Some factors associated with non-acceptance of measles immunization in Chikwawa District: A population with high measles immunization coverage

Abstract

Data from a child health survey in Chikwawa District was used to investigate characteristics of non-acceptance of measles immunization. 9.3% of the children with vaccination cards had not been vaccinated. Distance to a static health centre and failure to attend a growth monitoring clinic were predictors of lack of immunizaiion. There were fewer missed opportunities during mobile clinics compared to static clinics. The high cost of mobile clinics does not make expansion of this method attractive. Strengthening educational efforts at the community level regarding measles immunization may be a more reasonable method for improving measles coverage.