Community factors influencing the Penta1-Penta3 loss of children 0-11 months in the Commune IV, Bamako

Abstract

Introduction: Vaccination is an effective measure to prevent infectious diseases in children. The objective of this research was to study the community factors influencing the loss of Pentavalent1 and Pentavalent2 in children aged 0-11 months in the health district of Commune IV (Bamako). Materials and Methods: A cross-sectional, descriptive and analytical study was conducted. According to Schwartz's formula 360 tutors of children from 0 to 11 months were selected by two-stage cluster survey and 20 health workers involved in the vaccination activities selected by a reasoned choice were interviewed using a questionnaire. A multivariate logistic regression analysis was performed for the variables that obtained a p-value of 0.05 on the bi-varied analysis using the SPSS 21 software. Results: The Pentavalent1- Pentavalent3 loss rate was 24.44%. The multi-varied logistic regression showed that the ignorance of the benefits of the vaccination (p = 0.007), the lack of knowledge of Penta target diseases (p = 0.002), the long waiting time (p = 0.023) and the unavailability guardians (p = 0.046) were significantly associated with the Penta1- Penta3 loss rate of children. Conclusion: the rate of wastage was below the required standards (rate < 10%). Its improvement requires scaling the "Reach Every District", "Reach Every Child" strategy, community education and awareness about the benefits and benefits of immunization.