Health system and caregiver related factors influencing measles vaccination Uptake
1
School of Public Health, Boitekanelo College, Tlokweng, Botswana
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
BACKGROUND:
Measles remain a significant public health concern, especially in Botswana, where sporadic and silent epidemics continue to challenge existing control measures. This study aimed to determine the health system and caregivers related factors influencing measles vaccine uptake.
METHODS:
A cross-sectional study was conducted between September and October 2024 in Chadibe village. Facility registers were used to extract 201 under-five children data with a follow up caregivers questionnaire used to capture information on sociodemographic variables and health system related factors. Statistical analysis involved frequencies, bivariate and multivariate logistic regression.
RESULTS:
Our study revealed that 82.6% of children received first dose of measles vaccine, while 50.2% received the second dose. The key determinants related to two doses of measles vaccination included; Caregivers aged 18–25 years (OR: 4.42; 95 % C.I: 1.22-16.00, P=0.023), 26-30 years (OR: 1.71; 95 % C.I: 0.59-4.94) and 31-35 years of age (OR: 2.74; 95% C.I: 1.026-7.36) were more likely to get their children immunized. Care givers who walked to the health facility (OR: 2.28;95% CI:0.86-6.00), used public transport (OR:1.94; 95% CI 0.74-5.06) found vaccine to be always available (OR 12.8;95%CI: 2.24-73.92, P 0.004) sometimes available (OR 7.09;95% CI: 1.45-34.60, P0.01) were associated with the likelihood to have their children fully vaccinated. On multivariate analysis, caregivers who completed senior secondary education (AOR: 6.59; 95 % CI: 1.02-7.36, P=0.01), working full time (AOR = 1.77, 95% CI: 0.64-4.92) travelled less than 5km to the health facility (AOR: 3.47;95% CI: 1.49-8.10, P= 0.004), received fairly good quality of service (AOR:2.20; 95% CI: 1.02-4.73, P= 0.043) had measles vaccine information (AOR = 3.97, CI= 1.455-10.85,P=0.007) were also more likely to immunize their children.
CONCLUSIONS:
This study provides valuable insights into the epidemiology of the Measles vaccination highlighting the urgency of raising awareness about vaccine importance and strengthening routine immunization programs
Measles remain a significant public health concern, especially in Botswana, where sporadic and silent epidemics continue to challenge existing control measures. This study aimed to determine the health system and caregivers related factors influencing measles vaccine uptake.
METHODS:
A cross-sectional study was conducted between September and October 2024 in Chadibe village. Facility registers were used to extract 201 under-five children data with a follow up caregivers questionnaire used to capture information on sociodemographic variables and health system related factors. Statistical analysis involved frequencies, bivariate and multivariate logistic regression.
RESULTS:
Our study revealed that 82.6% of children received first dose of measles vaccine, while 50.2% received the second dose. The key determinants related to two doses of measles vaccination included; Caregivers aged 18–25 years (OR: 4.42; 95 % C.I: 1.22-16.00, P=0.023), 26-30 years (OR: 1.71; 95 % C.I: 0.59-4.94) and 31-35 years of age (OR: 2.74; 95% C.I: 1.026-7.36) were more likely to get their children immunized. Care givers who walked to the health facility (OR: 2.28;95% CI:0.86-6.00), used public transport (OR:1.94; 95% CI 0.74-5.06) found vaccine to be always available (OR 12.8;95%CI: 2.24-73.92, P 0.004) sometimes available (OR 7.09;95% CI: 1.45-34.60, P0.01) were associated with the likelihood to have their children fully vaccinated. On multivariate analysis, caregivers who completed senior secondary education (AOR: 6.59; 95 % CI: 1.02-7.36, P=0.01), working full time (AOR = 1.77, 95% CI: 0.64-4.92) travelled less than 5km to the health facility (AOR: 3.47;95% CI: 1.49-8.10, P= 0.004), received fairly good quality of service (AOR:2.20; 95% CI: 1.02-4.73, P= 0.043) had measles vaccine information (AOR = 3.97, CI= 1.455-10.85,P=0.007) were also more likely to immunize their children.
CONCLUSIONS:
This study provides valuable insights into the epidemiology of the Measles vaccination highlighting the urgency of raising awareness about vaccine importance and strengthening routine immunization programs
| eISSN: | 2654-1459 |
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