Missed Opportunities for Vaccination in the Dominican Republic: Results of an Operational Investigation

Table 4

Risk factors for missed opportunities for vaccination among children with recorded vaccination data: Dominican Republic, October 2012.

Risk factors	Total	MOV () number (%)		Odds ratio (95% CI interval)	value
Age
<1 year	311	98	32%	1	<0.0001
1–4 years	203	127	63%	3.63 (2.50–5.27)
Geographic area
Rural	81	26	32%	1	0.02
Urban	433	199	46%	1.80 (1.09–2.98)
Type of establishment
Hospital	320	134	42%	1	0.27
Clinics	194	91	47%	1.23 (0.86–1.76)
Age of caregiver
<25 years	238	95	40%	1	0.1
>25 years	276	130	47%	1.34 (0.94–1.9)
Sex of child
Male	254	108	43%	1	0.57
Female	260	117	45%	1.11 (0.78–1.57)
Education
Secondary or more	348	156	45%	1	0.44
Primary or less	151	62	41%	0.86 (0.58–1.26)
Caregiver occupation
Does not work	466	204	44%	1	0.91
Works	38	17	45%	1.04 (0.54–2.02)
“During this visit to the health center, did they vaccinate your child?”
Yes	313	108	35%	1	<0.0001
No	201	117	58%	2.64 (1.84–3.81)
“Did a health worker ask you for a vaccination card today?”
Yes	371	140	38%	1	<0.0001
No	143	85	59%	2.42 (1.63–3.59)
“For what reason did you come to this healthcare establishment?”
Vaccination	330	133	40%	1	—
Medical consult (“child is sick”)	129	68	53%	1.65 (1.10–2.49)	0.02
Well-child visits	24	13	54%	1.75 (0.76–4.02)	0.19
Other	31	11	35%	0.81 (0.38–1.76)	0.6

Caregiver occupation: only mothers measured.
Including “No, but they asked me about my child’s vaccines” ().