Determinants of pneumococcal conjugate vaccine uptake among children attending immunisation services at Kenyatta National Hospital, Nairobi, Kenya

Abstract

Objective: To establish the determinants of pneumococcal conjugate vaccine uptake among children  brought to Kenyatta National Hospital.

Design: A cross-sectional hospital-based quantitative and qualitative study

Setting: Kenyatta National hospital which is the largest teaching and referral hospital in East and Central Africa situated in Nairobi, Kenya.

Subjects: The respondents were the parents/guardians of children less than two years of age attending immunisation services at KNH and those admitted in the peadiatric wards with pneumonia.

Results: The study established that the determinants of uptake of Pneumococcal Conjugate Vaccine are age(OR 5.8, CI 1.4-23.4, p=0.014), level of education (OR 5.8, CI 1.5-22.4, p=0.01), parity (OR 0.2, CI 0.1-0.7, p=0.017), occupation (OR 6.5, CI 1.5-27.6, p=0.011), family income (OR 8.8, CI 1.4-55.6, p=0.001), knowledge (OR 6.5, CI 1.1-15.2, p=0.011) and attitude (OR 6.3, CI 1.9-26.8, p=0.001).

Conclusion: The study concluded that factors of the caregivers/parents that are statistically significant to the uptake of Pneumococcal Conjugate Vaccine uptake are Income, parity, education leve, age and occupation. Also a friendly attitude from health personnel was shown to motivate parents/guardians’ adherence to vaccination schedules.