinthedemocraticrepublicofthecongo |