Effective role of lady health workers in immunization of children in Pakistan

Saira Afzal, Azka Naeem, Unaiza Shahid, Wajiha Noor Syed, Urva Khan, Nayyar Misal Zaidi



Objective: To determine the association of Lady Health Worker’s role with immunization of children in Pakistan.

Methods: Secondary analysis was conducted on data obtained from Pakistan’s Demographic and Health Survey. Children who did not receive all  doses of vaccines were considered incompletely immunized or vice versa. The association between determinants was assessed by simple and multivariable binary logistic regression.

Results: The mothers and fathers had a mean age of 32.7 (SD+8.6) years and 37.9 (SD +10.1) years, respectively. Age of mother greater than 35 (OR=0.93; 95% CI: 0.70-1.25); born in Baluchistan (OR=3.47,95% CI: 2.21-5.49); rural area dwellers (OR=2.04; 95% CI:1.65-2.51); female gender (OR=1.06; 95% CI: 0.87-1.29); birth order (of last born child) greater than 7 (OR=2.21, 95% CI:1.60-3.06); delivered at home (OR=2.20, 95% CI:1.76-2.74); long distance to health care facility (OR=2.66, 95% CI:2.16-3.28); and no LHW visit in last 12 months (OR=1.91,CI:1.48-2.47) were significantly associated with incomplete immunization in bivariate analysis. In final model of multinomial regression analysis the absence of visit by LHW in last 12 months was the most significant factor when all risk factors were analyzed in last model.

Conclusions: This study has concluded that visit of LHW in last 12 months was significantly associated with immunization.

doi: https://doi.org/10.12669/pjms.326.11460

How to cite this:Afzal S, Naeem A, Shahid U, Syed WN, Khan U, Zaidi NM. Effective role of lady health workers in immunization of children in Pakistan. Pak J Med Sci. 2016;32(6):1500-1505.   doi: https://doi.org/10.12669/pjms.326.11460

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Retraction Announcement
The following manuscript has been retracted from our November – December, 2016 issue. It  has been retracted on a request from the authors as they forgot to properly acknowledge the source of their data. The authors are grateful to those who pointed out this mistake. - Editor

Retraction in: Pak J Med Sci 2016;32(6):1500-1505.

doi: https://doi.org/10.12669/pjms.326.11460

Link: http://pjms.com.pk/index.php/pjms/article/view/11460/4800

Retracted on February 7, 2017


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