Factors associated with the vaccination status of children aged 12 to 23 months in Farakala and Kapala of Sikasso health district

Abstract

Introduction: In Mali, the fight against vaccine-preventable diseases is one of the concerns of health authorities. Our objective was to identify factors associated with the vaccination status of children aged 12-23 months in the health areas of Farakala and Kapala in the Sikasso health district. Methods: This was a cross-sectional analytical study. The sample consisted of 346 children and 346 mothers. The Schwartz formula was used to calculate the sample size. The sample was drawn from 50% of the villages. Vaccination records and the questionnaire were used to collect information. Multivariate logistic regression was performed for variables with a p-value ˂ 0.05 in the univariate analysis with SPSS version 25.0. Results: In total, vaccination was complete in 69.1% of children and incomplete in 30.9%. Multivariate logistic regression showed that health area OR=2.457; 95% [1.036-5.824], distance between mothers' residence and vaccination site OR= 4.151; 95% CI [1.408-12.239], waiting time OR= 2.561; 95% CI [1.401-4.683], missed opportunities OR=0.546; 95% CI [0.315-0.947], postponed vaccination date OR=0.431; 95% CI [0.246-0.755], were significantly associated with vaccination status. Conclusion: The monthly implementation of the advanced strategy in the health areas of Farakala and Kapala will serve to improve the immunization status of children.