Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria

Oleribe, Obinna Ositadimma; Kumar, Vibha; Awosika-Olumo, Adebowale; Taylor-Robinson, Simon D

doi:10.11604/pamj.2017.26.220.11453

Cited by 84 publications

(78 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Children from urban areas have been reported to have enhanced vaccination status compared to their rural counterparts. This result confirmed findings from previous studies . This could be attributed to availability of better health services in urban areas compared to the rural settings .…”

Section: Discussionsupporting

confidence: 91%

Changing trends in measles vaccination status between 2004 and 2014 among children aged 12–23 months in Bangladesh

Jahan

Moriyama

Rahman

et al. 2020

Tropical Med Int Health

View full text Add to dashboard Cite

objective To assess the current measles vaccination status in Bangladesh, explain changing differentials in measles vaccination, and determine contexts that may improve measles vaccination coverage.methods Secondary data analysis of datasets (2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014) from the nationally representative Bangladesh Demographic and Health Surveys that followed stratified, multi-stage cluster sampling design conducted both in urban and rural contexts.results 5468 children aged 12-23 months were surveyed, of whom 892 (16%) reported noncompliance to measles vaccine. After simultaneous adjusting for covariates in multivariate logistic regression, children who came from a poor socio-economic background, who had mothers with no formal schooling, who were underweight, of higher birth order (≥4), who had adolescent mothers, who had a history of home delivery and who had no exposure to media were observed to be significantly associated with lack of measles vaccination. Measles vaccination coverage among children of adolescent mothers was consistently low. Despite lack of media exposure, measles vaccination status gradually increased from 26% in 2004 to 33% in 2014. Lack of maternal education was no longer associated with measles vaccination status in 2007, 2011 and 2014. Stunted children continued to be associated with lack of measles immunisation in 2014. Children with higher birth order demonstrated 53% excess risk for not being immunised with measles vaccine. Mothers with no exposure to mass media were two times more likely to have children without measles immunisation as indicated by BDHS 2014 data.conclusions Our findings will help policy makers formulate strategies for expanding measles vaccination coverage in order to achieve further reduction in disease burden and mortality in Bangladesh.

show abstract

Section: Discussionsupporting

confidence: 91%

Changing trends in measles vaccination status between 2004 and 2014 among children aged 12–23 months in Bangladesh

Jahan

Moriyama

Rahman

et al. 2020

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…This is important to consider, as these children are at higher risk of develop infectious diseases due to their poorer living conditions. It is well described in the literature the association between higher number of children in the family and incomplete immunization [12,17,[28][29][30]. In line with the published evidence, we found that the risk of incomplete vaccination increases with higher parity.…”

Section: Discussionsupporting

confidence: 91%

Vaccine coverage within the first year of life and associated factors with incomplete immunization in a Brazilian birth cohort

2020

View full text Add to dashboard Cite

Background: Immunization has been held as a major achievement for global health, however, still exist many children who are not completely vaccinated. Knowledge about factors contributing to the incomplete immunization is important to develop effective strategies and interventions to achieve universal coverage to control or eradicate vaccine-preventable diseases. This study aimed to describe immunization coverage within the first year of life and associated factors with incompleteness among participants of the 2015 Pelotas Birth Cohort, Brazil. Methods: Cross-sectional analyses were performed using data from a population-based cohort. Information on vaccination status was collected from immunization cards and verbal mother's reports from 4014 children aged 24 months. Coverage was described for each vaccine, for the basic and the complete national schedule. Incomplete vaccination was defined as failure to receive the recommended number of doses by the National Immunization Program in 2015. Bivariate and multivariate Poisson regressions with robust variance were conducted to identify factors associated with incompleteness.Results: Vaccine coverage of individual vaccines varied from 81% (Hepatitis A) to 97% (BCG). Full immunization coverage were 77% (95% CI: 75.8; 78.4) and 66.1% (95% CI: 64.6; 67.5), for basic and expanded indicators, relatively. Multivariate analyses showed that factors associated with incompleteness (for both basic and expanded coverage) were high family income, high parity, low number of prenatal consultations, not have done the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine during pregnancy, not have breastfeed the child until at age 12 months and not have used public health care services for child's vaccination.Conclusion: Findings of our study show the need to develop and implement policies and programs to achieve complete immunization during the first year of life. Some strategies would include an increase in the primary health care services networks, improving their quality and access, the dissemination of scientific-based evidence about the benefits of vaccination, through communication campaigns and guidance provided by health professionals, especially those responsible for prenatal care.

show abstract

“…For example, at the individual level, studies have reported that the sex of the child, birth order, and age have influence on vaccination status. 20,21 At the household level, paternal education, 22,23 maternal characteristics, 22 household income, 22 healthcare utilization, 24 distance to healthcare facilities, 25 religion, 22 and source of information 23 were significantly associated with the children's vaccination status. At the community level, the geographic region and place of residence, communities with high illiteracy rates, socioeconomically disadvantaged communities, communities with a higher rate of institutional delivery, and maternal antenatal care were associated with childhood vaccination status.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with non- and under-vaccination among children aged 12–23 months in Malawi. A multinomial analysis of the population-based sample

Ntenda

2019

Pediatrics & Neonatology

View full text Add to dashboard Cite

Background: Non-and under-vaccination among children in Malawi have received little attention. Between 2010 and 2016, the proportion of children who received full immunization before their first birthday dropped from 81% to 76% in Malawi. This signifies that a certain fraction of children are either non-vaccinated or under-vaccinated. Thus, the present study attempted to examine the predictors of non-and under-vaccination among children aged 12 e23 months in Malawi. Methods: Cross-sectional data obtained from the Malawi Demographic and Health Survey 2015 e16 were utilized. The percentage of children aged 12e23 months who were non-vaccinated, under-vaccinated, or fully vaccinated with 1 dose of Bacillus CalmetteeGuérin, 3 doses of oral polio vaccine, 3 doses of pentavalent, 2 doses of rotavirus vaccine, 3 doses of pneumococcal vaccine and 1 dose of measles-containing vaccine were calculated. The odds of being nonvaccinated and under-vaccinated compared to full vaccination relative to various sociodemographic factors were assessed using a multivariable multinomial logistic regression with logit link function which accounted for survey design. Results: Of 3111 children aged 12e23 months, 72% were fully vaccinated, 26% were undervaccinated, and about 2% were non-vaccinated. The multinomial logistic regression showed that children from the poorest households, and children who did not have postnatal care within two months had increased odds of being under-vaccinated. On the other hand, children who

show abstract

Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria

Cited by 84 publications

References 9 publications

Changing trends in measles vaccination status between 2004 and 2014 among children aged 12–23 months in Bangladesh

Changing trends in measles vaccination status between 2004 and 2014 among children aged 12–23 months in Bangladesh

Vaccine coverage within the first year of life and associated factors with incomplete immunization in a Brazilian birth cohort

Factors associated with non- and under-vaccination among children aged 12–23 months in Malawi. A multinomial analysis of the population-based sample

Contact Info

Product

Resources

About