Association between maternal use of traditional healer services and child vaccination coverage in Pont-Sonde, Haiti
2009

Impact of Traditional Healers on Child Vaccination in Haiti

Sample size: 691 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muula Adamson S, Polycarpe Martine Y, Job Jayakaran, Siziya Seter, Rudatsikira Emmanuel

Primary Institution: Department of Community Health, University of Malawi, College of Medicine

Hypothesis

Children whose mothers used the services of traditional healers were less likely to be vaccinated compared to children whose mothers did not use the services of traditional healers.

Conclusion

Mother's use of traditional healer services was negatively associated with vaccination of Haitian children.

Supporting Evidence

  • Children whose mothers often or always used traditional healers had a 53% decrease in the odds of being fully vaccinated.
  • Affiliation to Vodou was associated with a 54% decrease in the odds of being fully vaccinated.
  • Living more than one hour from a health care facility was associated with a 66% decrease in vaccination odds.

Takeaway

Moms who go to traditional healers for help are less likely to get their kids vaccinated, which is important for keeping them healthy.

Methodology

A two-stage stratified sampling method was used to select 720 mothers, with 691 completing a survey on vaccination and traditional healer use.

Potential Biases

Potential bias due to categorizing Vodou affiliation mutually exclusive with other religions.

Limitations

The study was cross-sectional, which limits causal inferences, and there may have been underreporting of traditional healer use.

Participant Demographics

Mean age of mothers was 28.9 years, with 42.6% aged 25-34 and 52.5% having elementary education.

Statistical Information

P-Value

0.47

Confidence Interval

[0.27, 0.83]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-9276-8-1

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