Wariri, O., Nkereuwem, E., Erondu, A.N., Edem, B., Nkereuwem, O.O., Idoko, T.O., Agogo, E., Enegela, E.J., Sesay, T., Conde, I.S., Kaucley, L., Awuah, A.A., Abdullahi, S., Luce, R.R., Nomhwange, T.T.T. and Kampmann, B. (2021) A Scorecard of Progress towards Measles Elimination in 15 West African Countries, 2001-19: A Retrospective, Multi Country Analysis of National Immunization Coverage and Surveillance Data. The Lancet Global Health, 9, 280-290.
https://doi.org/10.1016/S2214-109X(20)30481-2

has been cited by the following article:

• TITLE: Factors Contributing to the Acceptability of Second Dose of Measles Vaccine among Children in Livingstone District, Zambia

  AUTHORS: Mirriam Nchimunya, Dorothy Chanda, Emmanuel Musenge

  KEYWORDS: Measles, Second Dose, Acceptability, Caretakers

  JOURNAL NAME: Open Journal of Pediatrics, Vol.13 No.2, March 20, 2023

  ABSTRACT: Introduction: Measles is a viral disease that is a major public health problem in both developed and developing countries. It is a contagious disease resulting from infection with the measles virus and is still responsible for more than 100,000 deaths per year. Although vaccination is one of the most successful and cost-effective public health interventions to reduce mortality and morbidity, approximately 1.4 million children worldwide die from vaccine-preventable diseases each year. In Zambia, MCV2 was 66% below WHO recommended target of 95%. This study therefore assessed the acceptability of second dose measles vaccination services among caretakers/mothers with children less than two years of age in Livingstone, Zambia. Methods: The study used analytical cross-sectional study design. A logistic regression analysis was performed to identify factors associated with acceptability of the second dose of measles vaccine. A semi structured questionnaire was administered to collect data on socio demographic characteristics and factors related to acceptability of the second dose of measles vaccine. SPSS version 26.0 was used for descriptive and inferential analysis at 5% level of significance. Results: There was no statistically significant difference in acceptability of the second dose of measles vaccine by gender, marital status, type of employment, income level, socio-cultural and traditional beliefs, and education level. However, there was a statistically significant difference in acceptability of the second dose of measles vaccine by knowledge level of second dose of measles vaccine. A Chi square test result indicated that second dose acceptability was higher with less children than that of respondents with many children (χ2(5) = 15.3, p and knowledge levels (χ2(2) = 14.8, p Changes in knowledge level from medium to high reduced the odds of second dose measles vaccine acceptability. Furthermore, this study showed that acceptance of the second measles vaccination increased from mothers/caretakers with low knowledge (3.6%) to medium knowledge (13.3%) and finally high knowledge (83.1%). Conclusion: Tailored messaging to increase knowledge among mothers and caregivers on the importance of the second dose of measles vaccine is critical in improving acceptability. Therefore, the researchers recommend that the health providers should continue to raise awareness associated with the low acceptability of the second dose of measles vaccine and improve on child preventable diseases such as measles.