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Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study

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dc.contributor.author Nankabirwa, Victoria
dc.contributor.author Tylleskär, Thorkild
dc.contributor.author Tumwine, James K.
dc.contributor.author Sommerfelt, Halvor
dc.contributor.author Promise-ebf Study Group
dc.date.accessioned 2011-04-07T09:30:17Z
dc.date.available 2011-04-07T09:30:17Z
dc.date.issued 2010-12-15
dc.identifier.citation BMC Pediatrics 10:92 en_US
dc.identifier.issn 1471-2431
dc.identifier.uri http://dx.doi.org/10.1186/1471-2431-10-92
dc.identifier.uri http://hdl.handle.net/1956/4630
dc.description.abstract <p>Background: Despite provision of free childhood vaccinations, less than half of all Ugandan infants are fully vaccinated. This study compares women with some secondary schooling to those with only primary schooling with regard to their infants' vaccination status.</p> <p>Methods: A community-based prospective cohort study conducted between January 2006 and May 2008 in which 696 pregnant women were followed up to 24 weeks post partum. Information was collected on the mothers' education and vaccination status of the infants.</p> <p>Results: At 24 weeks, the following vaccinations had been received: bacille Calmette-Guérin (BCG): 92%; polio-1: 91%; Diphteria-Pertussis-Tetanus-Hepatitis B-Haemophilus Influenza b (DPT-HB-Hib) 3 and polio-3: 63%. About 51% of the infants were fully vaccinated (i.e., had received all the scheduled vaccinations: BCG, polio 0, polio 1, DPT-HB-Hib1, polio 2, DPT-HB-Hib 2, polio 3 and DPT-HB-Hib 3). Only 46% of the infants whose mothers' had 5-7 years of primary education had been fully vaccinated compared to 65% of the infants whose mothers' had some secondary education. Infants whose mothers had some secondary education were less likely to miss the DPT-HB-Hib-2 vaccine (RR: 0.5, 95% CI: 0.3, 0.8), Polio-2 (RR: 0.4, 95%CI: 0.3, 0.7), polio-3 (RR: 0.5, 95%CI: 0.4, 0.7) and DPT-HB-Hib-3 (RR: 0.5, 95%CI: 0.4, 0.7). Other factors showing some association with a reduced risk of missed vaccinations were delivery at a health facility (RR = 0.8; 95%CI: 0.7, 1.0) and use of a mosquito net (RR: 0.8; 95%CI: 0.7, 1.0).</p> <p>Conclusion: Infants whose mothers had a secondary education were at least 50% less likely to miss scheduled vaccinations compared to those whose mothers only had primary education. Strategies for childhood vaccinations should specifically target women with low formal education.</p> en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en
dc.relation.ispartof <a href="http://hdl.handle.net/1956/5157" target="blank">Child health in a Ugandan cohort: Studies on survival, vaccination and malaria</a> en
dc.rights Copyright 2010 Nankabirwa et al; licensee BioMed Central Ltd. en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.title Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study en_US
dc.type Journal article en_US
dc.type Peer reviewed en_US
dc.rightsHolder Nankabirwa et al. en_US
dc.type.version publishedVersion en_US
bora.cristinID 532045
bora.cristinID 532045


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Copyright 2010 Nankabirwa et al; licensee BioMed Central Ltd. Except where otherwise noted, this item's license is described as Copyright 2010 Nankabirwa et al; licensee BioMed Central Ltd.

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