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
Volume 4, Issue 4, August 2018, Pages: 112-118
Received: Mar. 1, 2018; Accepted: Mar. 27, 2018; Published: Sep. 5, 2018
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Authors
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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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.
Keywords
Vaccine Completeness, Expanded Program of Vaccination, Determinants, Implementation, Financing Based on the Performance
To cite this article
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, Central African Journal of Public Health. Vol. 4, No. 4, 2018, pp. 112-118. doi: 10.11648/j.cajph.20180404.13
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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