Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry
Abstract In spite of the commendable global Pneumococcal Conjugate Vaccine (PCV) coverage in the last two decades, completion and timeliness of receipt of all the required doses are still below target. In Uganda, the 3 + 0 PCV regimen has been reported to have a steady decline in the completion rate...
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2025-01-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-025-05388-z |
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| author | Herbert Malemo Andrew Tamale Paul Kakwangire Matthew C. Igwe Dickens R. Mwine Isa Asiimwe Solomon A. Mbina Mary G. Abalinda |
| author_facet | Herbert Malemo Andrew Tamale Paul Kakwangire Matthew C. Igwe Dickens R. Mwine Isa Asiimwe Solomon A. Mbina Mary G. Abalinda |
| author_sort | Herbert Malemo |
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| description | Abstract In spite of the commendable global Pneumococcal Conjugate Vaccine (PCV) coverage in the last two decades, completion and timeliness of receipt of all the required doses are still below target. In Uganda, the 3 + 0 PCV regimen has been reported to have a steady decline in the completion rate and the reasons for the delayed completion are unidentified. This study aimed at assessing the influence of socio-demographic factors on delayed PCV completion among young children. A cross-sectional study design among 362 child/caretakers pairs in Bugongi Town Council was employed. Using stratified sampling – Allocation Proportional to Size, data was collected using pretested questionnaires; entered and analysed using STATA v14 and significant statistical association was considered at P ≤ 0.05. Of the 362 children, majority (53.87%) were boys. Child mean age was 25.1 ± 14.3 months. 87.6% caretakers were females and majorities of them were aged 20–29yrs (47.8%), peasant farmers (79.8%), married (90.6%), attained primary education (63.5%) and earned average monthly income of UGX 10,000 – UGX 50,000 (41.4%). Of the 362 children, 92 (25.4%) had delayed to receive their PCV-3 doses. Only boy child [cOR = 1.65, (95%CI: 1.03–2.66); P = 0.039) and caretaker’s age 30–39 [cOR = 2.12 (95%CI: 1.06–4.24); P = 0.033) showed statistical significance at bivariate analysis. The multivariate model found parent’s age 20–29 years [aOR = 2.39 (1.14–5.01); P = 0.021] and 30–39 years [aOR = 2.51 (1.16–5.45); P = 0.020] as positively associated factors whereas being married [aOR = 0.20 (0.04–0.96); P = 0.044] was the only negatively associated factors to delayed completion of PCV vaccination among young children. Among children who complete the last dose of PCV vaccination, a considerable proportion are actually receiving it late which may result into eventual failure to curb the targeted pneumococcal infections. Thus, concerted efforts in terms of sensitization are un-doubtfully desired especially among caretakers aged 20–39 years as well as those who are not married. |
| format | Article |
| id | doaj-art-a167c0c082104a64bbed6b8e14854b24 |
| institution | Kabale University |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Pediatrics |
| spelling | doaj-art-a167c0c082104a64bbed6b8e14854b242025-01-19T12:39:00ZengBMCBMC Pediatrics1471-24312025-01-012511810.1186/s12887-025-05388-zDelayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiryHerbert Malemo0Andrew Tamale1Paul Kakwangire2Matthew C. Igwe3Dickens R. Mwine4Isa Asiimwe5Solomon A. Mbina6Mary G. Abalinda7Department of Public Health, School of Allied Health Sciences, Kampala International University Western CampusDepartment of Public Health, School of Allied Health Sciences, Kampala International University Western CampusDepartment of Public Health, School of Allied Health Sciences, Kampala International University Western CampusDepartment of Public Health, School of Allied Health Sciences, Kampala International University Western CampusDepartment of Public Health, Bugongi Town Council, Sheema District Local GovernmentDepartment of Public Health, School of Allied Health Sciences, Kampala International University Western CampusDepartment of Public Health, School of Allied Health Sciences, Kampala International University Western CampusDepartment of Medical Laboratory Sciences, School of Allied Health Sciences, Kampala International University Western CampusAbstract In spite of the commendable global Pneumococcal Conjugate Vaccine (PCV) coverage in the last two decades, completion and timeliness of receipt of all the required doses are still below target. In Uganda, the 3 + 0 PCV regimen has been reported to have a steady decline in the completion rate and the reasons for the delayed completion are unidentified. This study aimed at assessing the influence of socio-demographic factors on delayed PCV completion among young children. A cross-sectional study design among 362 child/caretakers pairs in Bugongi Town Council was employed. Using stratified sampling – Allocation Proportional to Size, data was collected using pretested questionnaires; entered and analysed using STATA v14 and significant statistical association was considered at P ≤ 0.05. Of the 362 children, majority (53.87%) were boys. Child mean age was 25.1 ± 14.3 months. 87.6% caretakers were females and majorities of them were aged 20–29yrs (47.8%), peasant farmers (79.8%), married (90.6%), attained primary education (63.5%) and earned average monthly income of UGX 10,000 – UGX 50,000 (41.4%). Of the 362 children, 92 (25.4%) had delayed to receive their PCV-3 doses. Only boy child [cOR = 1.65, (95%CI: 1.03–2.66); P = 0.039) and caretaker’s age 30–39 [cOR = 2.12 (95%CI: 1.06–4.24); P = 0.033) showed statistical significance at bivariate analysis. The multivariate model found parent’s age 20–29 years [aOR = 2.39 (1.14–5.01); P = 0.021] and 30–39 years [aOR = 2.51 (1.16–5.45); P = 0.020] as positively associated factors whereas being married [aOR = 0.20 (0.04–0.96); P = 0.044] was the only negatively associated factors to delayed completion of PCV vaccination among young children. Among children who complete the last dose of PCV vaccination, a considerable proportion are actually receiving it late which may result into eventual failure to curb the targeted pneumococcal infections. Thus, concerted efforts in terms of sensitization are un-doubtfully desired especially among caretakers aged 20–39 years as well as those who are not married.https://doi.org/10.1186/s12887-025-05388-zPCV-3Delayed completionSocio-demographic factorsYoung childrenWestern Uganda |
| spellingShingle | Herbert Malemo Andrew Tamale Paul Kakwangire Matthew C. Igwe Dickens R. Mwine Isa Asiimwe Solomon A. Mbina Mary G. Abalinda Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry BMC Pediatrics PCV-3 Delayed completion Socio-demographic factors Young children Western Uganda |
| title | Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry |
| title_full | Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry |
| title_fullStr | Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry |
| title_full_unstemmed | Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry |
| title_short | Delayed completion of pneumococcal conjugate vaccination among children 4–48 months in rural Uganda: a socio-demographic inquiry |
| title_sort | delayed completion of pneumococcal conjugate vaccination among children 4 48 months in rural uganda a socio demographic inquiry |
| topic | PCV-3 Delayed completion Socio-demographic factors Young children Western Uganda |
| url | https://doi.org/10.1186/s12887-025-05388-z |
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