Factors Associated with Japanese Encephalitis Vaccination Status during Routine Immunization among Children Aged 24-59 Months in Birendranagar Municipality, Nepal

Umesh Gautam, Aitawari Chaudhari, Mahendra Giri, Kabita Khanal, A. Jha
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Abstract

INTRODUCTION: Most authorities agree that the control of JE requires universal childhood immunization. JE (Japanese Encephalitis) vaccination in routine immunization coverage is low and fluctuating sometimes in Nepal. Therefore, this study conducted to understand the factors associated with the low coverage of JE. MATERIALS AND METHODS: A cross-sectional study design was conducted among children in routine immunization in Birendranagar Municipality of Nepal. Mix methods were applied to gather information from the respondents. Lottery method was used to select wards and respondents were selected randomly based on Proportionate to Population Size (PPS). Face to face interview was done with the help of structured questionnaire to the mother of children. Univariate and multivariate analysis were performed. RESULTS: Among 321 respondents of the study, the mean age of mothers of 15-44 years was 26.3 ± 4.4 years. It was found that, 20.9% (n=67) of mothers had heard about JE disease however only 15% (n=48) of the mothers had heard about JE vaccine. About 38.3% (n=123) of the mothers, reported that Female Community Health Volunteer (FCHV) were the major source of information. This study reported that the coverage of JE vaccine was 52.3% (n=168), and average age of receiving JE vaccine was 13±1.4 months. CONCLUSIONS: The findings of this study recommends that focused program should be conducted to increase the knowledge of mothers and FCHV and health workers should be mobilized as major source of information for vaccination.
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尼泊尔Birendranagar市24-59月龄儿童常规免疫接种期间日本脑炎疫苗接种状况的相关因素
大多数权威机构一致认为,控制乙脑需要普遍的儿童免疫接种。在尼泊尔,常规免疫接种乙脑(日本脑炎)的覆盖率很低,有时还在波动。因此,本研究旨在了解乙脑低覆盖率的相关因素。材料与方法:在尼泊尔比伦德拉纳加市常规免疫的儿童中进行了一项横断面研究设计。使用混合方法从受访者收集信息。采用摇号法选择病房,按人口比例随机抽取调查对象。采用结构化问卷对儿童母亲进行面对面访谈。进行单因素和多因素分析。结果:321名被调查者中,15 ~ 44岁的母亲平均年龄为26.3±4.4岁。结果发现,20.9% (n=67)的母亲听说过乙脑病,但只有15% (n=48)的母亲听说过乙脑疫苗。约38.3% (n=123)的母亲报告说,女性社区卫生志愿者(FCHV)是主要的信息来源。本研究报告乙脑疫苗接种率为52.3% (n=168),平均接种年龄为13±1.4个月。结论:本研究结果建议开展重点项目,提高母亲和FCHV的知识,并动员卫生工作者作为疫苗接种的主要信息来源。
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