Moubassira Kagone 2017
|Kagoné, Moubassira. 2017. Community aspects of childhood vaccinations in rural Burkina Faso.|
Vaccination is an important tool for reducing infectious disease morbidity and mortality. In the past, less than 80% of children 12-23 months of age were fully immunized in Burkina Faso. The interrelation between population and health systems, the way that the vaccination information is given to the community, and the organization of the health team during the vaccination sessions may play a major role in explaining vaccination completeness or refusal.
The objective of this study was to assess coverage, compliance and community perceptions of childhood vaccinations in the NHD in rural Burkina Faso.
In addition, from March to April 2014, this study employed a combination of in-depth individual interviews (n=29) and focus group discussions (n=4) including mothers of children, health workers, godmothers, community health workers and traditional healers. These interviews focused on community perception of childhood vaccination. All material was transcribed, translated and analyzed inductively using the software ATLAS.ti4.2.
The full vaccination coverage increased significantly over time (72% in 2012; 79% in 2013 and 81% in 2014, p=0.003), and the coverage was significantly lower in urban compared with rural areas (RR 0.84; 0.80-0.89). Vaccination coverage was neither influenced by sex, nor by place of birth or by maternal factors.
The study documented further improvement of full vaccination coverage in Burkina Faso in recent years and better vaccination coverage in rural compared with urban areas. The organization of healthcare systems with systematic outreach activities in the rural areas may explain the difference between rural and urban areas.