Socio-Demographic and Economic Predictors Influencing Immunization Coverage among Under-5 Children of Nomadic Pastoralists in Garissa County, Kenya
DOI:
https://doi.org/10.47604/jhmn.3402Keywords:
Immunization, Pastoralists, ChildrenAbstract
Purpose: The purpose of the study is to determine socio-demographic and economic predictors influencing immunization coverage among under-5 children of nomadic pastoralists in selected manyattas in Garissa County, Kenya
Methodology: The study was a cross sectional study design on immunization coverage in Balambala Sub County in Garisa County. The population was selected from household residents of Manyattas in Balambala, among families who had children for immunization. The inclusion criteria was the guardians/caretakers of children aged 0-60 months in Manyattas of Balambala Sub County in Garisa County, whose parents/Caregivers gave informed consent to participate in the study. Children must have resided in Balambala Sub County for more than 6 months. Systematic sampling method was used to collect data from the sample. Data collection was done by use of questionnaires on social demographic and economic factors associated with children immunization. SPSS version 12 was used for analysis where Univariate and multivariable analysis was done to determine association between socio-demographic and economic factors and immunization among children under five years. Ethics Review committee approval no ISERC/MSc/015/2024 was obtained.
Findings: The analysis of factors associated with immunization coverage among caregivers reveals significant associations with several socio-demographic characteristics. Caregivers’ age emerged as a critical factor, with those aged 35-44 showing the highest rate of fully immunized children at 88.2%, while caregivers aged 45 and above had the lowest full immunization rate at 37.5%. Caregivers from households earning more than KSh 20,000 had the highest rate of fully immunized children (92.9%), while those earning less than KSh 10,000 had the lowest rate (65.2%).
Unique Contribution to Theory Practice and Policy: Enhance education and awareness by implementing community-based education and awareness programs to improve health literacy among caregivers, particularly focusing on the importance of completing the full immunization schedule. health education initiatives should target caregivers with no or low levels of formal education and involve community health volunteers for effective dissemination of information.
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References
Adedokun, S.T., Uthman O.A., Adekanmbi V.T., Wiysonge C.S. (2013). Incomplete childhood immunization in Nigeria: a multilevel analysis of individual and contextual factors. BMC Public Health. 2013; 17:236.
Ahmed, N. U. (2017). Thesis Masters on Vaccination Coverage and its Determinants among Pastoralists Children Aged 0 to 59 Months in Lagdera Sub-county of Garissa County, Kenya. Retrieved from http://ir.jkuat.ac.ke:8080/bitstream/handle/123456789/2812/Ahmed Unshur Msc Public Health 2017.pdf?sequence=1&isAllowed=y
Akinyemi, J. O., et al. (2023). Childhood vaccinations and associated factors in 35 sub-Saharan African countries: Secondary analysis of Demographic and Health Surveys data from 358,949 under-5 children. PLoS ONE, 18(1), e0278700. https://doi.org/10.1371/journal.pone.0278700
Donfouet, H. P. P., Agesa, G., & Mutua, M. K. (2019). Trends of inequalities in childhood immunization coverage among children aged 12–23 months in Kenya, Ghana, and Côte d’Ivoire. BMC Public Health, 19, 988. https://doi.org/10.1186/s12889-019-7309-9PMC
Gammino, V. (2016). Interdisciplinary approaches to evaluate vaccination coverage among nomadic pastoralists in northeastern Kenya for polio eradication. Int J Infect Dis. 2016; 53:12.
Hermann, P. D, Gaye, A., & Mutu, K. (2019). Trends of inequalities in childhood immunization coverage among children aged 12-23 months in Kenya, Ghana, and Côte d'Ivoire. Public Health 23;19(1):988. doi: 10.1186/s12889-019-7309-9
Kabubo-Mariara, J., Mwabu, D., & Ayako, A. (2022). Socioeconomic disparities in child malnutrition in Kenya: Trends and policy implications. PLOS Global Public Health, 2(6), e0000581. https://doi.org/10.1371/journal.pgph.0000581
Kenya Demographic Health Survey (2014). Health Survey 2014: key indicators. Nairobi: Kenya National Bureau of Statistics (KNBS).
Kiptoo, E., Ngure, R., Esilaba, M., & Kobia, G. (2015). Factors Influencing low immunization coverage among children between 12 - 23 Months in East Pokot, Baringo Country, Kenya. International Journal of vaccines and Immunization, 1(2), 00012.
Murewanhema, G., Dzinamarira, T., & Musuka, G. (2020). Barriers to childhood immunization in sub-Saharan Africa: A systematic review. BMC Public Health, 20, 1540. https://doi.org/10.1186/s12889-020-09169-4
Njeumi, F., Diallo, A., & Perry, H. (2025). Challenges and strategies for sustainable and resilient immunization systems in sub-Saharan Africa: A comprehensive scoping review. Vaccine, 43(8), 1150-1164. https://doi.org/10.1016/j.vaccine.2024.01.005
Okesanya, B. O., et al. (2024). Advancing immunization in Africa: Overcoming challenges to achieve the 2030 global immunization targets. Vaccine, 42(5), 784-795. https://doi.org/10.1016/j.Vaccine.2023.12.012
UNICEF. (2015). Expanding Immunization Coverage_Retrieved from http;//www.unicef.org/immunization/index_index coverage.htm
WH0. (2019)., Expanded programme on Immunization (EPI) factsheet 2019: Indonesia. 2019. World Health Organisation,Immunization coverage cluster survey reference manual. Geneva: WHO: Retrieved from http://apps.who.int/iris/handle/10665/69087
WHO. (2015). World health statistics 2015. Retrieved from https://www.who.int/docs/default-source/gho-documents/world-health-statistic-reports/world-health-statistics-2015.pdf
Wiysonge, C. S., Ndwandwe, D., Ryan, J., Jaca, A., Batouré, O., Anya, B. P. M., & Cooper, S. (2021). Factors influencing childhood immunisation uptake in Africa: A systematic review. BMC Public Health, 21, 1233. https://doi.org/10.1186/s12889-021-11466-5
Zemichael, T. M., Berhane, M., & Mekonnen, S. (2022). Vaccination dropout among children in sub-Saharan Africa: A systematic review and meta-analysis. BMC Public Health, 22, 2070. https://doi.org/10.1186/s12889-022-14494-x
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Copyright (c) 2025 Mohameedkhalar Rashid Adan, Dr. Dennis Gichobi Magu (PhD , Dr. Patrick Mburugu (PhD) , Dr. Mwiti Peter Kirimi PhD

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