Community determinants of non-vaccination and incomplete vaccination of children aged 0 to 11 months in the Kabimba health area, in the Democratic Republic of Congo
Main Article Content
Abstract
The reduction in vaccination rates currently reported in the Democratic Republic of Congo (DRC) risks exposing children to deadly diseases. Therefore, this study aims to identify the determinants of non-vaccination and complete non-vaccination of children aged 0-11 months in the Kabimba-Uvira health area. This is a cross-sectional study with an analytical aim carried out in the Uvira health zone, specifically in the Kabimba health area. Our study population was 476 women with a child aged 0-11 months, from whom a stratified probability sample of 213 mothers was drawn. Data collection was done using a self-administered questionnaire, and data analysis was carried out using SPSS 25 software. The study demonstrated that the determinants of non-vaccination of children aged 0-11 months were: the environment of residence (long distance between the environment and the health structure); gender and lack of knowledge about the benefits of vaccination. Regarding the determinants of complete non-vaccination, unfavorable opinions (or lack of support) of children's fathers regarding vaccination were identified. Mass vaccination campaigns (door to door) remain a strategy and a priority in the environment of our study. In addition, raising awareness among parents about the benefits of vaccination cannot be ruled out.
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
Akoto, E. M. (s. d.). Se soigner aujourd’hui en Afrique de l’Ouest : Pluralisme thérapeutique entre traditions et modernité (Bénin, Côte d’Ivoire et Mali). Consulté 14 mai 2024, sur https://cir.nii.ac.jp/crid/1130000798175854848.
Babalola, S. (2009). Determinants of the Uptake of the Full Dose of Diphtheria–Pertussis–Tetanus Vaccines (DPT3) in Northern Nigeria : A Multilevel Analysis. Maternal and Child Health Journal, 13(4), 550‑558. https://doi.org/10.1007/s10995-008-0386-5
Baonga Ba Pouth, S. F., Kazambu, D., Delissaint, D., & Kobela, M. (2014). Couverture vaccinale et facteurs associés à la non complétude vaccinale des enfants de 12 à 23 mois du district de santé de Djoungolo-Cameroun en 2012. Pan African Medical Journal, 17. https://doi.org/10.11604/pamj.2014.17.91.2792
Bobossi-Serengbé, G., Fioboy, R., Ndoyo, J., & Nakouné, E. (2014). Les occasions manquées de vaccination chez les enfants de 0 à 11 mois à Bangui. Journal de Pédiatrie et de Puériculture, 27(6), 289‑293. https://doi.org/10.1016/j.jpp.2014.08.010
Cambell, S. (2006, février 1). Clinical update. Increasing immunisation coverage in developing countries. Primary Health Care. 16 (1). EBSCOhost. https://doi.org/10.7748/phc2006.02.16.1.25.c592
Coulibaly, C. A. (2022). Facteurs associés au statut vaccinal des enfants de 12 à 23 mois à Farakala et Kapala du district sanitaire de Sikasso. Mali Santé Publique, 23‑29. https://doi.org/10.53318/msp.v12i2.2612
Danielsson, N., Fakakovikaetau, T., & Szegedi, E. (2009). Improved immunization practices reduce childhood hepatitis B infection in Tonga. Vaccine, 27(33), 4462‑4467. https://doi.org/10.1016/j.vaccine.2009.05.051
Ezeh, A., Bankole, A., Cleland, J., García-Moreno, C., Temmerman, M., & Ziraba, A. K. (2016). Burden of Reproductive Ill-Health. In Disease Control Priorities, Third Edition (Volume 2) : Reproductive, Maternal, Newborn, and Child Health (p. 25-50). The World Bank. https://doi.org/10.1596/978-1-4648-0348-2_ch2.
Félicitée, N., Hermann, N. D., Andreas, C., Evelyn, M., Guy, W., Michel, M., Baptiste, B. J., & Olivier, K. N. P. (2018). Déterminants et Raisons de Non Vaccination Complète des Enfants Hospitalisés dans deux Hôpitaux de Référence Pédiatrique à Yaoundé. Inédit.
Gebeyehu, N. A., Gesese, M. M., Tegegne, K. D., Kebede, Y. S., Kassie, G. A., Mengstie, M. A., Zemene, M. A., Moges, N., Bantie, B., Feleke, S. F., Dejenie, T. A., Abebe, E. C., Anley, D. T., Dessie, A. M., Bayih, W. A., & Adella, G. A. (2023). Early marriage and its associated factors among women in Ethiopia : Systematic reviews and meta-analysis. Plos One, 18(11), e0292625. https://doi.org/10.1371/journal.pone.0292625
Jani, J. V., De Schacht, C., Jani, I. V., & Bjune, G. (2008). Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique. BMC Public Health, 8(1), 161. https://doi.org/10.1186/1471-2458-8-161
Jonathan, G. E., & Stoltenberg, J. (2013). A tipping point for change : Saving millions of additional lives in 2013 and beyond. The Lancet, 381(9864), 350‑352. https://doi.org/10.1016/S0140-6736(13)60111-7
Kaberuka, C. S., Abintegenke, A. I., Mutazihara, J.-C. B., & Ringeze, C. M. (2023). Problématique des groupes résistant à la vaccination de masse des enfants de 0 à 5 ans dans l’aire de santé Kiziba, Zone de Santé de Nyiragongo à Goma/ RDC. British Journal of Multidisciplinary and Advanced Studies, 4(2), Article 2. https://doi.org/10.37745/bjmas.2022.0172
La Fond, A., Kanagat, N., Steinglass, R., Fields, R., Sequeira, J., & Mookherji, S. (2015). Drivers of routine immunization coverage improvement in Africa : Findings from district-level case studies. Health Policy and Planning, 30(3), 298‑308. https://doi.org/10.1093/heapol/czu011
Lane, S., MacDonald, N. E., Marti, M., & Dumolard,L. (2018). Vaccine hesitancy around the globe : Analysis of three years of WHO/UNICEF Joint Reporting Form data-2015–2017. Vaccine, 36(26), 3861‑3867. https://doi.org/10.1016/j.vaccine.2018.03.063
Lee, B. Y., & Haidari, L. A. (2017). The importance of vaccine supply chains to everyone in the vaccine world. Vaccine, 35(35, Part A), 4475‑4479. https://doi.org/10.1016/j.vaccine.2017.05.096
Mukalay A.W.M., Mushadi Kimpodjongo, G., Mwanza Numbi, V., Tshikala Kosa, B., Chuy Kalombola, D., Kalenga, J., & Kalenga Muenze Kayamba, P. (2021). Déterminants de la vaccination complète des enfants d’une aire de santé de la ville de Lubumbashi en République Démocratique du Congo. Revue d’Épidémiologie et de Santé Publique, 69, S72‑S73. https://doi.org/10.1016/j.respe.2021.04.125
Mumbere, K. (s. d.). Problématique de gestion de latrines dans les institutions supérieures et universitaires. Mémoire Online. Consulté 15 mai 2024, à l’adresse https://www.memoireonline.com/01/13/6839/Problematique-de-gestion-des-latrines-dans-les-institutions-superieures-et-universitaires.html
OMS. (2020). Chronologie de l’action de l’OMS face à la COVID-19. Consulté 15 février 2024, à l’adresse https://www.who.int/fr/news/item/29-06-2020-covidtimeline
Rainey, J. J., Watkins, M., Ryman, T. K., Sandhu, P., Bo, A., & Banerjee, K. (2011). Reasons related to non-vaccination and under-vaccination of children in low and middle income countries : Findings from a systematic review of the published literature, 1999–2009. Vaccine, 29(46), 8215‑8221. https://doi.org/10.1016/j.vaccine.2011.08.096
Ruducha, J., Mann, C., Singh, N. S., Gemebo, T. D., Tessema, N. S., Baschieri, A., Friberg, I., Zerfu, T. A., Yassin, M., Franca, G. A., & Berman, P. (2017). How Ethiopia achieved Millennium Development Goal 4 through multisectoral interventions : A Countdown to 2015 case study. The Lancet Global Health, 5(11), e1142‑e1151. https://doi.org/10.1016/S2214-109X(17)30331-5
Santoni, F. (2001). Le programme élargi de vaccination : 25 ans demain. Inédit.
Seck, I., Diop, B., Mbacké Leye, M. M., Mbacké Mboup, B., Ndiaye, A., Seck, P. A., Doucoure, A., Ba, T. A., Diongue, M., Faye, A., & Tal Dia, A. (2016). Déterminants sociaux de la couverture vaccinale de routine des enfants de 12 à 23 mois dans la région de Kaolack, Sénégal. Santé Publique, 28(6), 807‑815. https://doi.org/10.3917/spub.166.0807
Smith, P. J., Humiston, S. G., Parnell, T., Vannice, K. S., & Salmon, D. A. (2010). The Association between Intentional Delay of Vaccine Administration and Timely Childhood Vaccination Coverage. Public Health Reports, 125(4), 534‑541. https://doi.org/10.1177/003335491012500408
Tilahun, B., Mekonnen, Z., Sharkey, A., Shahabuddin, A., Feletto, M., Zelalem, M., & Sheikh, K. (2020). What we know and don’t know about the immunization program of Ethiopia : A scoping review of the literature. BMC Public Health, 20(1), 1365. https://doi.org/10.1186/s12889-020-09304-1
UNFPA. (2021, septembre 17). UNFPA République Démocratique Du Congo. https://drc.unfpa.org/fr/news/unfpa-engag%C3%A9-%C3%A0-sauver-des-vies-de-femmes-et-nouveau-n%C3%A9s-en-rdc
UNICEF. (2020). La Situation des enfants dans le monde 2019 : Enfants, nourriture et nutrition - Bien grandir dans un monde en mutation.
Verrier, F., de Lauzanne, A., Diouf, J.-B. N., Zo, A. Z., Ramblière, L., Herindrainy, P., Sarr, F. D., Sok, T., Vray, M., Collard, J.-M., Borand, L., Kermorvant-Duchemin, E., Delarocque-Astagneau, E., Guillemot, D., Huynh, B.-T., & for the Bacterial Infections and Antibiotic-Resistant Diseases Among Young Children in Low-Income Countries (BIRDY) Study Group. (2023). Vaccination Coverage and Risk Factors Associated With Incomplete Vaccination Among Children in Cambodia, Madagascar, and Senegal. Open Forum Infectious Diseases, 10(4), ofad136. https://doi.org/10.1093/ofid/ofad136.