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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 eng
dc.contributor.author Tylleskär, Thorkild eng
dc.contributor.author Tumwine, James K. eng
dc.contributor.author Sommerfelt, Halvor eng
dc.contributor.author PROMISE-EBF Study group eng
dc.date.accessioned 2011-04-07T09:30:17Z
dc.date.available 2011-04-07T09:30:17Z
dc.date.issued 2010-12-15 eng
dc.identifier.issn 1471-2431 eng
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 eng
dc.publisher BioMed Central eng
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> eng
dc.rights Attribution CC BY eng
dc.rights.uri http://creativecommons.org/licenses/by/2.0 eng
dc.title Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study eng
dc.type Journal article eng
dc.rights.holder Copyright 2010 Nankabirwa et al; licensee BioMed Central Ltd.
dc.rights.holder Nankabirwa et al. eng
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.journalTitle BMC Pediatrics eng
bibo.volume 10 eng
bora.cristinID 532045 eng
bibo.number 92 eng
bibo.doi http://dx.doi.org/10.1186/1471-2431-10-92 eng
dc.identifier.cristinID 532045 eng
dc.identifier.doi http://dx.doi.org/10.1186/1471-2431-10-92
dcterms.isPartOf http://hdl.handle.net/1956/5157


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