Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District

Ka’aba Mongo Charles Josias; Bassong Mankollo Olga Yvonne; Assam Assam Jean Paul

doi:doi:10.11648/j.cajph.20180404.13

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Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District

Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul

Published in Central African Journal of Public Health (Volume 4, Issue 4)

Received: 1 March 2018 Accepted: 27 March 2018 Published: 5 September 2018

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Abstract

The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage.

Published in	Central African Journal of Public Health (Volume 4, Issue 4)
DOI	10.11648/j.cajph.20180404.13
Page(s)	112-118
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Vaccine Completeness, Expanded Program of Vaccination, Determinants, Implementation, Financing Based on the Performance

References

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[3]	Meissen, B., Soucat, A., Sekabaraga, C. (2011). Performance-Based Financing: Just a DonorFad or a Catalyst Towards Comprehensive Health-Care Reform? Bulletin de l’Organisationmondiale de la Santé 89, 53–56.
[4]	Meessen, B., Musango, L., Kashala, J.-P., Lemlin, J. (2006). Reviewing Institutions of Rural Health Centres: The Performance Initiative in Butare, Rwanda », Tropical Medicineand International Health 11, 13–17.
[5]	Rusa, L., Ngirabega, J.-D., Janssen, W., Van Bastelaere, Porignon, D. and Vandenbulcke, W. (2009). Performance-based financing for better quality of services in Rwandan health centres: 3-year experience. Tropical Medicine and International Health.
[6]	Ministère de la santé publique: STRATEGIE SECTORIELLE DE SANTE 2001 – 2015 au Cameroun.
[7]	Mumssen, Y., L. Johannes, L., Kumar, G. (2010). Output-Based Aid: Lessons Learned and Best Practices, Washington, DC: Banquemondiale.
[8]	Institut National de la Statistique (INS) et ICF. International (2012) Enquête Démographique et de Santé et à Indicateurs Multiples du Cameroun 2011. Calverton, Maryland, USA: INS et ICF International.
[9]	Gilmore, M. E. (2013). Effectiveness of community health workers delivering preventive interventions for maternal and child health in low- and middle-income countries: a systematic review. BMC Public Health, p. 13.
[10]	Baonga Ba Pouth, S. F., Kazambu, D., DieulaDelissaint, Kobela, M. (2014) Couverture vaccinale et facteurs associés à la non complétude vaccinale des enfants de 12 à 23 mois du district de santé de Djoungolo-Cameroun en 2012. Pan AficanMedical Journal.
[11]	Bonono, R. C., Ongolo-Zogo P. (2012). Optimiser l’utilisation de la consultation prénatale au Cameroun. Centre pour le Développement des Bonnes Pratiques en Santé – Hôpital Central. Yaoundé, Cameroun.
[12]	Guthmann, J-P., Chauvin, P., Le Strat, Y., Soler, M., Fonteneau, L., Lévy-Bruhl, D. (2013). Déterminants socio-économiques des vaccinations BCG et pneumocoque chez les enfants de la région parisienne, Résultats de l’enquête VACSIRS, 2010. Saint-Maurice: Institut de veille sanitaire. http://www.invs.sante.fr.
[13]	Fournier, P., Potvin, L. (1995). Participation communautaire et programmes de santé: les fondements du dogme. Sciences sociales et santé. Volume 13, n°2. 39-59.
[14]	Document de recherche de politique 6364, Banque mondiale, Washington, DC (2013).
[15]	Brahima, A. D. (2013). Déterminants socio-culturels de l’accès et l’utilisation des services de santé maternelle et néonatale au Mali: Cas de la Commune I du district de Bamako. Programme AFD-Sahel, rapport pays MALI AFRIKCONSULTING.
[16]	Cissé, B. (2006). Evaluation de l’apport des relais communautaires sur l’amélioration de la couverture vaccinale dans le district de Banamba au Mali (2001 - 2005).
[17]	Mba, R. M., Ongolo-Zogo, P. (2011). Améliorer la gouvernance pour la viabilisation du district de santé au Cameroun. CDBPS.

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Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul. (2018). Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Central African Journal of Public Health, 4(4), 112-118. https://doi.org/10.11648/j.cajph.20180404.13

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ACS Style

Ka’aba Mongo Charles Josias; Bassong Mankollo Olga Yvonne; Assam Assam Jean Paul. Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Cent. Afr. J. Public Health 2018, 4(4), 112-118. doi: 10.11648/j.cajph.20180404.13

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AMA Style

Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul. Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Cent Afr J Public Health. 2018;4(4):112-118. doi: 10.11648/j.cajph.20180404.13

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@article{10.11648/j.cajph.20180404.13,
  author = {Ka’aba Mongo Charles Josias and Bassong Mankollo Olga Yvonne and Assam Assam Jean Paul},
  title = {Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {4},
  pages = {112-118},
  doi = {10.11648/j.cajph.20180404.13},
  url = {https://doi.org/10.11648/j.cajph.20180404.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180404.13},
  abstract = {The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage.},
 year = {2018}
}

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TY - JOUR
T1 - Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District
AU - Ka’aba Mongo Charles Josias
AU - Bassong Mankollo Olga Yvonne
AU - Assam Assam Jean Paul
Y1 - 2018/09/05
PY - 2018
N1 - https://doi.org/10.11648/j.cajph.20180404.13
DO - 10.11648/j.cajph.20180404.13
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 112
EP - 118
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20180404.13
AB - The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage.
VL - 4
IS - 4
ER -

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Author Information

Ka’aba Mongo Charles Josias

Department of Public Health, School of Health Science, Catholic University of Central Africa, Yaoundé, Cameroon
Bassong Mankollo Olga Yvonne

Department of Public Health, School of Health Science, Catholic University of Central Africa, Yaoundé, Cameroon
Assam Assam Jean Paul

Department of Public Health, School of Health Science, Catholic University of Central Africa, Yaoundé, Cameroon; Department of Biochemistry, Faculty of Sciences, University of Douala, Douala, Cameroon

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APA Style

Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul. (2018). Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Central African Journal of Public Health, 4(4), 112-118. https://doi.org/10.11648/j.cajph.20180404.13

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ACS Style

Ka’aba Mongo Charles Josias; Bassong Mankollo Olga Yvonne; Assam Assam Jean Paul. Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Cent. Afr. J. Public Health 2018, 4(4), 112-118. doi: 10.11648/j.cajph.20180404.13

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AMA Style

Ka’aba Mongo Charles Josias, Bassong Mankollo Olga Yvonne, Assam Assam Jean Paul. Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District. Cent Afr J Public Health. 2018;4(4):112-118. doi: 10.11648/j.cajph.20180404.13

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@article{10.11648/j.cajph.20180404.13,
  author = {Ka’aba Mongo Charles Josias and Bassong Mankollo Olga Yvonne and Assam Assam Jean Paul},
  title = {Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {4},
  pages = {112-118},
  doi = {10.11648/j.cajph.20180404.13},
  url = {https://doi.org/10.11648/j.cajph.20180404.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180404.13},
  abstract = {The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage.},
 year = {2018}
}

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