Determinants of incomplete immunization among hill tribe children aged under two years in Myanmar

Main Article Content

Sein Lei Than
Aroonsri Mongkolcharti
Orapin Laosee

Abstract

Immunization  coverage  is  still  a  major  concern  in  many  third  world  countries  especially  in  remote areas.  In  Myanmar,  the  hill  tribe  region  is  regarded  as  one  of  vulnerable,  tangible  outreach  areas.  The immunization  coverage  in  mountainous  areas  were  quite  low  compared  to  other  areas  of  Myanmar.  A cross-sectional study was conducted to examine the immunization status of children under two years of age, to  describe  factors  towards  incomplete  immunization,  and  to  determine  the  association  between  the  factors and  incomplete immunization of children  under two years of age. Multi-stage  stratified sampling  was used to  enroll  a  total  of  330  respondents  in  rural  and  urban  areas  of  the rocky  regions.  Mothers  who  has  under two years old child were interviewed by trained health staffs. Chi-square test and multiple logistic regression were applied  to  determine  factors associated  with  immunization.


The results indicated that one-fourth (25.8%) of children had incomplete immunization. The incomplete immunization  prevalence  was  high  in  urban  areas  (57.6%)  and  rural  areas  (42.4%).  After  adjusting  for confounding factors, the results showed that occupation (AOR=2.18, 95%CI=1.27-3.76), perception (AOR=2.37, 95%CI=1.01-5.56), place of vaccination (AOR=2.63, 95%CI=1.53-4.51) and the person sent for vaccination (AOR=2.40, 95%CI =1.33-4.35) were significantly (P-value < 0.05) associated with incomplete immunization
and  the  strongest  predictor  was volunteer  help  (AOR=3.15, 95%CI =1.47-6.76).


In  conclusion,  the  accessibility  of  immunization  services  is  still  in  demand  to increase  immunization coverage  in  mountainous  zones  in  Myanmar.  It  is  also  revealed  that  the  role  of  volunteers  need  to  be strengthened  for  enhancement  of  immunization  coverage.  Health  information  among  ethnic  groups  should be  in  dialect  for better  understanding  about  the  benefits  of immunization.

Article Details

How to Cite
1.
Than SL, Mongkolcharti A, Laosee O. Determinants of incomplete immunization among hill tribe children aged under two years in Myanmar. J Public Hlth Dev [Internet]. 2016 Sep. 29 [cited 2024 Apr. 21];14(2):17-31. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/58149
Section
Original Articles
Author Biographies

Sein Lei Than, ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

MPHM., ASEAN Institute for Health Development, Mahidol University

Aroonsri Mongkolcharti, ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

Orapin Laosee, ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand