Background
Child’s age | Vaccine | Doses |
---|---|---|
at birth | HepB | Zero Dose |
2 months | IPV | 1st Dose |
Penta (DTP, Hib and HepB) | ||
4 months | OPV | 2nd Dose |
Penta (DTP, Hib, HepB) | ||
6 months | OPV | 3rd Dose |
Penta (DTP, Hib, HepB) | ||
9 months | Measles vaccinea | Zero Dose |
12 months | MMRa | 1st Dose |
18 months | OPV | 1st Booster |
Penta (DTP, Hib, HepB) | ||
MMRa | 2nd Dose | |
4–5 years | OPV | 2nd Booster |
DTP |
Methods
Sampling
Data collection
Data analysis
Ethical considerations
Results
Survey population
Governorate District | Household characteristics | |||||||
---|---|---|---|---|---|---|---|---|
Total | Lebanese | Syrian | Household size | Number of eligible children aged 12–59 months | ||||
Number | Percentage | Number | Percentage | Number | Percentage | Mean + SD | Mean + SD | |
Akkar | ||||||||
Akkar | 390 | 4.2 | 320 | 4.5 | 70 | 3.2 | 5.5 + 2.7 | 2.0 + 1.3 |
Baalbek-Hermel | ||||||||
Baalbek | 390 | 4.2 | 262 | 3.7 | 128 | 5.9 | 5.5 + 2.3 | 1.6 + 0.6 |
Hermel | 390 | 4.2 | 297 | 4.2 | 93 | 4.3 | 5.2 + 2.2 | 1.7 + 1.0 |
Beirut | ||||||||
Beirut | 380 | 4.1 | 317 | 4.4 | 63 | 2.9 | 4.7 + 2.1 | 1.3 + 0.5 |
Bekaa | ||||||||
Rashaya | 388 | 4.2 | 319 | 4.5 | 69 | 3.2 | 5.1 + 1.7 | 1.3 + 0.5 |
West Bekaa | 383 | 4.1 | 285 | 4.0 | 98 | 4.5 | 5.4 + 2.3 | 1.4 + 0.7 |
Zahle | 231 | 2.5 | 174 | 2.4 | 57 | 2.6 | 5.4 + 1.9 | 1.7 + 0.9 |
Mount Lebanon | ||||||||
Aley | 385 | 4.1 | 320 | 4.5 | 65 | 3.0 | 4.6 + 1.9 | 1.4 + 0.7 |
Baabda | 380 | 4.1 | 276 | 3.9 | 104 | 4.8 | 4.8 + 1.7 | 1.3 + 0.6 |
Chouf | 377 | 4.1 | 321 | 4.5 | 56 | 2.6 | 5.3 + 2.7 | 1.6 + 1.0 |
El-Metn | 364 | 3.9 | 277 | 3.9 | 87 | 4.0 | 5.5 + 2.5 | 1.5 + 0.7 |
Jbeil | 388 | 4.2 | 304 | 4.3 | 84 | 3.9 | 4.8 + 2.1 | 1.6 + 0.7 |
Keserwan | 375 | 4.0 | 294 | 4.1 | 81 | 3.7 | 4.6 + 2.1 | 1.4 + 0.6 |
Nabatieh | ||||||||
Bint Jbeil | 390 | 4.2 | 286 | 4.0 | 104 | 4.8 | 4.5 + 1.6 | 1.7 + 0.9 |
Hasbaya | 381 | 4.1 | 267 | 3.7 | 114 | 5.2 | 5.4 + 2.2 | 2.3 + 1.4 |
Marjeyoun | 388 | 4.1 | 299 | 4.2 | 89 | 4.1 | 4.3 + 1.7 | 1.9 + 1.1 |
Nabatieha | – | – | – | – | – | – | – | – |
North | ||||||||
Batroun | 381 | 4.1 | 277 | 3.9 | 104 | 4.8 | 5.3 + 2.0 | 1.4 + 0.6 |
Bcharre | 384 | 4.1 | 281 | 3.9 | 103 | 4.7 | 4.8 + 1.5 | 1.9 + 0.9 |
Koura | 390 | 4.2 | 309 | 4.3 | 81 | 3.7 | 4.9 + 1.9 | 1.5 + 0.7 |
Minieh-Donieh | 390 | 4.2 | 287 | 4.0 | 103 | 4.7 | 5.7 + 2.4 | 1.6 + 0.8 |
Tripoli | 383 | 4.1 | 308 | 4.3 | 75 | 3.4 | 5.7 + 2.6 | 1.7 + 1.3 |
Zgharta | 390 | 4.2 | 353 | 5.0 | 37 | 1.7 | 4.1 + 1.1 | 1.2 + 0.4 |
South | ||||||||
Jezzine | 368 | 4.0 | 251 | 3.5 | 117 | 5.4 | 6.0 + 2.1 | 1.7 + 0.8 |
Saida | 322 | 3.5 | 234 | 3.3 | 88 | 4.0 | 6.4 + 3.1 | 1.6 + 0.8 |
Sour | 327 | 3.5 | 218 | 3.1 | 109 | 5.0 | 5.8 + 3.3 | 1.1 + 0.8 |
Total | 9315 | 100.0 | 7136 | 76.6 | 2179 | 23.4 | 5.2 + 2.2 | 1.6 + 0.9 |
Characteristics | Total (n = 9315) | Lebanese (n = 7136) | Syrian (n = 2179) | |||
---|---|---|---|---|---|---|
Number | Percentage | Number | Percentage | Number | Percentage | |
Sex of the child | ||||||
Male | 5044 | 54.1 | 3851 | 54.0 | 1193 | 54.7 |
Female | 4271 | 45.9 | 3285 | 46.0 | 986 | 45.3 |
Age of the child | ||||||
12–23 months | 2579 | 27.7 | 1928 | 27.0 | 651 | 29.9 |
24–35 months | 2265 | 24.3 | 1747 | 24.5 | 518 | 23.8 |
36–47 months | 1920 | 20.6 | 1462 | 20.5 | 458 | 21.0 |
48–59 months | 2551 | 27.4 | 1999 | 28.0 | 552 | 25.3 |
Place of residency of the caregiver | ||||||
Rented house / apartment | 4461 | 47.9 | 2562 | 35.9 | 1899 | 87.2 |
Owned house / apartment | 4547 | 48.8 | 4420 | 61.9 | 127 | 5.8 |
Informal settlement | 130 | 1.5 | 40 | 0.6 | 90 | 4.1 |
Collective shelter | 78 | 0.8 | 37 | 0.5 | 41 | 1.9 |
Other | 49 | 0.5 | 34 | 0.5 | 15 | 0.7 |
Refused to answer | 50 | 0.5 | 43 | 0.6 | 7 | 0.3 |
Social status of the caregiver | ||||||
Single | 451 | 4.9 | 327 | 4.6 | 124 | 5.7 |
Married | 8559 | 91.9 | 6567 | 92.0 | 1992 | 91.3 |
Divorced | 137 | 1.5 | 103 | 1.4 | 34 | 1.6 |
Widowed man | 51 | 0.5 | 45 | 0.6 | 6 | 0.3 |
Widowed woman | 88 | 0.9 | 69 | 1.0 | 19 | 0.9 |
Refused to answer | 29 | 0.3 | 25 | 0.4 | 4 | 0.2 |
Age of the caregiver | 30.9 + 6.7 | 31.2 + 6.7 | 29.7 + 6.7 | |||
Median | 30.0 | 30.3 | 28.9 | |||
Father’s educational status | ||||||
Doesn’t know how to read and write | 605 | 6.5 | 312 | 4.4 | 293 | 13.5 |
Knows how to read and write | 1412 | 15.2 | 795 | 11.1 | 617 | 28.3 |
Primary/Complementary level | 1830 | 19.7 | 1319 | 18.5 | 511 | 23.5 |
Secondary level | 1774 | 19.0 | 1609 | 22.6 | 165 | 7.6 |
Post school technical level | 1035 | 11.1 | 936 | 13.1 | 99 | 4.5 |
University level | 2527 | 27.1 | 2054 | 28.8 | 473 | 21.7 |
Doesn’t know/Doesn’t remember | 39 | 0.4 | 33 | 0.5 | 6 | 0.3 |
Refused to answer | 93 | 1.0 | 78 | 1.0 | 15 | 0.6 |
Mother’s educational status | ||||||
Doesn’t know how to read and write | 695 | 7.5 | 312 | 4.4 | 383 | 17.6 |
Knows how to read and write | 1099 | 11.8 | 626 | 8.8 | 473 | 21.7 |
Primary/Complementary level | 2330 | 25.0 | 1550 | 21.7 | 780 | 35.8 |
Secondary level | 1856 | 19.9 | 1614 | 22.6 | 242 | 11.1 |
Post school technical level | 1243 | 13.3 | 1033 | 14.5 | 210 | 9.6 |
University level | 1990 | 21.4 | 1915 | 26.8 | 75 | 3.4 |
Doesn’t know/Doesn’t remember | 20 | 0.2 | 14 | 0.2 | 6 | 0.3 |
Refused to answer | 82 | 0.9 | 72 | 1.0 | 10 | 0.5 |
Father’s employment status | ||||||
Full-time employee | 6177 | 66.3 | 5127 | 71.8 | 1050 | 48.2 |
Part-time employee | 2204 | 23.7 | 1462 | 20.5 | 742 | 34.1 |
Unemployed | 705 | 7.6 | 348 | 4.9 | 357 | 16.4 |
Retiree | 48 | 0.5 | 43 | 0.6 | 5 | 0.2 |
Refused to answer | 181 | 1.9 | 156 | 2.2 | 25 | 1.1 |
Mother’s employment status | ||||||
Full-time employee | 2816 | 30.2 | 2344 | 32.8 | 472 | 21.7 |
Part-time employee | 1772 | 19.0 | 1375 | 19.3 | 397 | 18.2 |
Unemployed | 4595 | 49.4 | 3302 | 46.3 | 1293 | 59.3 |
Retiree | 21 | 0.2 | 14 | 0.2 | 7 | 0.3 |
Refused to answer | 111 | 1.2 | 101 | 1.4 | 10 | 0.5 |
Routine vaccination coverage
Vaccine | Lebanese (n = 7136) | Syrian (n = 2179) | ||
---|---|---|---|---|
Source | Card (n = 4363) | Card+Recalla (n = 7136) | Card (n = 1350) | Card+Recalla (n = 2179) |
Percentageb [95% CI] | Percentage [95% CI] | Percentageb [95% CI] | Percentage [95% CI] | |
HepB 0 dose | 86.6 [84.8–88.2] | 85.5 [84.0–86.8] | 67.0 [63.0–70.8] | 70.7 [67.6–73.6] |
Polio 1st dose | 96.1 [95.2–96.8] | 95.4 [94.6–96.0] | 94.5 [92.2–96.2] | 92.3 [90.2–94.0] |
Polio 2nd dose | 91.5 [90.3–92.6] | 91.9 [90.9–92.8] | 84.5 [81.3–87.2] | 84.7 [82.1–87.0] |
Polio 3rd dose | 87.4 [86.0–88.7] | 87.2 [86.0–88.4] | 76.5 [73.1–79.6] | 76.4 [73.6–79.0] |
Dropout (Polio 1-Polio 3) | 8.7 | 8.2 | 18.0 | 15.9 |
DTP 1st dose | 95.9 [95.0–96.6] | 95.9 [95.1–96.5] | 89.4 [86.7–91.6] | 89.9 [87.7–91.7] |
DTP 2nd dose | 92.5 [91.4–93.4] | 90.1 [89.0–91.1] | 83.7 [80.8–86.2] | 82.0 [79.7–84.1] |
DTP 3rd dose | 88.8 [87.4–90.0] | 87.7 [86.5–88.9] | 76.6 [73.5–79.5] | 77.5 [75.1–79.8] |
Dropout (DTP 1-DTP 3) | 7.1 | 8.2 | 12.8 | 12.4 |
HepB 1st dose | 95.2 [94.2–96.0] | 94.9 [94.2–95.6] | 87.9 [85.1–90.2] | 89.0 [86.8–90.9] |
HepB 2nd dose | 91.9 [90.7–92.9] | 89.6 [88.5–90.7] | 82.2 [79.1–84.9] | 82.8 [80.4–85.0] |
HepB 3rd dose | 84.8 [83.1–86.2] | 85.1 [83.7–86.3] | 71.5 [68.0–74.8] | 76.1 [73.3–78.6] |
Dropout (HepB 1-HepB 3) | 10.4 | 9.8 | 16.4 | 12.9 |
Hib 1st dose | 95.3 [94.3–96.2] | 94.8 [94.1–95.5] | 88.4 [85.6–90.7] | 88.9 [86.8–90.8] |
Hib 2nd dose | 92.3 [91.2–93.3] | 90.5 [89.4–91.4] | 83.4 [80.5–86.1] | 83.5 [81.1–85.6] |
Hib 3rd dose | 88.7 [87.3–89.9] | 88.1 [87.0–89.2] | 76.0 [72.7–79.0] | 78.7 [76.2–81.0] |
Dropout (Hib 1-Hib 3) | 6.6 | 6.7 | 12.4 | 10.2 |
MCV 1st dose | 86.7 [85.3–88.0] | 83.1 [81.7–84.4] | 79.3 [76.1–82.1] | 73.5 [70.6–76.3] |
MCV 2nd dose | 64.8 [62.7–66.9] | 64.2 [62.4–66.0] | 51.6 [48.1–55.1] | 50.1 [47.1–53.1] |
Dropout (MCV 1-MCV 2) | 21.9 | 18.9 | 27.7 | 23.4 |
Dropout (DTP 1-MCV 1) | 9.2 | 12.8 | 10.1 | 16.4 |
RCV 1st dose | 72.4 [70.3–74.4] | 70.8 [69.0–72.6] | 69.2 [65.4–72.7] | 62.1 [59.0–65.0] |
Routine vaccination coverage by district
Factors associated with completed vaccination
Sociodemographic factors | Type of Vaccine | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Polio 3 | DTP 3 | HepB 3 | Hib 3 | MCV 2 | RCV 1 | |||||||
Odds Ratioa | Crude [95% CI] | Adjusted [95% CI] | Crude [95% CI] | Adjusted [95% CI] | Crude [95% CI] | Adjusted [95% CI] | Crude [95% CI] | Adjusted [95% CI] | Crude [95% CI] | Adjusted [95% CI] | Crude [95% CI] | Adjusted [95% CI] |
Nationality | ||||||||||||
Lebanese[ref] | ||||||||||||
Syrian | 0.5* [0.4–0.6] | 0.6* [0.5–0.7] | 0.5* [0.4–0.6] | 0.6* [0.5–0.8] | 0.6* [0.5–0.7] | 0.7* [0.5–0.8] | 0.5* [0.4–0.6] | 0.7* [0.6–0.8] | 0.6* [0.5–0.6] | 0.7* [0.6–0.8] | 0.7* [0.6–0.8] | 0.9 [0.7–1.0] |
Sex | ||||||||||||
Male[ref] | ||||||||||||
Female | 0.9 [0.8–1.1] | 0.9 [0.8–1.1] | 0.9 [0.8–1.1] | 1.0 [0.8–1.2] | 0.9 [0.8–1.1] | 0.9 [0.8–1.1] | 1.0 [0.8–1.1] | 1.0 [0.9–1.2] | 1.0 [0.9–1.1] | 1.0 [0.9–1.1] | 1.0 [0.9–1.1] | 1.0 [0.9–1.1] |
Age | ||||||||||||
12–23 months[ref] | ||||||||||||
24–35 months | 1.2 [1.0–1.5] | 1.3* [1.1–1.6] | 1.1 [0.9–1.4] | 1.2 [0.9–1.5] | 0.9 [0.8–1.2] | 1.0 [0.8–1.2] | 1.1 [0.9–1.3] | 1.1 [0.9–1.4] | 1.8* [1.6–2.2] | 1.9* [1.6–2.2] | 1.5* [1.2–1.7] | 1.5* [1.3–1.8] |
36–47 months | 1.2 [0.9–1.5] | 1.3* [1.1–1.7] | 1.2 [0.9–1.5] | 1.3* [1.1–1.7] | 1.0 [0.8–1.3] | 1.1 [0.9–1.4] | 1.1 [0.9–1.4] | 1.2 [0.9–1.5] | 1.9* [1.6–2.2] | 2.1* [1.8–2.5] | 1.9* [1.6–2.2] | 2.0* [1.7–2.4] |
48–59 months | 1.4* [1.1–1.8] | 1.7* [1.3–2.2] | 1.2 [1.0–1.5] | 1.5* [1.2–1.9] | 1.2 [0.9–1.4] | 1.3* [1.1–1.7] | 1.1 [0.9–1.4] | 1.4* [1.1–1.7] | 2.5* [2.1–2.9] | 2.9* [2.5–3.5] | 2.4* [2.0–2.9] | 2.8* [2.3–3.4] |
Place of last vaccination | ||||||||||||
Health facility[ref] | ||||||||||||
Private clinic | 1.4* [1.2–1.7] | 1.1 [0.9–1.3] | 1.7* [1.4–2.1] | 1.3* [1.1–1.6] | 1.5* [1.3–1.8] | 1.3* [1.1–1.5] | 1.9* [1.5–2.3] | 1.4* [1.1–1.8] | 1.4* [1.2–1.6] | 1.1 [0.9–1.3] | 1.5* [1.3–1.7] | 1.3* [1.1–1.5] |
Other | 0.7* [0.5–0.9] | 0.7* [0.5–0.9] | 0.7* [0.5–0.9] | 0.7* [0.5–0.9] | 0.8* [0.6–0.9] | 0.7* [0.5–0.9] | 0.8 [0.6–1.1] | 0.8 [0.6–1.1] | 0.5* [0.4–0.7] | 0.5* [0.4–0.6] | 0.6* [0.5–0.7] | 0.5* [0.4–0.7] |
Mothers’ educational status | ||||||||||||
Doesn’t know how to read and write[ref] | ||||||||||||
Knows how to read and write | 1.4* [1.1–1.9] | 1.2 [0.9–1.7] | 1.2 [0.9–1.6] | 1.0 [0.7–1.4] | 1.2 [0.9–1.7] | 1.0 [0.7–1.4] | 1.4* [1.1–1.8] | 1.2 [0.8–1.6] | 1.2 [0.9–1.7] | 1.2 [0.9–1.6] | 1.4* [1.1–1.8] | 1.3 [1.0–1.7] |
Primary/complementary level | 1.9* [1.4–2.6] | 1.4* [1.1–1.9] | 1.5* [1.1–2.0] | 1.0 [0.7–1.4] | 1.4* [1.1–2.0] | 1.0 [0.7–1.4] | 1.7* [1.3–2.3] | 1.2 [0.9–1.7] | 1.4* [1.1–1.7] | 1.2 [0.9–1.5] | 1.8* [1.4–2.3] | 1.5* [1.2–2.0] |
Secondary level | 2.7* [2.0–3.7] | 1.7* [1.2–2.4] | 2.0* [1.5–2.7] | 1.1 [0.8–1.6] | 1.8* [1.3–2.5] | 1.1 [0.8–1.6] | 2.5* [1.8–3.5] | 1.5* [1.1–2.2] | 2.3* [1.7–3.0] | 1.7* [1.3–2.4] | 2.0* [1.5–2.6] | 1.6* [1.2–2.1] |
Post-school technical level | 1.9* [1.3–2.6] | 1.3 [0.9–2.0] | 1.9* [1.3–2.7] | 1.2 [0.8–1.9] | 1.6* [1.1–2.3] | 1.0 [0.7–1.6] | 1.6* [1.2–2.3] | 1.1 [0.8–1.6] | 1.8* [1.4–2.3] | 1.5* [1.1–1.9] | 2.3* [1.7–3.1] | 1.9* [1.4–2.6] |
University level | 2.9* [2.1–4.0] | 2.0* [1.4–3.0] | 2.9* [2.1–4.1] | 1.8* [1.2–2.8] | 1.8* [1.3–2.5] | 1.1 [0.8–1.6] | 3.3* [2.4–4.5] | 2.2* [1.5–3.1] | 2.3* [1.8–3.0] | 1.9* [1.4–2.5] | 2.1* [1.7–2.8] | 1.7* [1.3–2.2] |