Table 1.
Reasons for non-vaccination and comparison between zero-dose children and under-vaccinated, DRC, 2021.
| Variables | Zero-Dose Children (n = 10,765) Weighted % (95% CI) |
Under-Vaccinated Children (n = 8911) Weighted % (95% CI) |
p | |
|---|---|---|---|---|
| Reasons related to people’s perceptions and feelings “Confidence in vaccine benefits” | 64.03 (63.91–64.14) | 44.66 (44.53–44.79) | <0.001 | |
| Mother too busy (vaccination relegated) | 30.53 (30.43–30.65) | 34.42 (34.30–34.54) | ||
| Fear of side effects | 19.22 (19.13–19.32) | 6.47 (6.41–6.53) | ||
| Not believing in vaccination | 18.78 (18.69–18.90) | 2.40 (2.36–2.44) | ||
| Ignoring the need for vaccination | 18.08 (17.99–18.20) | 7.95 (7.89–8.03) | ||
| Misinformation about contraindications | 3.20 (3.16–3.24) | 1.20 (1.17–1.22) | ||
| Reasons related to social processes “Family norms” | 31.13 (31.02–31.25) | 26.19 (26.07–26.30) | <0.001 | |
| Rumors | 12.08 (12.00–12.16) | 5.30 (5.25–5.36) | ||
| Family problems, including maternal illness | 10.64 (10.56–10.71) | 11.42 (11.34–11.50) | ||
| Sick child | 8.68 (8.61–8.88) | 12.32 (12.24–12.40) | ||
| Religious or ethnic censorship | 3.85 (3.80–3.90) | 0.23 (0.22–0.25) | ||
| Fear of COVID-19 vaccine | 0.30 (0.28–0.31) | 0.22 (0.21–0.23) | ||
| Intention not to have child vaccinated Parents/caregivers who do not want their child to receive “all” recommended vaccines | 82.15 (82.05–82.23) | 68.03 (67.92–68.14) | <0.001 | |
| Practical issues | 35.60 (35.49–35.72) | 55.60 (55.47–55.72) | <0.001 | |
| Factors limiting geographic and financial accessibility | 9.62 (9.54–9.69) | 7.76 (7.69–7.83) | <0.001 | |
| Vaccination site too far | 8.39 (8.33–8.46) | 6.72 (6.66–6.78) | ||
| High cost of vaccination or pre consultation | 1.32 (1.29–1.35) | 1.14 (1.11–1.17) | ||
| Organizational factors of the health facility | 29.57 (29.46–29.68) | 50.00 (49.87–50.13) | <0.001 | |
| Vaccination schedule not known | 14.64 (14.55–14.72) | 17.42 (17.32–17.52) | ||
| Vaccines not available | 10.10 (10.02–10.17) | 29.13 (29.01–29.24) | ||
| Vaccination session canceled/absent vaccinator | 7.30 (7.24–7.36) | 13.60 (13.51–13.69) | ||
| Inappropriate timing of vaccination | 4.85 (4.80–4.90) | 5.70 (5.64–5.76) | ||
| Unknown vaccination site | 2.08 (2.04–2.11) | 1.57 (1.54–1.60) | ||
| Long waiting time | 1.43 (1.40–1.46) | 2.46 (2.42–2.50) | ||
| Freedom-killing factors and movement restrictions | 1.22 (1.19–1.25) | 1.90 (1.87–1.94) | <0.001 | |
| Insecurity/war/armed, ethnic, community conflicts | 1.22 (1.19–1.24) | 1.90 (0.87–1.94) | ||
| COVID-19 restrictions | 0.60 (0.58–0.62) | 0.27 (0.25–0.28) | ||
| Providers’ strike | 1.23 (1.21–1.26) | 4.58 (4.53–4.63) | ||
PC = pre consultation; n = number of subjects; 95% IC = 95% confidence interval.