Factors related to poor utilization of immunization among children under five years in Muramba Health Centre III, in Kisoro District

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Kampala International University, School of Health Sciences
Despite increase in global immunization coverage, many children around the world especially in developing countries still left unimmunized. In 2008, 17% of children under one five years in low- and middle-income countries die because of vaccine preventable diseases before they reach their fifth birthdays. Immunizable diseases account for 22% of under-five deaths in Nigeria and poor knowledge and attitude have been responsible for non-immunization of children. The objectives of the study were; to assess factors related to poor utilization of immunization services among children under five years. A descriptive cross sectional study was used to conduct a study from April to October, 2017 at Muramba HCIII in Kisoro district using a convenient sampling method. A total of 96 children of under five years were selected to participate in the study. Data entry and analysis was performed using SPSS version 20 software package. Majority 97.9% of the respondents had heard about immunization and vaccine preventable disease and 42% correctly mentioned the objective of immunization. The study revealed that , 57% knew less than two vaccine preventable diseases and about 46% of them said age at the child begins immunization is six weeks after birth, 48.9% of the respondents reported three sessions needed to complete immunization, and 58.3% reported nine months as age to complete immunization. Antenatal follow up, institutional delivery and knowledge of mothers about the age at which child begins and finishes the immunization are significant predictor of child immunization status. The health authorities should work to raise awareness of the community on immunization, antenatal care and institutional delivery utilization and should increase ANC follow up and institutional delivery services which in turn increase the immunization coverage among children…
A research report submitted to Uganda Nurses and Midwives Examination Board in partial fulfillment of the requirements for the award of a Diploma in Nursing Sciences
Immunization, Muramba Health Centre III, Kisoro District