Factors Influencing Vaccine Receipt During a 2018 Pediatric Typhoid Conjugate Vaccine Campaign in Navi Mumbai, India

Am J Trop Med Hyg. 2024 Sep 3;111(5):1060-1065. doi: 10.4269/ajtmh.24-0182. Print 2024 Nov 6.

Abstract

In 2018, the Navi Mumbai Municipal Corporation implemented phase 1 of a public sector typhoid conjugate vaccine campaign in Navi Mumbai, India, targeting all children aged 9 months to 14 years within its administrative boundaries. To assess associations with receipt of vaccine in phase 1, we used generalized estimating equations to calculate estimates of vaccination by child-, household-, and community-level demographics (child education and age; household head education, income, and occupation; community informal settlement percent). Campaign vaccine receipt was most associated with children enrolled in school (odds ratio [OR] = 3.84, 95% CI: 2.18-6.77), the lowest household income tertile when divided into three equal parts (OR = 1.64, 95% CI: 1.43-1.84), and lower community-level socioeconomic status (OR = 1.06, 95% CI: 1.04-1.08 per 10% informal settlement proportion). The campaign was successful in reaching the most underserved populations of its target communities.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Immunization Programs
  • India
  • Infant
  • Male
  • Socioeconomic Factors
  • Typhoid Fever* / epidemiology
  • Typhoid Fever* / prevention & control
  • Typhoid-Paratyphoid Vaccines* / administration & dosage
  • Vaccination / statistics & numerical data
  • Vaccines, Conjugate

Substances

  • Typhoid-Paratyphoid Vaccines
  • Vaccines, Conjugate