FACTORS ASSOCIATED WITH VACCINATION COVERAGE AMONG CHILDREN UNDER FIVE YEARS IN ABLEKUMA SOUTH MUNICIPALITY OF GHANA

TABLE OF CONTENTDECLARATIONACKNOWLEDGEMENTSDEDICATIONList of FiguresList of TablesList of Abbreviations and AcronymABSTRACTCHAPTER ONEINTRODUCTION1.0 Background to the Study1.1 Problem Statement1.2 Justification of the Study1.3.0 The objective of the study1.3.1 Main objective1.3.2 Specific objectives1.4 Significance of the StudyCHAPTER TWOLITERATURE REVIEW2.0 Introduction2.1 Demographic and Socioeconomic Factors on Vaccination Coverage2.2 Health Service Factors and Vaccination … See more

TABLE OF CONTENTDECLARATIONACKNOWLEDGEMENTSDEDICATIONList of FiguresList of TablesList of Abbreviations and AcronymABSTRACTCHAPTER ONEINTRODUCTION1.0 Background to the Study1.1 Problem Statement1.2 Justification of the Study1.3.0 The objective of the study1.3.1 Main objective1.3.2 Specific objectives1.4 Significance of the StudyCHAPTER TWOLITERATURE REVIEW2.0 Introduction2.1 Demographic and Socioeconomic Factors on Vaccination Coverage2.2 Health Service Factors and Vaccination Coverage.2.3 Accessibility to Vaccination Centers for Service and Vaccination Coverages2.4 Mothers Knowledge on Immunization2.5 Trends of Childhood Vaccination2.6 Maternal Age as a Determinate of Childhood Vaccination2.7 Maternal Educational Level as a Determinate of Childhood Vaccination2.8 Wealth Status as a Determinant of Childhood Vaccination2.9 Region as a Determinant of Childhood Vaccination2.10 Place of Residence as a Determinate of Childhood Vaccination2.11 Mother’s Occupation as a Determinate of Childhood Vaccination2.12 Ethnicity as a Determinate of Childhood Vaccination2.13 Parity as a Determinate of Childhood Vaccination2.14 Religion as a Determinant of Childhood Vaccination2.15 Health Care Services Utilisation Model2.4 Theoretical Literature2.5 Empirical Literature2.6 SummaryCHAPTER THREERESEARCH METHODOLOGY3.0 Background of the Study Area3.1 Study Design and Type3.2 Study Population3.2.1. Inclusion Criteria3.2.2. Exclusion Criteria3.3 Sampling Technique and procedure3.3.1 Sample Size Calculation3.4 Study Variables3.5 Data Collection Tool and Technique3.6 Data Analysis3.7 Limitation of the Study3.8 Ethical Issues3.8.1 Confidentiality3.8.2 Risks3.8.3 CompensationREFERENCESQUESTIONNAIRE ABSTRACTBackground: Childhood immunization is one of the most successful public health interventions worldwide. It has contributed enormously to public health including the eradication of smallpox and near eradication of poliomyelitis. High immunisation coverage is vital in the control, elimination, and eradication of vaccine-preventable diseases which accounts for many childhood morbidities and mortalities worldwide. Objective: This study therefore seeks to determine the vaccination coverages and its associated factors among the under five years of age in the Ablekuma Sub-metro in Accra Metropolis of Greater Accra Region of Ghana. Method: A community-based descriptive cross-sectional study involving the use of a questionnaire to interview mothers or caregivers with children less than 5years of age. Cluster and simple random sampling method was employed to select a sample of 402 mothers and descriptive statistics such as frequency tables, percentages tables and Charts were used for result presentation. Outcome: 61.4% (247) of the study participants has either incomplete or no vaccination status while the remaining 38.6% have complete vaccination status. However half of the incomplete vaccination status was not due but 9% missed opportunity entirely, 16.2 % of the children’s mother was not available due to work or travelled and 8.5% also has no apparent reason for not completing their child’s vaccination schedule. 29.6% (119) of the participant’s children has ever been denied of vaccination of which 96% of this denial was attributed to no vaccines and or logistics available. Again 69.4% of the study participant has average knowledge about vaccination with 30.6 % having inadequate knowledge on vaccination. Only 13.4% of mothers indicated their vaccination centre is far from them. or no is affected by social and demographic factors of parents. Knowledge on vaccination and employment status has a substantial influence on whether or not he or she gets completely vaccinated. Health-related factors such as vaccines and logistical availability and waiting period are all barriers to full vaccination coverage. Conclusion: Different factors were found to influence under-five childhood vaccination coverage in Ablekuma South Municipality. Commonly among them were vaccines and logistics availability and knowledge on vaccination. Focusing on these contributing factors by the appropriate Authorities can improve vaccination coverage among Under five years in the Municipality. Keywords: Vaccination, immunisation, child welfare clinic, vaccines, antigens. Vaccine -preventable diseases.

See less