Immunization Status Of Children Research Articles

Parental factors affecting child's immunization status in Benghazi, Libya

Background: According to the World Health Organization recommendations, every country should have its own national immunization program for children to protect them against vaccines preventable diseases. This study aims to assess parental factors affecting the child's immunization status. Subjects and Methods: A descriptive, cross-sectional study was conducted on 419 parents attending maternal and child health (MCH) at El-hadaeq health center in Benghazi to vaccinate their children during November 1, 2016 to January 31, 2017. Results: Mothers constitute 79% of the study population and 53% of the children were male. Almost all the parents 402 (96%) were aware and had good knowledge about the national immunization program. Nearly 86% of the children were completely immunized for their age, and the main reason for missing vaccination is the unavailability of vaccines in MCH clinics. Conclusion: Although the awareness rate about immunization is high between the parents, there are still some children missed vaccinations. More educational interventions are therefore needed to increase and update parents' knowledge, and more emphasis on the local health authority is needed to ensure continuous vaccines supply to all MCH clinics and health centers in Libya.

Morbidity Pattern and Outcome of Swa-Prerit Adrash Gram Yojana Health Project Interventions among Rural Population, Gurugram, Haryana

Despite increasing health expenditures and unprecedented advances in modern medicine over the last century, people today in villages are not necessarily healthier. This mission of present project Swa-Prerit Adarsh Gram Yojna strives to upgrade the Basic Amenities to bring them at par with those in the Urban Areas and started for betterment of health. The main objective was to study the morbidity pattern and outcome of Swa-Prerit Adrash Gram Yojana Health Project intervention among rural population, Gurugram, Haryana. The project involved two phases; Phase 1-Collection of Basic data of health and socio-demographic variables by household survey of the village. Phase 2-Specific interventions regarding health problems eg. RCH, Immunization, Adolescent health, Reducing risk behavior were undertaken. The study was carried out in village Budhera, District Gurugram, Haryana from 01 Jan 2015 to 31 December 2016 using pre-tested schedule consisting of information on socioeconomic profile, type of living conditions, water supply, History of pregnant females within 24 months, any currently pregnant females, and immunization status of children, any chronic diseases or disabilities in the family. Analysis in gaps of health care was done specific interventions against the health disorders. Out of total 720 families, 584 families could be contacted. Total Population covered was 3838 of which 2044 were males. Sex ratio of study population was found to be 1000: 878. Majority of houses were pucca (74.5%), 84.3% houses had separate kitchen and 15% families used biomass/wooden fuel, 90.5% piped water supply, Sanitary latrines were installed in 97.6% houses. A total of 90 women had pregnancy in last 24 months. ANC registration 81%, TT coverage 98% and Iron Folic Acid Tablet (100 tablets) compliance 94%. The morbidities were studied. Specific interventions were undertaken to achieve 100% ANC registration, IFA Compliance, TT and complete Immunization from 93% to 100%. This is an integrated approach to health problems in rural health is an effort to delineate the health disorders and mitigate them by interventions.

Assessment of Immunization Status in Children of 12–23 Months in Rural Field Practice Area of KIMS, Narketpally

Assessment of Immunization Status in Children of 12–23 Months in Rural Field Practice Area of KIMS, Narketpally

Assessment of nutrition, morbidity, and immunization status of under-five children attending government tertiary care hospital

Assessment of nutrition, morbidity, and immunization status of under-five children attending government tertiary care hospital

Predictors for critical care admission among children presenting to emergency department with recurrent wheezing.

Context:Children with recurrent wheezing contribute to a significant burden of inpatient hospital admission in developing countries. However, many patients could be managed at home following a short observation period in emergency unit.Aim:This study aimed to determine the predictors of critical care admission in a population of children aged 6 months to 2 years attending pediatric emergency department (ED) for recurrent wheezing.Setting and Design:This is a case–control study conducted in pediatric ED of a tertiary care center in North India.Patients and Methods:Demographic and clinical details were recorded for children aged 6 months to 2 years who presented to ED for “recurrent wheezing” within 48 h of onset of symptoms. Those who were admitted to critical care unit were considered cases and those who were discharged within 6 h of stay at short observation units of ED were considered controls.Statistical Analysis:Logistic regression model was used to determine which of the various demographic and clinical factors best predicted the need for critical care admission.Results:The cases (n = 58) had significantly higher number of emergency visits in the preceding 1 month (P = 0. 018), had more episodes of wheezing in the last 3 months (P = 0.025), had higher respiratory rate (P < 0.001), and had higher clinical severity score (P < 0.001) when compared to control (n = 58) group. Logistic regression model revealed incomplete immunization status of children (P = 0.005) to be a significant risk factor that determine the need for critical care admission.Conclusion:The present cross-sectional study with limited sample size revealed incomplete immunization status of children to be a significant risk factor that determined the need for critical care admission among children below 2 years of age presenting to ED with recurrent wheezing.

Study of ecology of malnutrition with respect to infection, infestation pattern, immunization and feeding practices in children attending tertiary care hospital

Background: It often quipped that half of the world is starving and other half is tyring to lose weight!!.Unfortunately India is in the former half of the world. Out of 667 million children under age five worldwide, 151 million children are stunted and 50 million children are wasted.Methods: The present study showed a very poor immunization status of malnourished children only 7.26% were completely immunized and 74.39% and 8.47% of malnourished children were partially immunized and unimmunized respectively. Study also showed a high incidence of wrong feeding practices like early weaning, prolonged exclusive breast feeding without adequate supplementation, and top feeding in the malnourished cohort. Study also showed a high prevalence of bronchopneumonia, UTI, GI infections in the study group. Tubercular meningitis, pyogenic meningitis, aspiration pneumonia contributed to majority of deaths. Malnourished children are more likely to have anemia, xerophthalmia, bacteremia, bacteriuria, pneumonia, GI infection and tuberculosis. The study was conducted in the Department of Pediatrics, VIMS and Head Quarters Hospital Bellary from December 2006 to December 2007.Results: In this study out of 8 HIV positive children 6 children had been breast fed and 2 were top fed. Study also showed a high prevalence of bronchopneumonia, UTI, GI infections in the study group. Tubercular meningitis, pyogenic meningitis, aspiration pneumonia contributed to majority of deaths. Malnourished children are more likely to have anemia, xerophthalmia, bacteremia, bacteriuria, pneumonia, GI infection and tuberculosis. In cases with severe malnutrition, screening for HIV infection must be done.Conclusions: Education regarding early initiation of breast feeding within one hour of birth, exclusive breast feeding for 4 to 6 months and continued breast feeding for 2 years or beyond with adequate supplementation must be emphasized. Last but not the least, the importance of immunization in breaking the vicious cycle of infection and malnutrition should be made known to the community at large through effective usage of mass media.

Immunisation timeliness in a cohort of urban Aboriginal and Torres Strait Islander children.

BackgroundTo evaluate immunisation coverage, timeliness and predictors of delayed receipt in urban Australian Indigenous children during the first 18 months of life.MethodsCross-sectional retrospective analysis of data collected from 140 Australian Indigenous children aged < 5 years at the time of enrolment in a prospective cohort study on respiratory illness between 14 February 2013 and 28 January 2015. Children were recruited through an urban community primary health care centre in the Northern suburbs of Brisbane, Queensland.ResultsThe proportion of children with completed immunisation schedules was 50 of 105 (47.6%) at 7 months, 30 of 85 (35.3%) at 13 months and 12 of 65 (18.5%) at 19 months. Timely receipt of diphtheria-tetanus-pertussis decreased from 78.4% at 2 months of age to 63.7 and 59.3% at 4 and 6 months respectively. Amongst the 105 parents/guardians with children ≥7 months at enrolment, 71 (67.6%) incorrectly reported their child’s immunisation status. Delayed vaccine receipt was significantly associated (p ≤0.05) with having multiple children in the household, mother’s unemployment and premature birth.ConclusionsCoverage and timeliness among this population is suboptimal and decreases as children age. Parent/guardian reporting of vaccination status was unreliable. Children of unemployed mothers and those with multiple siblings should be targeted to improve community immunisation timeliness due to a greater risk of vaccination delay. High quality trials, conducted in several settings to account for the diversity of Australian Indigenous communities are urgently needed to identify culturally appropriate, effective and sustainable strategies to improve immunisation targets in children.

A Study To Assess Immunization Status In 12 -23 Months Old Children Coming To Pediatrics Opd Of Gmch

Aims and Objectives:Assess the immunization status of children age group between 12-23 months from Kamrup Metro district. To identify and explore the factors affecting immunization status in children of Kamrup Metro and reasons for drop out from vaccinations. Design:It is hospital based study conducted in OPD, Guwahati medical college &hospital, Guwahati for 1year from 1 st June 2012 to 31 st May 2013. Participants:Children between 12-23 months of age belonging to Kamrup Metro district of Assam,who do not have immunosuppressive diseases & not on steroids are included in the study. Results:64.17% of children were fully immunized, 30.12% and 5.70% were partially and unimmunized respectively.BCG has maximum coverage (93.93%) & minimum for measles (64.88%). Hindus were better immunized 70.18% compared to other religions. Parenteral age and education also significantly proportional to immunization status. Immunization increases with increase in socioeconomic status (91.66% for class 1). Increase in birth order decreases chances of immunization. Practices like hospital deliveries and health care workers visits promote vaccination. Reasons for dropout were sickness, fear of side effects and family problems. Conclusion:Immunization coverage for children is still lagging behind significantly mainly because of social and economic reasons. Literacy has positive effect on immunization. Hence there is a lot of scope of improvement by spreading awareness and improving the living standards and providing better healthcare facilities which will in turn lead to complete immunization coverage and safe childhood.

Influences on immunization rates: Vaccination coverage of mumps, measles, rubella and varicella before and after the STIKO intervention 2011 – A retrospective study

BackgroundIn September 2011, the German Standing Committee on Vaccinations (STIKO) changed their recommendation regarding the mumps–measles–rubella–varicella vaccination (MMRV). We compared the immunization rates against MMRV in Germany before and after the STIKO intervention. MethodsWe recorded the immunization status of children born between 09/2008 and 08/2012 in 35 selected doctor’s surgeries in Germany. ResultsAfter the STIKO intervention, the ratio of the combined MMRV vaccine as the first dose immunization was reduced to approximately 25% of the initial value. A slight increase in the number of children not sufficiently vaccinated against varicella (1.2%) was observed, but the immunization rates against measles, mumps, rubella and varicella did not significantly decrease. ConclusionsThe STIKO intervention led to a significant change in physicians’ vaccination procedures. The separate administration MMR+V vaccination may be a helpful option to improve the immunization rates in general.

Profiling the immunity status of children with non-polio acute flaccid paralysis who had not received any doses of oral polio vaccine in the South–South region, Nigeria 2011–2014

ObjectivesTo demonstrate the immunity status of children with non-polio acute flaccid paralysis (NP AFP) reported through the AFP surveillance system in the South–South region of Nigeria. Study designA retrospective study was conducted using AFP surveillance data collected routinely between January 2011 and December 2014 by the Disease Surveillance Department of the regional health service and the World Health Organization (WHO)-accredited regional reference polio laboratory. All cases of AFP reported to the Disease Surveillance Network from all six zones during this period were included in the study. MethodsIn total, 5111 cases of AFP in children aged ≤15 years were reported between 2011 and 2014. These cases were investigated and verified by WHO surveillance officers using a standard questionnaire, which captured the number of doses of oral polio vaccine (OPV) received by the child. Two stool samples were collected for each case, 24–48 h apart, within 14 days of the onset of paralysis, and transported to the national polio laboratory under reverse cold chain storage. Data retrieved were stored in an AFP database hosted by the WHO server. EPIINFO software was used to query the database and extract the information required for analysis in this study. ResultsThe percentage of children who had received at least three doses of OPV (which serves as a threshold to measure immunity status) decreased from 87% in 2011 to 82% in 2014. The percentage of children who had not received any doses of OPV decreased from 2% in 2011 to 1% in 2014. Forty-eight percent of the children who had not received any doses of OPV were aged <1 year. ConclusionGiven the decrease in OPV immunity status, the region risks re-introduction of poliovirus. Swift steps should be taken to improve the immunization coverage, which would boost immunity status in Nigeria.

Determinants of Childhood Immunization Coverage Among Children Aged 12-23 Months in Mara Division, Narok West Sub County, Narok County, Kenya

Immunization has been shown to be one of the most cost effective health interventions worldwide, through which a number of serious childhood diseases have been successfully prevented or eradicated. WHO scaled it from 10% in 1974 to 80% in 1990 against smallpox. The study was to establish the factors that determine immunization coverage among children between the ages of 12-23 months in Mara Division, Narok West Sub-County. In seeking to determine the coverage, the study looked at both Demographic and Socio-Economic Factors associated with immunization coverage in the area. This was a cross-sectional survey study of children aged between 12-23 months among randomized health facilities within the study area of Mara Division, in Narok County. Information on Demographic and Socio-Economic Factors and immunization status of children aged 12-23 years of age was obtained from mothers and caretakers. A sample size of 421 respondents was involved in the target facilities with a response rate of 95%. The findings show a strong association between education and immunization. Mothers’ employment and occupations has shown a likelihood to seek immunization for their children. The study noted the significance of the place of child delivery with those born in health facilities with likelihoods of routine immunization. The study has equally shown that immunization uptake in the area has improved compared to previous reports showing a coverage of 65.9%. Out of these findings; the study concludes that, the Ministry of Health need to improve on supplemental immunization activities such as National Immunization Days (NIDs) and Catch-up campaigns that are already in place. These should be planned and regularly carried out based on how to improve routine immunization coverage and control out-breaks situations like Measles and Polio. In addition, the both the National and County Government should work with religious institutions and leaders especially in the Mara division, Narok West Sub-County so as to improve the uptake of vaccine. Educational programmes that can target poor and uneducated people should be put in place so that they are able to make informed decisions regarding immunization of their children.

Medicaid Pay for Performance Programs and Childhood Immunization Status.

Although pay for performance (P4P) programs are being increasingly used by state Medicaid programs to provide incentives for managed care plans to provide high-quality care, no national study has examined the effects of these plans on commonly targeted outcomes such as childhood immunization rates. Information from the 1999-2011 National Immunization Survey combined with information on state Medicaid P4P programs from the Centers for Medicare and Medicaid Services was used to study the effect of Medicaid P4P programs on the immunization status of children aged 19-35 months. Difference-in-difference-in-difference models were used to study whether adoption of Medicaid P4P programs was associated with higher immunization rates among Medicaid-eligible children relative to non-Medicaid eligible children within states that adopted Medicaid P4P programs compared with states that did not. Linear probability models were used in all estimations, and models controlled for demographic factors. The study found no overall effect of Medicaid P4P on the chance that children aged 19-35 months had completed the 4:3:1:3:3:1 vaccination series. However, there was a 4 percentage point increase in the chance that a child 19-23 months had completed the series. This study provides some evidence that Medicaid P4P programs may be helpful in improving childhood vaccination rates. Further study of the effects on other targeted outcomes as well as the effects of different P4P program designs may increase understanding of the potential role of these programs in improving the quality of health care.

Effect of sociodemographic factors on age-appropriate immunization of children in slums of Lucknow, capital of Uttar Pradesh

Background: Developing countries like India are presently developing new strategies to increase immunization coverage and reach more children with quality vaccine. Children in urban slums have high vulnerability to illnesses as outbreak of vaccine-preventable diseases are more common in these communities, owing to high population density and migratory population. Objective: To assess the immunization coverage and various sociodemographic factors affecting the same in urban slums of Lucknow. Material and Methods: A community-based cross-sectional study was conducted in slums of Lucknow city from August 2014 to July 2015. A total 327 children in age group 9 months to 2 years were enrolled in the study and their mothers (or primary caregivers) were interviewed through house-to-house survey with the help of a predesigned, pretested and semi-structured questionnaire. Results: About one-fourth (24.1%) of the children were completely immunized and 32.4% were partially immunized, while 43.4% were unimmunized. Significant association was found between mother’s occupation (p = 0.000), mother’s educational status (p = 0.013), and father’s educational status (p = 0.023) with immunization status of children. Conclusion: In this study, overall coverage of immunization was suboptimal in slums. So, there is an urgent need to review the current strategies of immunization with special focus in urban slums.

Immunization status of children less than 5 years attending to tertiary care hospital out-patient department in an urban area, prospective-descriptive study

Background: The Indian population has swollen to 1.21 billion.1 Children below 5 years constitute 12-15% of this population. To determine the immunization status of children 2 with partial immunization. Conclusions: We observed that only 32.6% children were fully immunized. Financial problem, Lack of knowledge, immunisation at government hospital, ignorance seems to be a major contributing factors for under immunization. Female gender, rural back ground, belonging to Muslim community, low socioeconomic status, low maternal age, uneducated parents and being from joint family are the other contributing factors for the poor immunization coverage and were found to be statistically significant. Our study shows children had 100% immunised for BCG, OPV-0, OPV-1 and DPT-1.

Immunization status of children 12 to 18 months of age presenting to tertiary care center at Aurangabad, Maharashtra: an observational study

Background: India is off track from set immunization coverage targets. Coverage data helps identify and address weak links. Study conducted to determine the primary immunization status of children and the factors, reasons affecting it. Methods: Cross sectional observation study at tertiary care center, Aurangabad Maharashtra. 12 to 18 months’ age children presenting to pediatric outpatient department from September 2012 to August 2014 were enrolled consecutively and assessed for completion of primary vaccination series as per National immunization schedule; sociodemographic details, reasons for partial or non-immunization noted. Chi square test of independence was performed to examine relation between sociodemographic variables and immunization status. Results: Of 900 children, male to female ratio was 1.4:1, urban to rural 4:1, Hindu to Muslim 2.4:1. 69.2% were fully, 27.8% partially, 3% non-immunized. Coverage for vaccines: BCG 96.6%, 1 st , 2 nd and 3 rd doses of OPV and DPT 95.5%, 94.2% and 91.2%, Hepatitis B 93.6%, 84% and 70.8% respectively, measles 82.2%. Vaccine dropout BCG to Measles was 14.84%. Immunization status was better in urban population, Hindus, hospital delivered children, lower birth orders, higher socioeconomic classes, older mothers, higher parental education and occupation, with immunization card (all with p<0.001). 277 children were not fully immunized as postponed due to child’s illness, lack of knowledge of schedule/ subsequent doses and lack of motivation. Conclusions: DTP3 coverage is on target, completion of primary immunization series and measles not. Rural, Muslim, lower socioeconomic status populations likely to miss or do not receive primary vaccine series. Knowledge of vaccine schedule is poor.

Association of Vaccination Coverage Factors with Children’s Immunization Status in the Local Government of Djougou in Benin in 2013

Introduction: In recent years, several epidemics, especially measles, had been notified in some local governments of Benin such as the one of Djougou. Objectives: This study aims to assess vaccination coverage and identify immunization system factors associated with children immunization status. Methods: It was a cross-sectional, descriptive and analytical study. It had been conducted from 29th to 31st August, 2013 and involved 410 children aged of 12 to 23 months and their mothers/minders. The study also focused on the officers of 13 immunization services. Those respondents were randomly selected through cluster sampling in 30 villages of the local government of Djougou. Findings: Coverages with tuberculosis vaccine (BCG), with vaccines against diphtheria, tetanus, pertussis, haemophilus influenzae b, and viral hepatitis B 1st, 2nd and 3rd doses (DTP1 - Hep1 - Hib1, DTC2 - Hep2 - Hib2, DPT3 - Hep3 - Hib3) and measles vaccine were respectively 96.30%, 92.90%, 89.00%, 84.60% and 72.00%. Concerning the immunization status, 29.02% of the children were not fully vaccinated. After analysis, six immunization system-related factors associated with immunization status were identified. Conclusion: About one out of three children was not completely vaccinated. These results may explain the occurrence of measles epidemics recorded in the local government.

Assessment of Immunization Status, Coverage and Determinants among under 5-Year-Old Children in Owerri, Imo State, Nigeria

Background: Immunization coverage in different parts of the country varies widely despite efforts to improve the services. The immunization status of children is dependent on the dynamics of vaccination uptake which is complex and involves the interplay of different associated factors. Aim: To determine the immunization coverage, status and the determinants in under 5-year-old children in Owerri municipal, Imo State. Methods: The study was a community based cross-sectional study involving 420 women and 743 under 5-year-old children. A multistage sampling technique was employed and data were collected using a pretested, semi structured interviewer administered questionnaire. Data were analysed using a computer software SPSS-IBM version 20. Results: It revealed that 63.6% and 88.9% of children less than 12 months and between 12 - 59 months respectively according to households were fully immunized. The bivariate analysis showed statistically significant associations between the immunization status of the children and place of birth delivery (p p p p p p

Immunisation Status of Children Born with Orofacial Clefts Who Visited the Komfo Anokye Teaching Hospital (KATH) Multidisciplinary Cleft Clinic

Background: The Ghana Expanded Programme on Immunisation recommends that children receive Bacillus Calmette-Guerin (BCG) and Oral Polio Vaccine (OPV) at birth; three doses of Penta vaccine and OPV at 6, 10 and 14 weeks of age; and measles vaccine at 9 months of age. Aim/Objective: To evaluate the immunisation status of children born with orofacial clefts who visited the KATH multidisciplinary Cleft clinic. Methodology/Statistics: The study was a descriptive study with a cross-sectional design. The methodology consisted of in-person interviews of mothers of children born with cleft lip and palate reporting at KATH Cleft clinic. Interview guides were used for mothers who could not read. Mothers who were literate and as such could answer the questions directly were given questionnaires to fill. Result: It was reported that of the 83 children included, 47 (57%) had been fully vaccinated and on time, 24 (29%) had been fully vaccinated but delayed and 12 (14%) had not been vaccinated at all. Children with isolated cleft palate and macrostomia were fully vaccinated on time (77.3% and 100%, respectively) as compared to those with combined cleft lip and palate (43.3%) and isolated cleft lip (50.0%). The majority (77%) of the mothers who either had not vaccinated their children or had delayed in vaccinating them attributed stigmatisation as the main cause. Most of the mothers (95%) had knowledge of immunisation. About two-thirds of the mothers (65%) agreed that establishing an immunisation centre at the cleft clinic is the best way to improve immunisation rate among children with orofacial clefts. Conclusion: The study showed that the percentage of children with orofacial cleft who visited the KATH Cleft Clinic and were vaccinated on time was above the national average. Cleft palates were more vaccinated and on time than cleft lips. According to the children’s mothers, lack of timely vaccination was mainly due to the stigma associated with clefts in their societies.

Comparative study to assess functions of NGO and Government managed anganwadi centres of Ahmedabad city, Gujarat, India

Background: ICDS scheme is one of the world’s largest and unique programs for early childhood development. With a commitment towards public private partnership, ICDS approached identified NGOs to deliver ICDS services and to operationalize the anganwadi centres (AWCs). Objectives of the study were to assess the functioning of NGO and Govt. managed AWCs in terms of infrastructure, supplies and utilization and Identify the operational gap. Methods: Cross sectional study was carried out in 20 randomly selected AWCs of Ahmedabad city. 50% NGO managed and 50% Govt. managed AWC were observed and anganwadi workers were interviewed. Statistical analysis Data entry and analysis was done in Microsoft Excel and chi square was used as test of significance. Results: Most of AWCs were running as a part of house on rent. Proper way of display of information was found more among NGO managed AWCs (80%). Malnourished children were found more in Govt. managed AWCs than NGO managed. This difference was statistically significant (p<0.05). Immunization status of children of NGO managed AWCs was better than Govt. managed AWCs and difference in immunization coverage was found statistically significant (<0.05). Conclusions: Services are better in NGO managed AWCs in comparison to Govt. both in terms of quality and quantity.

Analysis of the Effect of Maternal Perception on Completeness of Child Immunization Status with Health Belief Model

Background : Child immunization coverage was low in several health centers in Surakarta, Central Java. Some of the health centers did not achieve GAIN Universal Child Immunization (UCI) target in 2014. For example, Penumping Health Center (HBV <7 days= 86.9%, BCG= 87.8%, Campak= 87.5%, DTP-HBV-HIB= 86.7%, Polio= 87.5%) and Banyuanyar Health Center (Campak= 89.6%). This study aimed to determine the effect of maternal perception on completeness of child immunization status using Health Belief Model (HBM). Subje cts and Met h od : This was an analytic observational study with case control design. It was conducted at Penumping and Banyuanyar Health Centers, Surakarta, Central java. A total sample of 120 mothers and their respective children aged <9 years was selected for this study by fixed disease sampling. This sample consisted of children with complete immunization and the other children with incomplete immunization (ratio= 1:4). The dependent variable was completeness of immunization status. The independent variables were maternal perception on various HBM constructs, including perceived susceptibility, seriousness, threat, benefit, and barrier. The data were collected by a set of questionnaire, and analyzed by path analysis . Results : Perceived susceptibility had indirect and positive effect on completeness of immunization status via perceived threat, although it was not statistically significant (b= 0.63; 95% CI= -0.13 to 1.39; p= 0.104). Perceived seriousness had indirect positive and statistically significant effect on completeness of immunization status via perceived threat (b= 1.10; 95% CI =0.71 to 3.04; p=0.005). Perceived threat (b= 1.88; 95% CI= 0.34 to 1.86; p= 0.002), and perceived benefit (b= 1.83; 95% CI = 0.69 to 2.96; p= 0.002), showed direct positive and statistically significant effect on completeness of immunization status. Perceived barrier had direct and negative effect on completeness of immunization status (b= -0.96; 95% CI= -1.97 to 0.05; p= 0.063). Con c lusion : Maternal perception on child susceptibility, disease seriousness, disease threat, benefit and barrier of immunization, have effects on the completeness of immunization status. K eywords : immunization status, completeness, health belief model Correspondence: Yessica Eka Puri. Masters Program in Public Health, Sebelas Maret University, Surakarta. Mobile: 087856408766. Journal of Health Promotion and Behavior (2016), 1(3): 211-222 https://doi.org/10.26911/thejhpb.2016.01.03.08