Sheikh Sana Sadiq, Ali Syed Asad
Department of Obstetrics and Gynecology, Division of Woman and Child Heath, Aga Khan University Hospital, Karachi, P.O. Box 3500, PC 34800, Pakistan.
Department of Pediatrics, Division of Woman and Child Heath, Aga Khan University Hospital, Karachi, P.O. Box 3500, PC 34800, Pakistan.
Oman Med J. 2014 May;29(3):190-3. doi: 10.5001/omj.2014.47.
To determine the factors associated with retaining the vaccination card among care takers of 12-59 months old children in Karachi, Pakistan.
This was an analytical cross-sectional study in Karachi. Households were randomly selected throughout a multistage cluster sampling technique. Data was collected for 504 children of 12- 59 months of age. Questionnaire was administered to caretakers to gather information regarding the children's vaccination status, socio-demographic characteristics and reviewing their vaccination cards. Statistical analysis was done by SPSS 19 using logistic regression.
Among 462 vaccinated children, caretakers of 33% provided vaccination cards. Odds of card retention decrease if the caretaker has a large household i.e., >5 people sharing one room (AOR 0.277, 95% CI: 0.096, 0.797) and if the child is of four to five years of age (AOR 0.544, 95% CI: 0.305, 0.970). Gender of the child, and the caretaker's education and access to electronic media were not significant predictors of vaccination card retention in our study.
Our study showed that vaccination card retention for children 12-59 months of age was low (33%) in Karachi. There is a need to educate caretakers of young children regarding the importance of keeping vaccination card and to disseminate this information through healthcare providers. Improving vaccination card retention is one of the key measures which will help towards accurately estimating coverage and to inform health policy decisions.
确定与巴基斯坦卡拉奇12至59个月大儿童的看护人保留疫苗接种卡相关的因素。
这是一项在卡拉奇开展的分析性横断面研究。通过多阶段整群抽样技术随机选取家庭。收集了504名12至59个月大儿童的数据。向看护人发放问卷，以收集有关儿童疫苗接种状况、社会人口学特征的信息，并查看他们的疫苗接种卡。使用SPSS 19进行逻辑回归分析。
在462名接种疫苗的儿童中，33%的看护人提供了疫苗接种卡。如果看护人家庭人口众多，即>5人共用一个房间（比值比0.277，95%置信区间：0.096，0.797），以及如果孩子年龄在4至5岁（比值比
0.544，95%置信区间：0.305，0.970），则保留接种卡的几率会降低。在我们的研究中，孩子的性别、看护人的教育程度以及接触电子媒体的情况并不是疫苗接种卡保留情况的显著预测因素。
我们的研究表明，卡拉奇12至59个月大儿童的疫苗接种卡保留率较低（33%）。有必要对幼儿看护人进行教育，使其了解保留疫苗接种卡的重要性，并通过医疗保健提供者传播这一信息。提高疫苗接种卡保留率是有助于准确估计疫苗接种覆盖率并为卫生政策决策提供依据的关键措施之一。
