dc.contributor.author | Kamau, S M | |
dc.date.accessioned | 2013-05-23T08:22:25Z | |
dc.date.available | 2013-05-23T08:22:25Z | |
dc.date.issued | 2008 | |
dc.identifier.citation | Masters of Public health | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24678 | |
dc.description.abstract | Over 100 million children are immunized annually saving 3 million young lives a year, but
1.7 million unreached children still die each year due to the six immunizable diseases
namely: Poliomyelitis, Tetanus, Diphtheria, Whooping cough, Tuberculosis, and measles.
Since mid 90,s there has been a gradual decline in the immunization coverage in developing
countries due to multiple factors. In response to this, African countries started immunization
schedules for children. No study has been done to determine factors that affect immunization
coverage in a refugee setting.
The study assessed immunization coverage and factors that determine immunization
coverage in Kakuma Refugee Camp. A descriptive study was designed and the target
populations were children aged 11-23 months, the mothers/guardians of those children and
health workers. A total of 210 children were selected using standard EPI cluster survey
methodology. Standard structured questionnaires were used to collect information. Chi test
of significant and logistic regression analysis were applied to relate the factors and determine
•
the effect of variables.
The study revealed that the immunization coverage was 76.2% which is higher than the
national coverage of 51.5% and that of host community Turkana which is about 12%. About
63% of the mothers/guardians had inadequate knowledge .. and 22.7% had irrational attitude
on immunization. However, religion and education of the mothers/guardians had statistical
significance on immunization status of the child. The knowledge on EPI was low among the health workers with 78% having inadequate knowledge on immunization. The attitude (58%)
and practices (58%) of the health workers were rational. There was statistical significance on
the practice and the year of service of the health workers.
The coverage was impressive but effort should be increased to raise the coverage to the
global target. The study recommended that health education awareness campaigns should be
conducted in the camp and in the host community and that regular refresher trainings should
be conducted for the health workers who should be involved in the churches and mosques to
deliver health education on immunization to congregation by involving the leaders | en |
dc.description.sponsorship | University of Nairobi | en |
dc.language.iso | en | en |
dc.title | Determinants of immunization coverage among children aged 11-23 months in a refugee camp: a case of kakuma refugee camp | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |