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Companatlve Study on Fsctons AffecttnglmmunizaLion Coverage in Unban and

Runal of Lampang Pnovince

Pinpake NisawaLhananun

Mesten of Science (Epidemiology)

Sawat Remaboot

Porapan Bunyaratapandhu

Chuk i aL V iwat wongl'kasem

3 December 1987

ABSTRACT

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DaLe of Graduat,ion

The object ives of Lhis study aimed at identifyin$ Lhe

fact,ons associated with the acceptance of inmunization servicesin ehi ldnen by compan ingi mothens whoes chi ldren hed ful 1y

immunized wiLh mothers of pantial ly or unimrnunized chi ldren by

vanious sociodemognaphic and knowlede , in relat,ion to vaccine

and v-ecc i ne pnevent,ab 1e d i seeses

The studied sample was the mothers who had childnenage 1 - 2 years and lived in urban and rural areas of Lsmpangl

provlnce . The daLe ebout vaccination histony and ot,hers were

col lected by us ingl 30 clr-rsLer sampl ingl Lechnique which yielded

420 nottrer.s interviewed in boLh aneas.

The result of thie study indicated that , Lhe

propont ion of fu1ly immunized children in urben and runel ereas

of Lampangl were 70.O and 65.2 percenL respecLively which sti I I r

was lower than Lhe targeL seL by Lhe Minist,ny of Publ ic Heelth.The nessons fon lack of immunizaLion sLated by the moLhers wene t

inadeguaLe knowledge about vgccination such as age at atsnLinsl of

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] vaccinetion snd Lypes of veccine thaL Lhe children should

necieved elfogether wiLhin one yeer of age. Besides t,his r Lhe

mot hdr elso bel ived LhaL only one time of DPT and OPV

immunizet,ion w6s life-longl proLection for thE children. Others

"a"sorr" were frorn health pensonn€1 and economic reesons such eE

misutrderstood ebout age of vaccinetion fon Meesles end Mump and

also misappoinLmenL of certaian date caused Lhe nothens neven

t,ake their chi ldnen to aLtened cl inic fon ot,hen vBcclnaLion ,

again only small proportion stated about not havingl enougfh money

for vaccination especially with MMR and the feen of illness aft,en

vaccinaLion.FacLors aff ecL ing immuni zaLion coverage of chi ldren in

unbarl eneas were : moLhen's education level, fabher's occupet,ionr

number of living childnen and knowledge abouL vaccine prevenLingl

diseases. In rural ar.eas, followingls were influencingl fact,ors fopvaccine coveFage : numben of I iving chi ldnen, knowledge ebout

vaccines and convenience in necievingl vBccinat ion sBrvices,Chanactenistics of moLhers whose children recleved fullyimmunizaLion were the seme in both urban and runel greas which

wene moLher of glood aducat i on anrJ betten know l edgle about

vaccinat, ion , and had f ewer number of chi ldren. These

cheracteristics should be used as the predicters for immunization

covenBgl'e in future for certein Elreg.

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i:rnfidlfiut:rurn un:1eifunfidrfiuT:nn::r firioeau 7o.r airutr:nrfi'nnrrrarO V ro aD u S , lus au u 6. u- -

;dvnrn-ttnr:-[rji::nildlnu l:n:Jrunar r !n? td5lnFntlnu ltnnzu rosav 66 .7 t uo


56

nod o rJFr ? 1 ldrriurivrr r afi fi Fr r 1 rJ d u o ? n'l un r r 1 rjf u n fr ril fi uT r n1 d fi n r r l ddudnodor:Fr?lldrriuriyrr rafifi uu'ir nr.trJduo?n'lunrrlrrirnr:dunfirilfiuTrnro {r r 6nodr sfrriadrdrg ( p >o . o s )

!Jq

a

adv alfrrtunfi to rilr :o1 si an -r :irnfi rilfi ut:n ltlJ? 1 illTnlntJYtFlUnnnOfl 1Tu- q-

I a a Y uu a I u + q I r I u Iununoul'l {9t lJslT tFl?uflilnrJnx tTFtFtTU ttJunnnl,$nuil1flun fla1?qJt

s rav 7 ! ,4 nrldrdu ,fionoaouarrldlfiuCnr lnfrfi ul.ir

In?13J1|

flnfiqrfiul:n6fia {aeau 69.u. o I v o__rr-.!1. +. ! ra .9 u ly u aa u S d t au o unnunnnofllt?ilnrJnilnu t?Fl tiltJFr?"rildrJiluonun1T?:JnunrJnu lTn?a r r finagt tnugdrdru||qtr9( P >o . o s ) unort,ir fiounfrsionrzfunfirirufiulrerldfiarasionr:frnfrriufiul?nro o ,6n!at9

-q d,.- t)--lt-d- q u + do o d e u d ,) unr ltJT r nfl?nrt?nxil!a !trU I Ta rJl Tolnlnrrti I REJ?R!an7urlo..:rlut- |t

T:erfi uavilrunart un:1eif,unfidlfiuT:nn:l {aeau rs,7 rau 68.0 nud.rdnl io ., J

t . - o-nr" v f 3 vairuyt:o'tftfinrrr:rns?n!?FlxurJa{nu t?Frer1 un: tdiunfirilfiuT:nn::r rfierdasau

r & Jn 'l l' 'l

3o.4 tyllrlu tioneraornrrrfirfiuCnrrafifr uuir nrra.ldrfrElrdilinfiu:Ja,,:fiul:er

?ro{tJlrerlfierrrldlfiuCfi:rnr:du4fi{rufiutrnro-:r6nod'rofi'fu*rarg (p<o.oE) uaudou.Jueouu+3

tJlTnlnrJFl?1uT I n€J?n!?Ft{Uila {nlr lTnn',tIat I v au I + v I

u9l7 t fl 8J nnonl:?lrtluntJnll ttn t eJn?xttl.| t|l

tJouduuarrucdI . 46 tn1 10rt,1ttt']nlin?1tJi r Rg?n:JaniilIo.1Ru [:nnU

JoudsftJ'tT6'tlneJn?1tJ? I flg?n]l tTFl

i-q^-tt-.rlfy^--_u-d-- a ilye 6u u f r ',,

I Co anilodnlr too?fJ?Frtuo ljglT lcrTljnilnilnll tTFtFtTx n{ToEJay 92,3 d?ilrJ1To"lfiilertrtfef-.,.,+,-d?,-,u-n-r-J- r) a. I ' i yrr- ae, u c a v

I ng?nI tTFrnila0nil t6'16'r?g?n1ilil1una1{ltaun1 1J9lT InTrnnnrunu ltern:u tl,lu {508J

av 6?.e ttnv 68.7 nrelrirdu tfionndo:tn?1sJdilliuCnr.:afrfi uu'ir n?"trJf riiEJrfiiltl

f dq y rrltttt 9 a, rtl ta qr e lu u 6t, s 5. d , du o ulf Fl?l1.|O \:nU l9lFl? fl?n1lr t rJilA? 1ildrJl{Uonljnl TTUnlJFlrJfl1l t Tn?JO { t OnAgl {Ill8Jd']Fl0l

(P>o. o5) ?1gau tSgoruAo.:'lunt:'r,rd I [aun171{fi 9


Id_

9l1T'l {11 Hue(ust

Fl?''l ttdul^l 116' I O { ilqqgfl 'l d

d

L ?Jgt LJO {

57

u u ae v f ! | 4 5l

I nun1TTljflilnrJnu lTFl lilnTUflo $ t fln t u!lt

!

IJUilaofJ -?A

Fi sher's exect

GAMMA P-va 1 ue

1 . O'l8ltO {fJ',]:9r','l

z, :ueiunr:fiflu1?oirJ'lrel't3 . OrfiUtO {IJ']TO1

4 . or"luta t'uor}lu u

5 . TlEJ tFllO.lnTOUFlT?o Jo I

6 . a'11l?uljgl?Yl9lo {l I ag ito

7 . rurlvn;{qrnfirufi tasirurfnr:B. n?lrJdvet?n'lunr:1:JiunfirilfiuT:rr

e. firtunrfisianr:funfidlnuirooAl

1 o. FnlrJ? r nerfiuinfiIrio sfiut:rrI I . n?1xf rdsrfi'ul:ndrlo':fiuleiriruinfiu

o. o815

8.2034

7 ,5725

19,7 t25

3. 4615

9,9587

6,8275

0. o 104

23.3144

a,2964

-0. 0697

0. 3630

o. 1 506

o. 3903

o.2427

-0. 3697

-o,2201

-0.0785o. 5498

0.1306

o.77 52 NS

0. 0165 X

0. 0557 NS

o. 0002 )l(

o, 777 1 NS

0. 0069 iF

o,o776 NS

o,2729 NS

0.9094 NS

o. oooo )l(

o,7924 NS


58

n'l:1{fi s uaor rf,qdsdfioranonr:irnfidlfiultnlinrrilto { r 6n r lq, t fio s

siruil: 0. R. 95 % Confidence intenval

o''tu'uo dtJ''rTo']I

- o'lgeJ"tn9

U- o'1€lTosI

:udrnr:finr1ro $u1To'r.l

?u9t1J9l1

- rYpir:Jrunal {d

a1d!t'uo {tJ'lto1uug?.ljq"]{uacanql \:

nVrdatrJilO1tl^lI

Fl'1'u1u

fu:rtnrruaui5inrufioorfiuto,liorr

9tJ- trq'l n$aYanql {!,

In1119

ir:rtnr:uauioinrufrqd

tlg u I eT'.tEJ tO10 {FrTOilnT?mO t Floll

tV ro I

5'rg lnmln?1 2,ooo lJ1Yl

vu | - oo- T18 tOSJ"tn',jl 4, OO 1 !1nfru'l.tJo Jo Eq1u?u1j91?Yr9lo,it I afJ noqtl 3'rs nrfiul:J

_2nuI Ftll

ru scnl ,0q1nfl1ufi ndnl xu?n1To+iv'- 4 n ta LriflT1il tlj6+3 n taItJglT

1.15

1.0

7 ,97

1 ,00

5. 52

4 .32

4.98

1.OO

4, 55

3, 69

1.OO

1,76

1.OO

3 ,23

1.63

1.OO

1 .70

o,72

0,62 - 2,t3

l.o7 - 3.61 )r

1.39 -21.81 ;*

t ,22 - 15,29 ;l(

1.31 -18.95;F

z,07 -10.00 lf(

1,37 -9,94 *

o.70 -4.39

1,53 -6.80 ;F

0.79 -3,35

o. 59 - 4,99

o.24 -1.32


59

n1?1{fi s tsior

b-

sT? ril: o. R. 95% Confidence inLenvel

{

z fila r ilelr

r fiTa r ilerr

n ? 1 :Jd v o ? n'l un r :1 :J f :r nfi ri:r riuT:nr

dvornilruna't {

duo?nil1n

riounfi to { arr :orr sianr :ilnfi dlfi lttn- finuerficiourir.:fi

u t

- finlerfifi

nrrrfso {il'l1611 r fis?fitlirr?urlo rfilt:noLn?1eJ59[1 I . 46 3 . 19 -22. 44 l(UDt

Fr?luf il1ufl41.: 2. 17 1 . 05 -4.47 *l,adFt?'ltJTo 1 . ooII

o A u f Jq u r4 urt o a-n1 1 ilT?JO ir il1T911 ! ng ? n! I TFtYlilA { nU t OO? rJ ?nXil

tl ul- n?1ilfft1 5.46 0.69 - 49,24tJr- Ft?1rJiil11na1{ 5. 67 0. 68 -47 .24tgd- Ft?1il5n 1.OO!

o.7 4

1.OO

1.18

1 .00

o. 91

1.OO

o,2g -2.35

o .29 4 ,87

0.46 -1.78

;* S iglnif icant diffenence


9

60

ttnlrtxn

oranlrnndau u!'j'r rlqdE dfiarasionr:drnfidrfiul:nldn:u'lutuunndr enfi.rfiu'lu rrlsr t fio.: d":{

tJovdO1gflO{u1?O"l t^llJ?''l tllTOlTltJO'lgilOg UAUil"lTR'lnO1g3J1n ilnT

l'llY !u a a u C V t I u 6 a - - - -

o - JrorljflrlFlrJnu tra tilBnnnl itflll no doenu 64 ,2 uau 68 . 9 nrild']ti! t fioneraol

tt9 u t ,aa | { ro 9 u tu u au u q

Ft?'ludrJTXO7t1{tdnfl Uil?1 o',tg'UO{tJ''lrO1 ItJeJn?1ild'Jl,tllEn!fl','rrr:JnrJFtfJfll[ lTAl0{tltt

d t au 9. u I V rd I u aV !,, +t onOg'l.lilil8,d1nfU ( P >0. os ) tl60S?''l 01tlllO{tJ''lTO1 [tJu0JAnOnlTT:JtllJFluflU lTFlqlt

d'uo{ [nn

:c d:Jnr :frflr1 ro { rJ1 ro1 il1?oldfirvdrnr:frn81:J1 rnal i unrlei

f:rnfirirfiuT:ern:u 7 r ,4 druan:ordfinr:flnureir lnrleid:Jnirilfiul:net:! #ogautqtrll 9

64,s rfionoaornrrrrdrrfruCnrrafifi ur.r'ir nlrfinrl?Jo$rilrolLifinrudarfiuCfiunr:ilnfirirfiutrortot r6nodr ofiedrdrl ( P>o. o5 )

il1ro1frfiorfiuiu:'rtnr:rnuicin'rufiq rirtrEl

nfl:'leifunfidlfiuT:na:! fi.:foeau 86.7 uau 83.3 mudrdu

firuruavhifior'tu iln?1di:Jnfiriarfiut:nn:u rfiaoioflau Et.'7

u e lu v ag g f d , de e edrll^rudri:LnlTf xnilFrrJnu ITn?Ja{ tOnafl1']ilTud'lafl ( P>0. o5 )

ilrr,f ra I u 6D u f dtlJill.'AmOnlTT!nrJnilnU lTFllO \: t nn

!tl

q

o1{}tlJO {rJ'r?O'lI

d'lurr:orfifior'tultau 68. ? nrtJdrdu

rdonornornrrrdrfiudn'rrafifi uuir olfiuroiarlrollilfinrrlfirriuCfiunrtfunfirilfiutll

t:nso,,r r 6nodr ofrriedrdru ( p >o . os ) nder.!'j'r rJ1io1fio'lfiurirur u5odrtrtnrtllDuaDu+rrltlu

ljgr?Qu t 9t? !nuFrtJnu [?Fr ttJttnnfl 1 { n1|||tt

A a a u 9 -o a Y Do 6 uilo1ilo1s1,tTX?1sn1?UAUTd',ld'lUnq ilqr lFtrlltllJFltJ

t!1

riuTrnnrl fi.:fosau Bz. s airuiordfiorfiufirur ufl:loiiunfidrfitltnertu tfia.r

ioeau 01 . 1 rrirfil rfioneraauan'rrdrriu#nr':afifi u:r'ir arfiutotioT lrifineu

orfiuro rf,o'r

,aaUdR {l?'l O'lXl,l?lO \:UO'l


61

:rsloiro.tFt:ounfreiorfiou u."o.dfir'rs1irfirn'i'l 2'ooo l1'ln{ ue ov u + d tl ,- -

| I r !o--- r{ D I

ilntlFifuninlrill:arer:l rils'.:5oflav ss.7 tvtruu d2utJlTo']fln:re tod{$nu!'luqllt'll

irl DU a u u f 2^^-- o u I

nali lslt tolr:JnrJnilflutTFtFtTtJ TofJau ?o.o uau ?6.5 slltJdld! tfionodoun?1tJe u /t ,aa

n t, ----.,1 ,?---- u t rcl--- v -.-J!'-.---lr-..4., u f

d:.rriudnr {d-nfr uu'i1 TlrJ'[rironnrouclit'lnletrrldilllu6fi:Jn177uflilnilnr Itn1lo{

rdnod'rlfifiedrdrg (p>o.os) dl:rElleiro{n?oundrlilfiolagionr:dlr.rfidlfiu1:ertold

[fln

,iruruln:dsiaudsoq! rlro'rdfi{nr I Frlr rav z Fttt rlor:1oidust:.j..:--d -"-.'"-- rae s + u -- -.ô^J-. -.1^....^-^^9fl^"^n;Jrrilflurrnnril dosau 67,7 $au 6'7,6 nleJd'rti:J airualrroldfrti'',uauu9lrrJ1nni1

rr-"' 3 v . v ss 6e o f a s -- - t E J- -s nrf,ulil :rn:lddrnilritfrultnnrl tilesSoeac 33.3 tn1llT IeJoflodoljFl?'ltJltl

u u I aa I o o -.-9---q---/!a-.-- - as u f d r dedatriudzrr{6fi-fl ull'i1 dlurursr:iln'lrrdelfiudflunr:5llt]ununxl:nta\:tonoslnaJutj

drdq ( p<0. os ) tosfinrrilfirfiuCr'trau tfirtrr.:ntofiudrl> ndrrfro il1rn1fifro d r4se 6s.-u-z1 e .. Jo - 3 t4 t

drurursl:-euJrn xnr'tdfln-l.rnwnul:nnrufotlan $avlJ1:gl1iilUn? 3 nll?lullj Unritrrtl

J , u au s + Y 1 I d-o.-----e'.-.-- arfiEJ{eionrrflnilrilriul:nlrin:u 4,20 tYll 1o{N1?o'lntJUgl?11'lfJ{nllIotl?

Etq

rvErsrl!q1nfi1ufi{dn'ril:t?n1Td'ro1?$q'u lr:crrdoddrsqrndnruI

lfnrrarol?$d1, z fiTarilelr :rn:1gidunfidrfill:na:! foflac 72.r drualr:orfr-qtrul

odrir$q.1ndnluu?nr:drr:dr 1 $nu s fitnrum? rln:1eidunfrdlfiut:nn::r tfie-ltl, It ..

; || a .:foga, 6s . 1 Ltau 61 . 8 uacillT9tlfiodri'r nqlndn''lilu?nr:dro1Totd?J drltsi 4

fiTnrern: rlsr:nduleifunfinilfiuT:arn:urnn'irlrotrfrod.rir{q1ndn''tuu?nrt I $aurttlgtl

g fitarrJerr fio fosnu 6s. s rfionoaouerrrrdrtiuCnrtafifi uu'ir Tutlull1nq1n

rir ufi t:dn1 trrt?n 1rd'] o1r$dstt rd u u lu u aJ tr.f- d---l--c.-?hiilnrrrrdttludfiunr?51JnIdilfi1l lrn1jo n I ofloa''l {tJltEJ

t|'l

drdrl< p >o. os l uAero.jr Tusuyl"t..:'trifiHasionr:dunfidlfiuttnto,,: r 5n

rr :orfr fi n? ltJduo?n'l unr:1 rJ

'dofunfirilfiuT:eurn :rn:leidrnfirilfiuT:nrn:u dosac 6s. 5 drulr:orfifinrretduorn

'l un r :'t rJf u nfi dl fi ulr nil't ilr'ln''t {t uaoLifi ar r td"or n'l unrrl'rJdunfi dlfi ul:n r as

'n:"tdiunfidufiul:nrer:u rfirl{daeav so. o uav so. o nrerdrd! rrirfiu riiovro

qll.l

oru"..ud1fiudnr {6fifi uujr n?lrJduo?n'lunr:1rJfu4fidrufiuTtnfinrudlriudfi!

nr:i1nfirielfiul:ersor r6nadr sfrfiadrdrg ( P<o. o5 ) uacil1ro1fifrnrrilnvorn'lunrr

Fr?'r ilds n? n'l rn 1 11 iliuq&qtfi 11:ar

a


\>)

62

1:tfT:nfirilfiutrn:Jrilfla1n xnrr,dsrsionr:loiiunfirilfiuT:n1der:u z.zB rrir ro{lJqq{9

do 5| rl ,v aa s riil 1 T O 1 11 ilFl ?',t rJ d u O 1 n t Ufl 'r T I :l : U nrJniln U t T FttJ 1 n

Tq

fid uerfi si anr :f unfi rirfi ulter il 1 ror'r fi fi?iRunrfi si anr : f unfi drfi ul:erfiu-9- r q

t e a vuu ou v r V t I u I a fogao 64'0llaynou?t't {o ]JglT toTunrJnilnu lTnnrrj trJrrgrflfl1{nll fl41?Fto

$au 6r , I nrildrfiu rfioneraounrrrdlfirCnr rafifi uyir firtuafita{eJ'rrol'r

oionr:fr4fidlfiul:nr 'lrifrnrudrfitCri:rnr:ilnfidrfiul:erra': r 6nadr t"nriadrdrXllttt.l

(P>0.05)

errrl{to':lr:ortfierfilinfiuflo,:duTtn rT :nrfifiarrruirfierfi:Jqt

e d- !, e + o Yuu aD u C a I do ry 4?n$uljo {nu ttaa !flT lotTltrlFttJnu lTanTil 50gav 7 7 ,7 d?utJ1?o1?1rJFr? ltJT t ng?

finin?urlo.rfiuT:nreiruav:Jrrnarr un:1eiiilnfidlfiu1:nrn:u tfigtiaenv 40,o rnuqtq

,-7.7 nT rdroil rri'rrtu,firnoaruerrrrdrfiudvrrrafifi uyir nrrrr{rfisrfiu{niutl

v u + o rJ w 6s u au v f 6riotriul:orfierrrrdrriudri:rnr:frnlnxnr rrrl?ro.: rErnodr.rfirifldrdru ( P<0. o1 ) $au

l

I

tqAav.Jeuo-ttu+;

tJ't T o "t n iln ? l rJT I n El ? n lJ ? Ft t ulJ o d n 1 I T Ftgl'tt!

d I o 6u e + \,1 |

ilsrT r du \1g'rofl']15lnilntJnx lTFt tilaT!qtl

s . I 1 r rir ro {il1ro1fifrnr rl{ r frrlrfir{nfitrJo,,:fiuT:nfiIt

n?lrJf r firl?filT:ndrlo.:fiu'toidrsinfiu arr:orrfifinrrrir fisrfirrtrrltl

da e {Js e d dilljo{nu too?g?Ftxuol us aD e f o g I oto

lJgtT [ot?lnilaeJn$ ltanT! rJlnn nroEJnu I 1 , I d']l[ulTolYltJ9tq

a d u + 4t u tl uD v d. 3n?1il5 r flfl?nr lsFrYrljo {nu too?u?Ft%un.l $acilrunar{ us'rr1di:Jnfieirfiul:nrr::r

dosav 64. s rau 6s. s nrriirdlrrirfiu lfionoraornrrrrdrfirdnrrafifi uu'irrrrrru{ r fierfi:rl:^drlu rfiuloirireinfiu'tdfin': udlriuCfirnr:iufrrilfiut:nrr,: ,6n

odr rfidndrdru (p>o.os) TlgavtSgortao,,:'lunr:rtfi 1o uaun"lrlsfi I1


d

n'l?1n71 to

63

nrrldrfiuCtorilqdeei'r,,:') fiunr:ilnfrdlfill:nto': t 6n'lII rmxrln

uZ

or

F i shen's exacL

GAMMA P-va lue

si? ril:

1 . 01910 nrJlTol

2, :vdunrrfinu.r'rJo!rJ'rrcl1

3. or'1uta.:l1T9l't4, olf,utot'uorr

ala u I a5 . T'1fl lo?la nn?o!Fl??mo r ooll

o Jn E6 . o''l u? uljglT?lglo {t I ag { 9)

r , rusvrn rqlnfirufi.raclruu?nr:O rl ,s u ag. nllrJduo?n tun'15 tuTlj?Flxu

s. fiouerfrsionr:ilnfidlfiul:erI o. Ft?1ridr iiu.nu{"au,l. ofiulr"

"" e u c du u lu, v dI 1 . n?''lu5 L Rg'tn! lTFtll:Jo {nu loo?u?Fltu

o. 1 628

o ,27 64

5.7908

5. 1 683

4. 8883

7.2508

t ,2420

6.0310

o. 0956

9.4948

t , 413'l

0.1041

o,1627

o,o241

o. 037 1

o,2629

-0. 1 867

0.0199

o. 375 1

-0. o466

o. 384 1

0. 0806

0. 6865 NS

0. 599 1 N5

0.1222 NS

o. 1 599 NS

o. 0868 NS

o. 0266 *il(

o.'l429 N9

o. 0490 ;F*

0.76 1 1 NS

0.0087 r*;l(

0.4932 NS


64

u a n,,: rJo ddii fl ati a nr : iu nirirrfutr*l rh: u t o .r r $ nl n r !n ! rrmIt

fieurl: o,R. 9.51 Conf idence int,ervel

a19100$17n1t

o'lgrJ'lni

'Iolgltog

il

9-t uRiln1 t6nD1 t|A {r'1?R',l

-3- TUNUN1Ur- TuRllu,ltlna1!

o'liuTa wlrn'l

Vrcatl|lJo1{u,bnM?iu:rtnrz

{a01trl{t|0 €lJR',l

tntntnTflltt ..

n1!'laU'J?uq1 it|auanel {

- iurrlnr:uavi5id1xfieiJ I , -t1g tRto {n?ounl?no r Ro$

{ rl It,.|8 tRn1n2'l 2, ooo il1n

VJ- T1g lfl 2,OOl - 4'OOO U1n\it- 110 tnl|1nfi'i1 4 | OO I lJ1r

1.23

1.oo

1.39

1.OO

4. 04

2.951,30

1.OO

4,46

3. OO

2.86

1. OO

1.59

o,72

1.OO

o.6t - 2,49

o.58 - 3.33

o.88 - 18.49

o.,45 -18.31o.'16 -1o,89

'

o.98 -20.35o.40 -22.900.54 -15.e3

O. 67 -3.72o.26 - t .99


65

nlrl{fi ll toiot

firurj: O. R. 95I Confidence int,envll

o dp J1',ls?uInTnno$ t 8g {n

tl

-.1 nrl

? ug un'l .rerntir rfi { dn1 u!?n1t- 4 filarrnrdil1il- 3 fila rlln:

a+- z n lat$nf:.

r filnrlnrn ?'l rrdcR ? nl unr 11 ilirnirilfi ul rn

- Liaunrndqn?nr|1n

frn unsto o r r :nrri anrtilqrfi {1fi ul :nII

- fin*nficiatdr rfi- vinuafifi

g nrddd 4.20

1.O€

o, 91

1.06

o. 65

1 .00

z. zg

o. 87

l.oo

3. 81

1. g6

1.OO

l.l5 -15,29 *t*

o.44 -1,90A.4? - ,2,41

o.29 -1,47

o.55 - 9.48

o.49 -1.16

I .45 - 10. Og l*ll

o.96.-3,61

o,52 -11.89O.49 -13.19

nr uira{!'l?a1 r ds r fiuiftfi urTa r fiulrn.l

tca?'ll,?n1

I9t

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l5,lrwin M.Resenstock. Why People Fail !o week PoliomyeliLis

vaccination. Public Health Report . vol.74 No.2 Fnebnuanyt

1959 :98-102.

l6.Beetnic J,Selwyn. An Epiderniolo$ical Appnoach Lo t,he sLudy of

Usens and Non Users of Children Health Service . American

Jounnal of Public Health. vo1.68 No.3 MARCHT1978 t23t-235'

lZ.Roben! E, Menland and Douglas E.Durland. An Investigation

Infant Imrnunization. American Journal of Publ ic Healf h t

vol. 66rNo.2 Frebruery | 1976 : 169-169'

1g, F.M. MbunurMickey c. srnithrThomas R. shanpe' The DeLenminanLs

of Health senvices uterization in a Rural communiLy in

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44. r fin'tEidlindurjorfrulranrudrunrilfrn:cn5? nd''lo'1?tuoln1uu9lsvrJTn''l1[1tJElq

(6rJ1lT0l

r s I r$usirs tz) 1iluri'lq

4s. n*od,6nr6lilrs1einr:rr r6n't:Jflnfidlfiul:nc s r r$uoire

4 o. rious 6nlsiiuierfiufio tfiultnr I r rfiudre

r 1r 1ilr#udre

Ez) leluri'lq rsr 1rirfiurirs

nr r'hie r uril durri, 6n, ii t t fi un. tator n r : uriin?u

E2) ldnri'lq Esr larrfiuoi'le

47 . rusuyr,'r rqrnfirufiranruutnlTd''rE 1r$4a r fiuqrlat:n'lunr:urqn:"[r]dufnfiu

t1l rfuoire ;rr-tuurilo "t'lrrlfiudrs4B, udfiarrridrqvilrttflt1liuderfiurJo.:fiuTtn

r1r. lilrfusirs

t 1l hir#udru

L27 1du{'lq

4e. urddr{r oruuonflru1daulqu'rryrrl:lilinr?urio rfilT:nr

dr ttt3l t1i1l9t?fl

dtat 3 I tu1r0?g Lz) 1iluri'lq


9l

rJi ro rt.v e q q e f J- -so. urifrlrifrun:liliuiniuilo.tnu lTn I rorc,lnna?lRn llJdlJlBtr-.{r.o{rdt

tsl rfiloirEr cz) lirril'lq tll hirfrucns

s l . xqrR1r:nil1:o,tqydu'touavriruflrlilixinfiurioofiul:nlrnn'irlnrnufiorlrJt1l {rdvEsl rflsirs t2) lirrri'lq tll lrirfiucirs

sz. uriiillifl:rn:lrjilinfiurio.:fiul:a ria':qrnui1rifinrrlirfig'lfiunrriuintu1I af r d tr3l rfirEirfl c2) lduri'ta ttl hirfruer?e

,Jo I a u4 io. e e .l r { to o' E J u +ss. urifi-nnrrlfuouilnrrrilff,nfrhsion"rrixin7u rirqyurUnt til1u?nXuilafnu ttRrlt!

, Joarxn?ugl1ilnn1TllFl

dvt3I tlt'[R?fl cz) Liuri'la r r r lJrfilriess4 . n"r:ri'ruslrl rjfuin?urio '':fiul:nrtiu, fiun"'t r f,El r ?ar?i1il'lu1fit

r 1 I rf lei.re Ez) lduri'lq t s I 1d rfiuei?s

ta

uuudlnruri r fierfiunrrli t fis?fiuinilrio lfill:nrtt

d1nr : n fia r fiu1 eirir e in? u

uauillt?nlTnfi

s7, riiarHnorflsirn'ir I f irr$ugiollrtiuinrfiurJa.:riul:nuFoli!

tl ,irrfil tl li,irrfiud ttvu o o l u s o ! s ; .'llfd r58. tdnnr:-tOiuinrzuilaonll:nnahl Ian:u U1flYlufln txoolEf tflnlnau

tieud g

ss. rirunzruuiald'ir iT:nfiarsio'lur 6niiaru,lrnilo Ifil1drleEriniu

t I nT1!sG. firn:ru kiuriltnoul:ri'r r

r I nofi!r r 1on:ut r rior

r r irul:n

66tl I tctou$TntnFl

rl 4 - s rfiol{r

r I txx711r

c I hin:r:lt naulrimnn'ir r do )

t r riorEJa:iu

t I :irernciln

r I 1rt6to

r r hin:rl

rr z - s rfiou

cl 6 - 7 16ol


I92

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2

4

gFl7.l

aFI? \:

6 0, r do r dnlsifrierfi ufla ..rfi ul:ornofr r 1 on:Mornc dflnr4nrd?'ir r fi uoio t'loiflIduEd!ll

nlTAOnTvmllt"luTo tuq

o(r I drrilu tr 1il'irrfiu tdrerl:Jnoldo e )

d 'l 9u d u d. q 9 + ---4-- Y- o oc--! 46 1 . r onn?T roiunrs'aoin'turJo rfiuTsnerofrl 1on:u !1orudfl n:ududrnilfr

J3lr rJo t6l

E r lrinrrulonru uretmudn

r r 'trinrrl

l

l

cltl

rl z - 3 rhou

r r lilyr:ru

t I 2 or{.,:

t r 'trivr:ru

rtl 2 - 3 tnauY|l

c r t3JY1?'r1J

6B . r fio'tsifu{orfitrJo rfiuTrnlrJfitan:utoudlir r fiusio oloiilnr:n:r{r{ru5o1l

ss. rHnnrr:1rtfl{orfiurJotfill:nnofi'u 1an:u lrotnvfrn frountd"{oIcl l n?n

rr t ^{o

t I llnrru

rl 1 - Zf,Ez. Fr?rli1 r 6parrflinfiurio tfiul:ornofru

o'rs trir'lorl 4 - z fl

t r Trtfiloc r 1on:ut r "lrivr:rl

tl t lfiourl 4 - s rfiar

G7 . nr:i:r{nfrurJo,,:fiul:nt:titousiô"{o nr:fi:uevrir tfiurrirl:

nr"ofild.r,{od zIa

t tJo

6 s . ri r uvr : r u'j r fr in fi ut'nou a o'l ai rJ r n'l tf r 6 n f l rl : u vr r uu 5 a1 ri

rr ?rrru rr lriyr:ru84. drn:ru ier?ut'uoueo'l6i:Jrn 6o in?u:io.:fiul:noul:

c r nofirt r uronvfrn

o vt .u u o- rl s f f ref ' ' - A- q g d- 4----.6 s . nltri.nlsn'ttJf liettu:lo.:nu t:n til6 [o Fl?T t ?tJ tlt L eJo I glnolt]

qq

66. rdnorfidrn'j'r r fl n'l:"[oifl{n?t:JotfitT:nrtrjfilorilultii"{of

t

t ^#os "#o

1 t Ftolt

4-sr6ou

tl od'a,.|rIu t r Li,irrfiu


93

id6 e . o 1 tqyl r o n n ? ?1 dil ier'tufl o,,r fi ul:nt rJ61 on: v cir.i"'

"{ o d

rr 1- - z f, tl Lin:r:r7 o . orefinr:'toif:.ri.fiurlo tfiul:nr1Jfilon:v{u{tt{.fi '

t r lrin:rrrl 4 - z f,

7 t . r 6n.r t1 eii:rierfi urJo .r fi *l:niruttnr r ii tt. q r rir'[ o

rl u:nrfier t rdau t r lein:ru

72. ,iiu,6nt.e1ei g t6ou errzldfuior?uou"l:

rr rioVl

c I lrJ7t5']lj

7s. rirun:rru5o1il.ir r6norqfiornr:1ria:rreud..rqrnlsidliniu dlrfiuornrr

ttdo,:'uo ! i r I nr ssio {nr?u

t I Yl511J

7 4. firn:ru ornr:1ala!1tl L fiuodr t'tsr r fi'ld fi'r{ou

r r lrn:rlJda

7 5 . r rJo L nnrrornr :l riam snr eud tl oidlinfi ufio tfiuT:er rir unr:rJfl fifi odr 11z

t I doerfiuro.:r r "liln:rlcl du I ?'1.."..""'t""'

76. sirn.rurirln:lil{uicr?urJosfiuT:nnrofil 1on:u lrernvfrn T:tita n?uelltJ

dr I I ur, {': d ti. o uo r 6 n q "

fr n r r ilsir un r ut :rru ? a"[ riV tVu

t I lrJ lFl

r r r {ofir'[# rl?o 'hileraohid r dru'fi'rfidor'hi r iiarir r dnl rtilir,fiu

\,Utr to

77. n*ofiunrno..:nrurird..:-nornr:Lia:trs riruor?sdrtlntlilduinflufiotdultrru?ohi

t I Fl?5 t r lrinr:'t 8, 01n1f, to':t:nnrofi I r fi uodr t1: t sirflolnn t fi e {!r':airufio'jrnnsio r I

r I fiornrrlri r6uno 'lu:1llfr:Uu,:.: noqu!?ti urs'ladrurn

r r uBrrnrfi rfirt:nq"fiuaiurdofl rnr fiarnr:dntdu urs'ledrurn

r r "tilvrrru

7 s, ri r unt r uu?a't d'j rttern ofi ::fin t fi odul uqoos1 t

Vrt I lrJlrT1lj

tl toI

tl 5rr I TvlJ.....o,.'o'o'.,..t

rr alu t r 1tu1?


94

tl TOU

r r lain:ruI o . T:nerofi ufiosio"l FilorEli6'lo

t I uurruToaju

) + g 'o uo q t-r.--. I t, o

c I Joe rToqln{rrJn {rnre u5o t dtJltullo{aJil?EJf^J1ul11n1{ t6'lltu''ltJ

'tquf; oyrr tilrn t -uo {qrnnnnnfifi!firhectl

vlt I tilYlT',rU

)

I

l

I

I

rr iout r ull1?uaualu

t r ldneru

I 1. rfiorHnrirerfiuT:nnafiu dum:refiuulrnfi4orfiooo1:

t r urs'lqlilaon o1afi{mls

r I "[tvr:T l82. nrrilo ':fiu1ai'hi r 6n r fiultnnofi:.r1oiodr.:1:

t I "aorinfiu:Jo.:filair.:u{r

t r "lrryr:ru

I s . o'lnlTto rl:or'tontu r fiuodr tltir $

E r lolrn 1ofiarsiofiulriufl6r "torfiutg, 3? rl'lor'{,l1o'.,uart6elutr

r r lrin:'ru84. rirunrruuSolil'irl:n1on:u finr fiu'luqo'o"lt

t I filt,]?

rl alu

r I ,qnqq

o I + V a t',luf €igQ-95, nr:ct9tFto110': [:n IoflT11 9l9l9lO lol lFlS?o t6'l

t l, {r".nrl.un r1'''^.u $ac rdeJru'uo.:frrirEJcirur rir'[:Jrilailurfl'lqtl

r r "lilnaru

B6.,frrrHnrirs rfiul:F1on?u dum:rsfiuulrnfiaor6oo"1:

t I rfiuT:e'srod'tto1r'tr dtJotfrnrr ilon'url

r r 1lvr:rua7, nr:ilo rriulai'l# r fin r fi uTtarlon:u1oiodr,r1:

t I ierdn?ufio rriuair ,,rurir

r r -trin:ru

I I . olnlita tT:otrorvtu drr'l u I n{nut r, r fier r fiuarir 'e1it I irrnrsu6ornS,,: rJrn'notdu. nrunn ufisueiu Lifilur


Be. T:nrrsrnvdn r fioduloiaeir t1r3 + r r d -- - c

t I r tol:n t {1n'l .-lduoo lglnurflnaofl u?oYl.l {u1olllgJnt|lt I lrYlT']lJ

95

{

eo. r fio r 6n r fiul:nurflflcfin dun:rsfiilurnfi4ofioo'lrE ] SIIEJ

r r "tinrrrs 1 . rrrttJa tfiu1d'l# r fior r fiutsnlrottudrtlpiaelr l1t

r I -arr.lrrEufia,rfiriTrrrdr..rufir uTat'rrurrr't'ttJ-dua-tou?rrrunvfia ,.fiafi

il10uila

r r 1dn:rr.r

sz. a1n'rrrlo,,:TterT:tfiTo r $uodr 11:

t I fi1d c'oufi': rjrondrr,,{u r$udluro'lJosll?l1l'll''l

i r Linrrues. nrtfiosiaratt:orTrjfito fiorsiolsinrt'tor

r I Tgarrrrla,,{rurrrfiu uEa r{no.r,4-oergt:ilu,fiau'lua'rurt

r r 1ilyr:rre4 . r iio,6nritEl r fiut:aTrjfiTo drq:rafrul:rrnfiao r f,uodr s1:

t I mre u6o t$udlurnro{$?tltlllnaon.1u

r r lrin:r:re s . nrrrJa rriu1il'hi r fioT:nTilfiTo nrtrJf,:ifioe.ir .:1:

t I i:r{nrfiuflarfiultnair tuirE r lrinrru



97

Ict 9-.-.?-.!_- - d a u 6U u +91151 i?1 1 4 6r?1tJd3J1.l1t6'5u'[? 1 \: O','t910 {u',t ?Ft'l I ?n [ ilo nntn"l?tilfluailRu tTFtqt|9

d'"F-^ ?JO{ [91fl

o1s'iJo{u'rror1 nr:loinfirilfiutsn r?rJ

lder:u nrrX" P-value

( GAMMA )

U01E!1lOtl

t

o'rEJtJlnq

40(41.4) 98(96.6) 139( 100.0) O.OB15 0,77 52 NS

23(31.9) 49(68.1) 72(tOO.O) (-O.0697),

l

i

| 47 21A

J-ulq1?1nfi 1s Fr?1udilfiudrvudrircaiilnl?finurrorl.r1To1r?lq[fioo fiunr:{ua! u c d

nsjnrJnll [?Fl?to{ ronu.l

T?'J 63

* rcfiunrrfinur n'r?1eifrnfidrfitT:n ??rJ

?a {8J"tTo1 lrinr:.t FtTlt

X" P-va lue( GAMMA)

riTuolgl'] 40(36.7) 69(63.3) 109(100.0) B.ZO34 0.0165 X

:u9iu'ilrunaro 29(25,8) 66(74,2) g9( 100.o) (o.3630)

Tudu6{ o(o.o) 12( 1oo.o) 1z( 1oo.o)|u

TllJ 63 | 47 ztO


98

Ic I u ( t a a u I og I +gl'tr1{n 16 nx1ufiilliuc:"u'jr {o1fiu?o{8J't5o'r rrJgr rrJo{nunlT:uflrJnilnr tTFl

+-- ll 9

dlJO{lOn

o1'{r.rro \:rJ1:o'r nr:ilnirirfiuT:or T?rJ x " P -va l ue

1ri""u" " Fl?u (GAMMA)

lrifior'tu g1(31.6) 67(6g,4) 98(1oo,o) 7.szzs o.0557 Ns

drgrg r6(94.8) 30(Gs.z) 46(1oo.o) (o.1soo)

i'ndr':rand1{ 1B(g?.1) zz(G2.9) g5(1oo.o)^4.-. 95ilT1{nlr 3(9.7) 28(90.3) 31(1oo.o)

T?il 63 147 270

sr1r"l {fi 1 z orr rrfiHfiuC:"u'jr ,: 01fiuro rfiorr'lu rrn t fio tfirnr:irr^rfid*rfirt:nrd

flo{ ton

o"rfiuro oflor n"r:irnfirilfiuttn r?tJ,DI

'trior:'u Fl'ru

x' P-value( GAMMA)

U61rrg 11(35.5) 20(64.5) 31(1oo.o) 19,7t25 0.0002;l(uu9fl6rnuavafl6't\t 36(40.4) 53(59.6) 89(1oo.o) (o'3909)

,u

flrr{nr:rravfgiarufia 1o( t3.o) 67<87.o) 77(too.o)d6U ot 5(62.5) 3(37.5) 8(1OO.O)

T?rJ 62 143 27o


.l

n'l:i,':ft rg

99

9 e ! t t r v Q c s e -t en ? 1 rar|l|lt8?ut? 1 {tT'l a tn!o it nTaunt ? I lr I tn t r|o €nun1 7?ulr|Ql|nB

It

Ttnta.r r6n

{r uT',tu tnlonntaun??

IOna r noll

nrriun$dlfiuttn rrrll.l

hin:u nlrJ

xt P-value( GAMMA )

?1s1dd'r

ilrunar.td\tl|

9(37.5)2t(3?.5)33(25.4)

15(62.5)

35(62.5)

97(74.6)

24( tOO. O )

56( IOO.O)

130( 100.o)

3. 4615 O . l?7'l tls(o,2427 )

??il 63 t47 210

n1?1$fi ls u e I t c a e o aJ un ? 1 lJ f, ull UO? u lf ? 1 s I 1 .lr? lriln? tO \t rJ'l ?R1 t :,n t }| O n fl Un 1 ?: UBilnilfiUt{|Trnro.r r5n

oq1T?U!n?tO\tlt1tR1t nr:fun$drfitTtn 72rJtr

Linzr n?lJ

x' P-value( oAt{ltA )

1AU2ntl3nu dulrt

24(22.O)

18(31.6)

zl(47,7'

85(78.O)

39(68.4)23(52.3)

109( loo.o)57( IOO,O)

44(!,00. o )

9,9587 0.OOSS

( -o, 3697 )

7?T 63 147 2to


ro0

snrl {fi 20 a?1eJdilfiud:ou'i r nrvsuyrl {qrnflrufi ':anrur.:nr:'lu r rm r fio rri:ru ou u +

n1?Tljt]tJFtilnu l5al,'l

a e ag u fSvgcn'l \:q1n1''l1l fl'lTTilnunuflU tTFl ??rJ

firarrrurtnr: lrint:r nr:J

X" P-va lue( GAMMA)

r filatilclr 6(go.o) t4(zo.o) zo<too.o) 6,Bzzs o,o77G Ns

2 ,' 12(24.4) 38(76.O) 50( 100.O) ( -O.2201)

3 " 18(23.7) 58(76.3) 76(100,O)

-J- + filarr,rtdu'trj 27(42,2) s?(sz.B) 04(1oo.o)

T?tJ 63 147 210

nr:rtfi zt errrldrfiuC:"u'ir.rFl?lrJduorn'lunr:1:Jf:rnfiniarfiul:nro.:xr:srr'lrttq

r rm r fi o rfirnrtirnfirirfiuT:nro o r 6nllt

I

aa?ltJncn?nlunrtlrjfl nr:ir.rnfidtfiu1:n ??rJ F i sher ' s exact P-va lue

nfrdrfiuttn "triar:r t i

nril t,est

dvornilrunal$ 3(39.9) 6(66.2) 9( 1oo.o) - o,z7zg Ns

dun?fl:J1fl 60 ( 29. 9 ) 141 ( 70. 1 ) 201( 100.0 )

T?}J t 47 27063

J


101

u u J t s- e----^--- q -.-.9:--:-.- u -a-r-'!f'-f--n? 1 ildilfirdtuu'i r lfiRunfi to it tJ1 ln1-[ u l tn I Ia .! RUnl TTIJn$R$ntt t ?n

dt'UO| |nfl

finunrfirotfJlTn'lu cl, u f

n1T7!nrnl,nT t7nIt

t1$ xt P-velue( GAMIdA

'rionr:irnidlfiul:n llin:l nf!

finunfil*fr96oTnunnn

16(28.6) 40(?1.4)

4?(30,5) 107(69.5)

56( 100.0)

154( 100.o)

o. o104 0,9094HS

(-0,0785)

.T?ll 63 147 21CI

n'lud'fiuCzv*'ir tn?1!i,,0{11ta1:[$t tn t iao r fis?fiuin?urJasfiu

t:nfiuntdrqir{lritt:n

n?1ilito n!1?tl1 , fie.'I

filinft*rJatfiultn

unfidlfiuT:n 7?rIt

N?U

n,lrihinru

xa

( GAMMA)

P-valtle

I90n?1il?n1t

lj'rltnal il

15(69.6)

17(37,O)

30(21.3)

7(30.4)29(63.O)

111(78;7)

23( lO0. o)

46( 100.o)

141(100.o)

23.9144 0'oooo*( o. 5498 )

an

??ll 63 147 210


l.02

I

n1?1rfi aa eeltuadY{.dn? 1ilalluilETvil?'t { n?'rlrtl,o {t tt1TR1 t ts I $o {t ! nfl ?nlJ t ?nnd1il1to

II U t J' U a U 9 A, 9 + dua 0flll I Rn? g ? nrun!n''l 711,nl|nl|nu t ?nto { r nn

TI

. I d e u al s fn?1il?t,a€il1Tn1tng?n! n1t?lJnrJn$nu[7nilltt+ ctr 9 { rJtTnnro{n$ tno?sinfru lrin:u

t?tJ xt ' P-va lue( GAMIIA)atlJ

IJC

n?1rlTn'l'I

ilrunar rgtl

45(31.3)

17(32. 1)

1(7.?) ,

99(68,7)36 ( 67.9 )

t2( 92. 3 )

144( 100.o)

53( 1:OO.O)

t3( 100.o)

3,2964 0.1924(.13061

,

??IJ 63 t47 zro


lo3

nr:rrfi zs rlcdsits onrian r : iu nidlfi ul znLin: 11 u t tn t fi o s

firurJ:I aD o tn11t!nilnilflT lTn

llt

hin:l n1!

95I Confidence

i nterve Io. R;

oIBXO{lllTn',lI

-o1gl|"1fl.l')

o1fl$ot,t

:udunr:fiflE1ta {r1Tn'lI.uc

-tERlln1

:sduilrtnar.ta'o1il.l?o0u1Tn1

gJlt-Trq1{uncan?.l {t

gtsa.- tilila1lu

It-n''tt'lgy9-OO

-fuzrtnrruaulS2d.luncoriutorinr

gfy

-t1J4''liuouanc'l \tI

J-n1t1g-iutrtnrruavigicrufrlraI

?1t tRtolntatnirriorfiouI

-s nu{u1il

- 2 Ft'lt

-1 nu

I

1

49

98

23

40

69

78

40

23

53

2A

67

15

35

97

z3

39

85

,15

.oo

0.62 - Z*tg

I ;0? 3.61 *

I .39 -Zl,gl *| .22 - 19 ,29 t,I .3 1 -lg,95'*

2,o7 - [o,.,00 *1.g? -9.94 *

0.?0 4.4O

o.90 9.44

1.53 6.80

o;79 -3.35

l3

31

16

3

36

l1

lo

9

zl1g

24

1 ,97

l.oo

5. 52

4,32

4.98

1.o0

4. 55

3,69

1 .00

1 .76

1 ,76

l.oo

3,29

1 .63

l.oo

2Z

6?

30

z8

n -lloldeirn'ir 2oo0 1r'l?l

-zralti zoor-40o0 u1n 2r

:rslfiilrnn.jr 4ool tl1n 33

drrr uust:dfio o, $u oono s il1ret'lI


104

( rio)

d:urjre ol, 9 +n,lttlj$rnrflu ttFl

It

lrin:"u n?!

954 Confldence

i nLerve 1

o. R.

I u s un1 { c1nri1 l|fr { d$1tuin1I6c E'f-4 filarrnrtrlil

-s filarln:-z fitarrrnr

r frtat$ni 6

Fl ? 1 rdu R 1 nl unr t1 rlfuf,qlfiulrn

27

18

l2

g7

58

38

l4

6

141

40

10?

7

29

111

1 .70

4.72

o.?4

1.OO

1.18

l.O0

o.9l1.oo

8,45

2,17

l.oo

5.46

5. 67

1.OO

O.58 : 4.gg

O;24 - t'.32

o.23 -2,95

o.29 -' 4.87

o.rt6 -t,?€

3.19 -e2.44 *I . 05 -4.4? lh

0.69 4g'28

0. 6B -47 ,24

-aunrndrBnf,l o

-dun?n*f1n

frnuofi rianr :iu nfi {rfi ul:n-finunfiriou{r.r6

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Comparative study on factors affecting immunication ...mulinet11.li.mahidol.ac.th/e-thesis/scan/2956.pdf · propont ion of fu1ly immunized children in urben and runel ereas of Lampangl