Determinants of low uptake of second dose of measles rubella vaccine among under two children in southern Malawi
| dc.contributor.author | Minyaliwa, Fred | |
| dc.date.accessioned | 2021-12-21T11:57:00Z | |
| dc.date.available | 2021-12-21T11:57:00Z | |
| dc.date.issued | 2021-10-08 | |
| dc.description.abstract | The government of Malawi through the expanded programme in immunization introduced the second dose measles containing vaccine (MCV) into the routine immunization schedule in 2015. In 2017, Malawi government introduced the integrated measles and rubella containing vaccine (MRCV). Measles-rubella vaccine is a two-dose vaccine which is administered at 9 months (1st dose) and 15 months (2nd dose). Immunization uptake of measles rubella second dose vaccine is very low in Malawi. There is a need to get to the root causes of this trend since partial immunization poses a health threat to the children. Study Design and Setting The research will be an analytical cross-sectional study design which will purposively focus on catchment areas of 5 health centres, one from each zone. Birth cohort of children born between 1st October 2016 and 30th April 2018 shall be the target population. Eligible children shall be sampled and visited to establish vaccine completion status and explore associated factors from care givers. A “care giver” shall be any individual responsible for everyday welfare of every child including vaccination compliance. The study shall be conducted in the southern region of Malawi in a district called Nsanje. Study Objectives The study will assess proportion of children who completes two doses and will also explore factors associated with the completion trend. The study will focus on both service-user and service-provider related factors. Rationally Since its introduction in Nsanje district on 1st July 2017, immunization coverage of measles rubella first dose has been above 90% which is above the national target of 80% and above World Health Organization target of 85%. On the other hand, completion of second dose of this vaccine is a problem. Administrative data for Nsanje district suggests that immunization coverage for the second dose is below 40% despite that it has been more than 3 years post introduction of measles rubella vaccine in the district. The study which will establish completeness status of two doses of measles rubella vaccine and explore associated contributory factors for the situation. | en_US |
| dc.description.sponsorship | Self Sponsored | en_US |
| dc.identifier.uri | http://rscarchive.kuhes.ac.mw/handle/20.500.12988/719 | |
| dc.language.iso | en | en_US |
| dc.publisher | Kamuzu University of Health Sciences | en_US |
| dc.relation.ispartofseries | P.09/20/3124; | |
| dc.subject | Measles Rubella Vaccine | en_US |
| dc.title | Determinants of low uptake of second dose of measles rubella vaccine among under two children in southern Malawi | en_US |
| dc.type | Plan or blueprint | en_US |