Factors Influencing Child Immunization in Ishaka Town Council Bushenyi District Uganda

CONTENTS

DECLARATION............................................................................................................................ i

APPROVAL .................................................................................................................................. ii

DEDICATION..............................................................................................................................iii

ACKNOWLEDGEMENT........................................................................................................... iv

LIST OF TABLES ..................................................................................................................... viii

LIST OF ACRONYMS ............................................................................................................... ix

ABSTRACT................................................................................................................................... x

CHARPTER ONE ........................................................................................................................ 1

1.0 Introduction......................................................................................................................... 1

1.1 Background to the study..................................................................................................... 1

1.2 Statement of the problem ................................................................................................... 3

1.3 Objectives of the study........................................................................................................ 4

1.3.1 General objective.............................................................................................................. 4

1.3.2 Specific objectives............................................................................................................. 4

1.4 Study questions.................................................................................................................... 4

1.5 Scope of the study................................................................................................................ 4

1.5.1 Geographical scope .......................................................................................................... 4

1.5.2 Content scope.................................................................................................................... 4

1.5.3 Time scope......................................................................................................................... 4

1.6 Justification of the study..................................................................................................... 5

1.7 Conceptual frame work.......................................................................................................... 6

CHAPTER TWO .......................................................................................................................... 7

LITERATURE REVIEW......................................................................................................... 7

2.0 Introduction......................................................................................................................... 7

vi

2.2Child Immunization level .................................................................................................... 7

2.3 Factors influencing child immunization............................................................................ 9

CHAPTER THREE.................................................................................................................... 12

STUDY METHODOLOGY ................................................................................................... 12

3.0 Introduction....................................................................................................................... 12

3.1 Research design ................................................................................................................. 12

3.2 Study population ............................................................................................................... 12

3.3 Sample size determination................................................................................................ 12

3.4 Sampling procedure .......................................................................................................... 13

3.5 Inclusion and Exclusion criteria ...................................................................................... 13

3.5.1 Inclusion criteria ............................................................................................................ 13

3.5.2 Exclusion criteria............................................................................................................ 13

3.6 Data collection ................................................................................................................... 13

3.7 Data analysis...................................................................................................................... 14

3.8 Quality Control.................................................................................................................. 14

3.9 Limitations and delimitations of the study ..................................................................... 14

3.10 Procedures and Ethical considerations......................................................................... 14

CHAPTER FOUR....................................................................................................................... 16

STUDY FINDINGS AND INTERPRETATIONS ................................................................... 16

4.0 Introduction....................................................................................................................... 16

4.1 Socio-demographics .......................................................................................................... 16

4.2 Level of child immunization by the age of 12 months.................................................... 18

4.3 Factors influencing child immunization by the age of 12 months ................................ 18

CHAPTER FIVE ........................................................................................................................ 24

DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS ..................................... 24

5.0 Introduction....................................................................................................................... 24

5.1 Discussion........................................................................................................................... 24

5.2 Conclusion.......................................................................................................................... 27

vii

5.3 Recommendation............................................................................................................... 28

REFERENCES............................................................................................................................ 29

APPENDICES............................................................................................................................. 31

APPENDIX I: INFORMED CONSENT FORM.................................................................. 31

APPENDIX II: SEMI-STRUCTURED QUESTIONAIRE................................................. 32

APPENDIX III: MAP OF BUSHENYI................................................................................. 38

APPENDIX IV: MAP OF UGANDA ................................................................................... 39

ABSTRACT Introduction Complete child immunization by the age of 12 months in Western Uganda are far below the targeted average percentage of 80%. Withstanding the above, the factors influencing child immunization are still unknown Objective To ascertain factors influencing child immunization in Ishaka Town Council, Bushenyi district. Methodology A descriptive, cross-sectional research design was conducted to describe the child immunization level by the age of 12 months. Results A total of 135 caregivers of children aged between 12-18 months were interviewed for the survey. The majority 101 (75%) were between the age of 20 and 34, 32 (24%) were 35 years and above and the remaining 2 (1%) were less than the age of 20 years with mean age of 29.8±5.9 (Table.1). The immediate caregivers of the children were mothers (94.5%), fathers (1.9%) and other family members (3.6%). Conclusion There is low Vaccination coverage among children aged 12-18 months in Ishaka town compared to national and global target. The study showed factors that are significantly associated with vaccination incompletion among children age 12-18 months were knowledge about benefit of vaccinating child and age to complete vaccination, Area of advice, ANC follow up and institutional delivery. Recommendation The health office and health facilities in town should work on reasons provided by the caregivers for vaccination incompletion such as Strengthen vaccine stock management at health facilities in town to avoid shortage of vaccines that may lead to incomplete vaccination