Factors influencing childhood immunization defaulters in sabah, malaysia

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Abstract

Introduction: The purpose of this study was to determine the prevalence of defaulters of immunization, and their associated risk factors among children age 12 to 24 months. Materials and Methods: A cross-sectional study was conducted in all government's maternal child health clinics in District of Kota Kinabalu, Sabah. Data was collected using a standardised questionnaire from July to November 2006. Results: The prevalence rate for defaulting immunization was 16.8% from the 315 respondents. Bivariable analysis showed various significant factors associated with defaulters such as mother's employment status, family mobility, transportation and cost. Nonetheless, multivariable analysis showed only mother's age, mother employment status and family size were the significant predictors for defaulting immunization. Immunization that had the highest rate of defaulters was DPT-OPV booster dose (56.6%), followed by MMR immunization (43.4 %) and DPT-Hib/OPV and Hep B third dose (37.7%).Conclusion: Employed mothers with bigger family size should be more closely monitored and advised to reduce the chance of defaulting on the immunization. Health promotion activities also should focus to these groups of mothers.

Original languageEnglish
Pages (from-to)17-22
Number of pages6
JournalInternational Medical Journal Malaysia
Volume11
Issue number1
Publication statusPublished - Jun 2012

Fingerprint

Malaysia
Immunization
Mothers
Haemophilus influenzae type b
Health Promotion
Focus Groups
Cross-Sectional Studies
Costs and Cost Analysis

Keywords

  • Children
  • Defaulters
  • Immunization
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Factors influencing childhood immunization defaulters in sabah, malaysia",
abstract = "Introduction: The purpose of this study was to determine the prevalence of defaulters of immunization, and their associated risk factors among children age 12 to 24 months. Materials and Methods: A cross-sectional study was conducted in all government's maternal child health clinics in District of Kota Kinabalu, Sabah. Data was collected using a standardised questionnaire from July to November 2006. Results: The prevalence rate for defaulting immunization was 16.8{\%} from the 315 respondents. Bivariable analysis showed various significant factors associated with defaulters such as mother's employment status, family mobility, transportation and cost. Nonetheless, multivariable analysis showed only mother's age, mother employment status and family size were the significant predictors for defaulting immunization. Immunization that had the highest rate of defaulters was DPT-OPV booster dose (56.6{\%}), followed by MMR immunization (43.4 {\%}) and DPT-Hib/OPV and Hep B third dose (37.7{\%}).Conclusion: Employed mothers with bigger family size should be more closely monitored and advised to reduce the chance of defaulting on the immunization. Health promotion activities also should focus to these groups of mothers.",
keywords = "Children, Defaulters, Immunization, Risk factors",
author = "Shah, {Shamsul Azhar} and K. Nirmal and Nazarudin Safian and Hassan, {Mohd Rohaizat} and Aizuddin, {Azimatun Noor} and Rozita Hod",
year = "2012",
month = "6",
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pages = "17--22",
journal = "International Medical Journal Malaysia",
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AU - Shah, Shamsul Azhar

AU - Nirmal, K.

AU - Safian, Nazarudin

AU - Hassan, Mohd Rohaizat

AU - Aizuddin, Azimatun Noor

AU - Hod, Rozita

PY - 2012/6

Y1 - 2012/6

N2 - Introduction: The purpose of this study was to determine the prevalence of defaulters of immunization, and their associated risk factors among children age 12 to 24 months. Materials and Methods: A cross-sectional study was conducted in all government's maternal child health clinics in District of Kota Kinabalu, Sabah. Data was collected using a standardised questionnaire from July to November 2006. Results: The prevalence rate for defaulting immunization was 16.8% from the 315 respondents. Bivariable analysis showed various significant factors associated with defaulters such as mother's employment status, family mobility, transportation and cost. Nonetheless, multivariable analysis showed only mother's age, mother employment status and family size were the significant predictors for defaulting immunization. Immunization that had the highest rate of defaulters was DPT-OPV booster dose (56.6%), followed by MMR immunization (43.4 %) and DPT-Hib/OPV and Hep B third dose (37.7%).Conclusion: Employed mothers with bigger family size should be more closely monitored and advised to reduce the chance of defaulting on the immunization. Health promotion activities also should focus to these groups of mothers.

AB - Introduction: The purpose of this study was to determine the prevalence of defaulters of immunization, and their associated risk factors among children age 12 to 24 months. Materials and Methods: A cross-sectional study was conducted in all government's maternal child health clinics in District of Kota Kinabalu, Sabah. Data was collected using a standardised questionnaire from July to November 2006. Results: The prevalence rate for defaulting immunization was 16.8% from the 315 respondents. Bivariable analysis showed various significant factors associated with defaulters such as mother's employment status, family mobility, transportation and cost. Nonetheless, multivariable analysis showed only mother's age, mother employment status and family size were the significant predictors for defaulting immunization. Immunization that had the highest rate of defaulters was DPT-OPV booster dose (56.6%), followed by MMR immunization (43.4 %) and DPT-Hib/OPV and Hep B third dose (37.7%).Conclusion: Employed mothers with bigger family size should be more closely monitored and advised to reduce the chance of defaulting on the immunization. Health promotion activities also should focus to these groups of mothers.

KW - Children

KW - Defaulters

KW - Immunization

KW - Risk factors

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