Date of Award

2008

Degree Type

Thesis

Degree Name

Master of Science

Program

Epidemiology and Biostatistics

Supervisor

Dr. Amardeep Thind

Second Advisor

Dr. John J. Koval

Third Advisor

Dr. Kathy Nixon Speechley

Abstract

A key method of reducing morbidity and mortality is childhood immunization, yet in 2003 only 69% of Filipino children received all suggested vaccinations. This study examines three separate outcomes of immunization status: not immunized, partially immunized, and fully immunized. The Andersen Behavioral Model is the conceptual framework that was used. Data were derived from the Women’s Questionnaire of the 2003 Philippines National Demographic Health Survey. Results of the multinomial logistic regression model indicate that the children of mothers with more education, who have attended at least the minimally-recommended four antenatal visits, those living in households with greater wealth and with fewer children under the age of five years, and children with lower birth orders and of the Cebuano ethnicity are significantly more likely to have received their recommended vaccines. Improving knowledge transfer to mothers is the most effective means by which to increase childhood immunization coverage in the Philippines.

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