Ikuma Nozaki|Masahiko Hachiya|Tomomi Kitamura
Factors influencing basic vaccination coverage in Myanmar: secondary analysis of 2015 Myanmar demographic and health survey data
National Center for Global Health and Medicine|National Center for Global Health and Medicine|National Center for Global Health and Medicine
immunization one effective measures preventing disease vaccination coverage sufficient although vaccination coverage known influenced social cultural barriers determinants childhood immunization myanmar remain poorly understood study analyzed factors influenced complete vaccination status one dose bacillus calmettegurin measles three doses diphtheriapertussis polio using 2015 data myanmar demographic health surveydata 12 23monthold children mothers extracted nationally representative survey results bivariate multivariate analyses surveyweighted logistic regression performed examine relationships vaccination status various sociodemographic medical factors independent variables analyses included area residence economic status maternal age marital status education literacy employment status antenatal care attendance tetanus vaccination place delivery postnatal evaluations childs sex number children previous child death decision makers regarding childs health frequency healthcare visits paternal education paternal occupationa representative sample 904 cases extracted analysis overall complete vaccination rate 554 multivariate analysis backward stepwise selection complete vaccination independently associated middle high economic status adjusted odds ratio aor 264 95 confidence interval ci 185378 older maternal age aor 287 95 ci 162510 4 antenatal care visits aor 187 95 ci 128273 maternal tetanus vaccination delivery aor 326 95 ci 182585the first demographic health survey myanmar revealed approximately onehalf 1223yearold children received complete vaccination lower estimated rate routine administrative coverage results indicate incomplete immunization status associated low economic status younger maternal age fewer antenatal care visits maternal tetanus vaccination findings may help improve targeting strategic implementation expanded programme immunization