Determinants of Vaccinal Incompletude in the Context of Implementation of Financing Based on the Performance in Bertoua Health District

The immunization completion rate of children under 12 months remains low despite the implementation of Financing based on the performance in the Eastern Region of Cameroon. The objective of this study was to identify the determinants of this vaccine incompleteness from 2013 to 2014. A transversal study with descriptive and analytical aim was carried out. A stratified 2-stage sampling was carried out on 309 parents of children and 89 health personnel. A factorial analysis allowed to obtain these children profile according to their situation of complete immunization. Multiple logistic regression was used to control the confounding factors and to establish associations between the variables. The final model was adjusted using chi-square tests and a P-value of 5% and 10% was used. Vaccine completive in children under 12 months of age was 44%. The average standard of living (P = 0.062), proximity to the health facility (P = 0.000), the distance of the populations from their health facility (P = 0.074), the recall of the appointment of the vaccination to the parents by the community relay (P = 0.031) Were significantly associated with vaccine incompleteness. 83.9% of health care providers do not appreciate the distribution of subsidies. No formal contract commits the community relay with the health facilities. District immunization coverage remains low despite the Financing based on the performance. The contractualization of community relays and the practice of good governance would contribute to improving the quality of immunization coverage