We also held meetings with community members and distributed posters and fliers Bioactive Compound Library in vitro at market places, schools and health facilities within the surveillance area. Mobilization messages included signs and symptoms of seasonal influenza, ways of preventing and controlling influenza, benefits of seasonal influenza vaccine and designated clinics for seasonal influenza vaccination. Mobilization continued throughout the vaccination administration period. Data on vaccination were collected at 3 vaccination

clinics by use of netbooks. We used existing geo-codes mapped by the HDSS to calculate radial distances from homesteads to each of the three health facilities in order to evaluate the impact of distance from residence to the nearest vaccination center on vaccination status. Demographic and socio-economic variables were analyzed as covariates through linkage to the HDSS database. Bivariate and multivariate associations between the independent variables and a three-level dependent variable of vaccination uptake (fully,

partially and not vaccinated) were evaluated. Fully vaccinated children were defined as having received all of the required doses of the influenza vaccine. Partially vaccinated children were defined as children receiving only one Adriamycin dose of vaccine when two doses were required. Non-vaccinated children did not receive any doses of influenza vaccine. Data were analyzed using SAS version 9.2 (SAS Institute, Cary, NC, USA) software package. In our initial bivariate analyses, independent variables were compared with see more the three levels of child vaccination status. Independent variables included maternal and household demographic variables (maternal and child age, maternal education, household occupation, sibling death and hospital admission reported

within one year prior to vaccination), socio-economic status, and radial distance in kilometers from home to the nearest vaccination clinic. We considered the occupation of the household administrator in the family to be the household occupation. Household administrator was defined as the member of the household who makes the day-to-day decisions in the household and manages it in the absence of or on behalf of the head of the household. We also classified household occupations into two categories: those that required the administrator of household to be away from home during vaccination clinic hours of operation (such as teaching, nursing and fishing) and those that did not require the administrator of household to be away from home (such as local subsistence farming or agricultural work, local small business operations, or no occupation). Associations between independent variables and vaccination status were interpreted using odds ratios (OR) and their 95% confidence intervals (CI), the OR presented were common for fully, partially and non-vaccination statuses.