Browsing by Author "Wafana Nabwana, Brenda"
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Item Socio-demographic Determinants of Vaccine Coverage for Pneumococcus and Rotavirus among under Five Children in Busolwe Town Council, Butaleja District, Eastern Uganda: A Cross Sectional Study(International journal of tropical disease & health, 2019) Wafana Nabwana, Brenda; Namayanja, Sylvia Sidney; Kemigisha, Collette; Kisakye, Erina; Kuddiza Kusetula, Amos; Wakabi, Silvester; Wambi, Ivan; Musiime, Innocent; Nekaka, Rebecca; Gavamukulya, YahayaThere is a high burden of vaccine-preventable diseases in the children under five years of age, particularly pneumonia diarrhea and which is greatly affected by low immunization coverage despite the existing efforts and policies. This study was carried out in Butaleja district and was aimed at establishing the socio-demographic determinants of vaccine coverage for pneumococcus and rotavirus among under five children (U5C) in the district. Study Design: This was a mixed methods cross-sectional study.Place and Duration of Study: Busolwe Town Council, Butaleja District, Eastern Uganda. Methodology: Structured researcher administered questionnaires were administered to 434 caregivers of U5C in different parts of Butaleja district. In-depth interviews with key informants and focused group discussions with Village Health Teams and community members were conducted. Review of Health Management Information Systems records was done. STATA 15 was used to analyze the data. Results: The study found that there is a declining trend in completion of the doses of Pneumococcal vaccine (PCV) and Rotavirus vaccine. For example, in quarter 1 of 2019, out of the 312 children who started immunization, only 2 completed Rota virus immunization and only 117 completed PCV vaccinations a trend that has been observed since 2016. The factors that showed a significant association with the the fact that they gave their child at least one dose of the vaccine were having been sensitized on the current immunisation schedule(P-value = <0.001), misunderstanding that vaccine is harmful for child (P-value = 0.007), willingness to take children to vaccination (P-value = <0.001), and social factors such as family (P-value = <0.030). Gender also played a key determinant role where the children’s fathers lacked knowledge on significance of immunization and thus discouraged the mothers from taking the children for immunization. Inadequate funding was also highlighted from the Focus Group Discussions. Conclusion: Vaccine coverage for pneumococcus and rotavirus is still low in Butaleja district mainly due to the attitudes and perceptions of caregivers as well as the knowledge gap. There is need for extensive sensitization of all community members to enable them understand the significance of immunization. It would further be important to increase the funding of the immunization programme to intensify and ensure effectual outreaches as well as the establishment and enforcement of a policy for immunization compliance.Item Towards universal health coverage: Data for determinants of immunization coverage of Pneumococcal and Rota virus vaccines among under five children in Busolwe Town Council, Butaleja District, Eastern Uganda(Data in brief, 2019) Wafana Nabwana, Brenda; Namayanja, Sylvia Sidney; Kemigisha, Collette; Kisakye, Erina; Kuddiza Kusetula, Amos; Wakabi, Silvester; Wambi, Ivan; Musiime, Innocent; Nekaka, Rebecca; Gavamukulya, YahayaThe data described stipulates the factors influencing the immunization coverage of Pneumococcal and Rota Virus Vaccines among under five children (U5C) in Butaleja district in Eastern Uganda. The data was obtained in three major sections of demographic characteristics, knowledge, and attitude and perceptions of care takers of U5C on immunization. Both qualitative and quantitative types of data obtained from Primary and Secondary data sources are presented. The Primary sources included administration of questionnaires to the caretakers of U5C in communities surrounding different health centers in Butaleja district. The secondary source of datawas majorly the Health Management Information Systems (HMIS) records of Busolwe District Hospital. The data includes raw data from individual participants in form of Google forms portable document format, the consolidated raw data from all the participants in Microsoft excel format, as well as raw data from secondary HMIS record on immunization coverage in form of Microsoft excel format. The data provides a general outlook on the state of Butaleja district in terms immunization coverage of Pneumococcal and Rota Virus Vaccines.The data can be useful in taking action to decrease the burden of vaccine preventable diseases in Butaleja and elsewhere in similar settings.