Maternal Socioeconomic Characteristics Influencing Measles Vaccine Uptake Among Mothers of Children Aged 9-24 Months in Narok North Sub-County, Narok County

Alice  Kiplagat

Authors

Alice Kiplagat University of Kabianga

Keywords:

Measles vaccine uptake, maternal socioeconomic factors, public health, rural Kenya, vaccine hesitancy, Narok County

Abstract

Purpose: This research explored the impact of maternal socioeconomic factors on the uptake of measles vaccination among mothers with children aged 9 to 24 months in the rural area of Narok North Sub-County.

Methods: A cross-sectional analytical survey was performed. Location and Duration of the Study: The research was conducted in Narok North Sub-County, Kenya, from February 2022 to April 2023. A total of 100 mothers and caregivers of children aged 9–24 months filled out structured questionnaires. The data were analyzed using descriptive statistics, logistic regression, and Pearson’s chi-square tests to investigate the association between maternal socioeconomic characteristics and the uptake of measles vaccination

Results: Measles immunization coverage showed a strong correlation with mothers' educational background (p = 0.012), work status (p = 0.133), family earnings (p = 0.015), and main source of vaccine information (p < 0.001). The study revealed that complete immunization, including both initial (MCV1) and follow-up (MCV2) doses, was achieved in only 11% of participating children. Better-educated mothers demonstrated an increased tendency to vaccinate their children. Among working mothers, those running their own businesses showed higher full vaccination rates (9%) versus formally employed mothers (2%). Families with monthly earnings exceeding Ksh. 10,000 were notably more likely to complete their children's immunizations. Moreover, parents who received vaccination information primarily from nursing staff showed substantially higher complete immunization rates (AOR = 9.86, 95% CI [1.58 – 61.57], p = 0.014). Marriage status (p = 0.536) and cultural background (p = 0.209) showed no significant impact on vaccination decisions.

Conclusion: This research highlights how maternal socioeconomic conditions influence measles vaccination rates. Strengthening women's education, financial stability, and connection to healthcare professionals' guidance can substantially increase immunization coverage. Strategic programs should target socioeconomic challenges to enhance vaccine uptake and strengthen community health outcomes in rural areas.

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