Factors predicting BCG immunization status in northern Nigeria: a behavioral-ecological perspective

Babalola, Stella; Lawan, Umar Muhammad

doi:10.1177/1367493508098380

Cited by 55 publications

(62 citation statements)

References 16 publications

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“…This finding contrasts with results from other studies where vaccine acceptance was significantly correlated with higher number of sexual partners, parental support, endorsement of universal HPV vaccination, low cost and vaccine safety (Hoover et al 2000). Furthermore, in contrast to earlier studies from northern Nigeria (Yahya 2007;Antai 2008;Babalola and Lawan 2009), we were unable to show an association between vaccine acceptance and religion/ ethnicity. This could be due to the high educational status of our study population.…”

Section: Discussioncontrasting

confidence: 85%

“…Studies have been conducted regarding the acceptability of childhood vaccines in northern Nigeria (Yahya 2007;Antai 2008;Babalola and Lawan 2009), but to our knowledge, no study has reported on the attitude towards HPV vaccines. Although the current target population for HPV vaccination in developing countries is 10-14 year-old girls, female university students constitute an elite group of women.…”

Section: Introductionmentioning

confidence: 93%

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Cervical cancer risk perception and predictors of human papilloma virus vaccine acceptance among female university students in northern Nigeria

Iliyasu¹,

Abubakar²,

Aliyu

et al. 2010

Journal of Obstetrics and Gynaecology

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Cancer of the cervix is the most common cancer and the leading cause of cancer mortality among women in sub-Saharan Africa. Although a vaccine against human papilloma virus (HPV) is now available, its acceptance among vulnerable women in developing countries is largely unexplored. We studied cervical cancer awareness and HPV vaccine acceptance among 375 female university students in northern Nigeria. A total of 133 participants knew of HPV (35.5%), 202 (53.9%) had heard of cervical carcinoma and 277 (74.0%) were willing to accept HPV vaccination. After adjusting for potential confounders, age (adjusted odds ratio (AOR) = 2.3, 95% confidence interval (CI), 1.47-6.53); medical education (AOR = 3.4, 95% CI, 1.74-6.93); HPV knowledge (AOR = 1.8, 95% CI, 1.38-5.41) and awareness of cervical cancer (AOR = 2.3, 95% CI, 1.52-5.06) were significant predictors of readiness to accept HPV vaccine. Public health education and appropriate communication strategies should be implemented in advance of large scale vaccine introduction to increase awareness and prevent misconceptions about the HPV vaccine.

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Section: Discussioncontrasting

confidence: 85%

Section: Introductionmentioning

confidence: 93%

Cervical cancer risk perception and predictors of human papilloma virus vaccine acceptance among female university students in northern Nigeria

Iliyasu¹,

Abubakar²,

Aliyu

et al. 2010

Journal of Obstetrics and Gynaecology

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“…Mother's educational level which was high in this study could have influenced their health seeking behavior hence influence their ANC attendance leading to favourable pregnancy outcomes and timely BCG vaccination. This corroborated findings of similar studies conducted among socio-economically disadvantaged urban children and infants in northern Nigeria [12,13]. Timely BCG vaccination was also statistically significant with birth order.…”

Section: Discussionsupporting

confidence: 81%

Survey on Coverage and Factors Influencing Delays in BCG Immunization in Hayin Mallam Zango, Zaria, North Western Nigeria

J¹

2015

Trop Med Surg

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BCG immunization at birth is an evidence-based intervention for the reduction of tuberculosis transmission. While performance of BCG immunization is commonly measured by coverage, ensuring that every child is immunized immediately after birth is an important public health goal. This study was aimed at assessing the coverage and factors influencing BCG immunization delays in Hayin Mallam, Zango Zaria, Kaduna Nigeria. A cross-sectional study was conducted among 210 mothers of under-fives who were enrolled into the survey. A pre-tested semi-structured interviewer-administered questionnaire was used to collect data from these mothers. Data was analyzed using IBM SPSS 20. Majorities (76.7%) of the children were immunized with BCG, but only 44.7% of them received the vaccine in the first 7 days of life. Majority of the mothers (42.9%) had post-secondary education; this did not translate to being aware of the correct timing of BCG vaccination. The major determinants of delay in a child receiving BCG were mothers' educational status, whether she attended ANC and whether she delivered in a health facility. Even though most of the under-fives were immunized with BCG, a significant number received it later than the recommended time. Efforts to improve female education must be intensified, and antenatal care attendance and hospital delivery improved so that these could serve as avenues for educating mothers on the usefulness of immunization, particularly if done according to schedule.

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“…Literate mothers were 3.06 times more likely to fully vaccinate their children than illiterate ones (AOR = 3.06, 95% CI = 1.64, 5.71). In other similar studies, maternal education has been reported as a predictor of child immunization completion [12, 13, 15, 16, 22]. This may be due to the literate mothers having better knowledge of vaccine-preventable diseases and recognizing the importance of vaccination.…”

Section: Discussionmentioning

confidence: 82%

Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia

et al. 2014

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BackgroundImmunization coverage in Ethiopia is less than the herd immunity level desired to prevent the spread of eight target diseases targeted by the World Health Organization’s Expanded Program of Immunization. In particular, the Somali region of the country still has by far the lowest level of immunization coverage. The objective of this study was to measure the immunization coverage of 12–23 months old children and associated factors in the urban and rural areas of Jigjiga district.MethodsA community based cross-sectional survey was conducted in 582 households with 12–23 months old children in two urban and four rural wards. The data were collected from mothers or caregivers through interviews based on pre-tested and structured questionnaires and from the review of vaccination cards. Data were processed using SPSS version 16. To identify factors associated with the immunization status of children, bivariate and multiple logistic regression analyses were worked out and the Hoshmer and Lemeshow’s goodness-of-fit was used to assess the fitness of multiple logistic regression model.ResultsThree–fourth (74.6%) of the children surveyed were ever vaccinated, whereas 36.6% were fully vaccinated. The immunization coverage rate from card assessment for Bacillus Calmette-Guérin was 41.8%, while for Oral Polio Vaccine Zero, Oral Polio Vaccine One /Pentavalent1, Oral Polio Vaccine Two /Pentavalent2, Oral Polio Vaccine Three /Pentavalent3, and measles were 10.4%, 41.1%, 33.9%, 27.5%, and 24.9%, respectively. Maternal literacy (AOR = 3.06, 95% CI = 1.64, 5.71), Tetanus Toxoid Vaccine (AOR = 2.43, 95% CI = 1.56, 3.77), place of delivery (AOR = 2.02, 95% CI = 1.24, 3.28), place of residence (AOR = 2.04, 95% CI = 1.33, 3.13), and household visits by health workers (AOR = 1.92, 95% CI = 1.17, 3.16), were found to be factors significantly associated with full immunization in the multivariate logistic regression analysis.ConclusionsThe overall immunization coverage was found to be low. Hence, to increase the immunization coverage and reduce the incidences of missed opportunity, delivery in the health institution should be promoted, the outreach activities of the health institutions should be strengthened and greater utilization of health services by mothers should be encouraged.

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Factors predicting BCG immunization status in northern Nigeria: a behavioral-ecological perspective

Cited by 55 publications

References 16 publications

Cervical cancer risk perception and predictors of human papilloma virus vaccine acceptance among female university students in northern Nigeria

Cervical cancer risk perception and predictors of human papilloma virus vaccine acceptance among female university students in northern Nigeria

Survey on Coverage and Factors Influencing Delays in BCG Immunization in Hayin Mallam Zango, Zaria, North Western Nigeria

Immunization coverage of 12–23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia

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