Predictors of uptake of newly introduced vaccines in Malawi - monovalent human rotavirus and pneumococcal conjugate vaccines: Evidence from the 2015-16 Malawi demographic and health survey

J Trop Pediatr. 2019 Jun 1;65(3):287-296. doi: 10.1093/tropej/fmy050.

Abstract

Objectives: The purpose of this study was to examine the uptake and predictors of monovalent human rotavirus and pneumococcal conjugate vaccines among children of age 12-35 months in Malawi.

Methods: This study used cross-sectional data obtained from the 2015-16 Malawi Demographic and Health Survey. Multivariate logistic regression was used to identify the factors related to uptake of pneumococcal and rotavirus vaccination.

Results: The uptake of rotavirus and pneumococcal vaccines was 90.96% and 88.84%, respectively. The multivariate logistic results showed that children whose mothers had no formal education, who did not attend postnatal care for the baby within 2 months and had no vaccination card or had lost it were less likely to achieve vaccination uptake. Furthermore, children from northern region had increased odds of achieving vaccination uptake.

Conclusions: Strategies aimed at increasing further uptake of rotavirus and pneumococcal vaccines should target uneducation women to improve health knowledge on vaccination.

Keywords: Malawi; Monovalent human rotavirus vaccine; morbidity and mortality; pneumococcal conjugate vaccine.

MeSH terms

  • Adolescent
  • Adult
  • Child, Preschool
  • Cross-Sectional Studies
  • Demography
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Surveys
  • Humans
  • Immunization Programs
  • Infant
  • Infant, Newborn
  • Malawi
  • Male
  • Middle Aged
  • Pneumococcal Infections / prevention & control*
  • Pneumococcal Vaccines / administration & dosage*
  • Pneumococcal Vaccines / immunology
  • Rotavirus / immunology
  • Rotavirus Infections / prevention & control*
  • Rotavirus Vaccines / administration & dosage*
  • Rotavirus Vaccines / immunology
  • Socioeconomic Factors
  • Streptococcus pneumoniae / immunology
  • Vaccination / statistics & numerical data*
  • Vaccination Coverage
  • Vaccines, Conjugate
  • Young Adult

Substances

  • Pneumococcal Vaccines
  • Rotavirus Vaccines
  • Vaccines, Conjugate