Why immunization coverage fails to catch up in India? A community‐based analysis

Sahu, Damodar; Pradhan, Jalandhar; Jayachandran, V; Khan, Neloufar

doi:10.1111/j.1365-2214.2009.01003.x

Cited by 9 publications

(3 citation statements)

References 7 publications

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“…This study showed that, irrespective of the number of ANC visits by the mother, those who had ANC attendance had higher likelihood of having their children fully immunised than mothers who had no ANC attendance. This is consistent with studies in Senegal,35 Bangladesh,36 Indonesia,37 India,38 and Zimbabwe,39 which showed that ANC attendance of the mother was significantly associated with increased likelihood of a child to be fully immunised. In contrast, Lakew et al 40 showed that ANC attendance was not associated with fully immunised children in Ethiopia 40.…”

Section: Discussionsupporting

confidence: 91%

The impact of maternal health care utilisation on routine immunisation coverage of children in Nigeria: a cross-sectional study

Anichukwu

Asamoah

2019

BMJ Open

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ObjectiveTo examine the impact of maternal healthcare (MHC) utilisation on routine immunisation coverage of children in Nigeria.DesignIndividual level cross-sectional study using bivariate and multivariable logistic regression analyses to examine the association between MHC utilisation and routine immunisation coverage of children.SettingNigeria Demographic and Health Survey 2013.Participants5506 women aged 15–49 years with children aged 12–23 months born in the 5 years preceding the survey.Primary outcome measuresFully immunised children and not fully immunised children.ResultsThe percentage of children fully immunised with basic routine childhood vaccines by the age of 12 months was 25.8%. Antenatal care (ANC) attendance irrespective of the number of visits (adjusted OR (AOR)1–3 visits2.4, 95% CI 1.79 to 3.27; AOR4–7 visits3.2, 95% CI 2.52 to 4.13; AOR≥ 8 visits3.5, 95% CI 2.64 to 4.50), skilled birth attendance (SBA) (AOR 1.9, 95% CI 1.65 to 2.35); and maternal postnatal care (PNC) (AOR 1.7, 95% CI 1.46 to 2.06) had positive effects on the child being fully immunised after adjusting for covariates (except for each other, ie, ANC, SBA and PNC). Further analyses (adjusting stepwise for each MHC service) showed a mediation effect that led to the effect of PNC not being significant.ConclusionsThe percentage of fully immunised children in Nigeria was very low. ANC attendance, SBA and maternal PNC attendance had positive impact on the child being fully immunised. The findings suggest that strategies aimed at maximising MHC utilisation in Nigeria could be effective in achieving the national coverage target of at least 80% for routine immunisation of children.

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Section: Discussionsupporting

confidence: 91%

The impact of maternal health care utilisation on routine immunisation coverage of children in Nigeria: a cross-sectional study

Anichukwu

Asamoah

2019

BMJ Open

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“…The purpose of this approach is to control the correlation between individual characteristics in a particular community. The community error term uj in the model gives an indication of the variation after controlling for the individual characteristics [23].…”

Section: Methodology Multilevel Analysismentioning

confidence: 99%

Why Unmet Need for Family Planning Remains High in Bangladesh: A Community Level Analysis

Pradhan¹,

Dwivedi²

2015

J Women’s Health Care

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Background: Improving reproductive health (RH) is widely recognized as a key component of social and economic development. Interaction of different factors such as individual, household and community level covariates plays an important role in determining the level of unmet need for family planning. Objectives: The objective of the study is to examine the association between individual, household and community level covariates with the level of unmet need for family planning in Bangladesh. Methodology: For the core, analysis data has been extracted from Bangladesh Demographic Health Survey (BDHS), 2011. Multilevel regression analyses have been employed to explore the relative effects of community, household level and individual level factors on unmet need for family planning among currently married women. Results: Results shows that unmet need for contraception marginally declined from 16.8% in 2007 to 13.5% in 2011. Surprisingly the impact of education and wealth index is marginal in determining the level of unmet need. On the other hand, three community level variables (% women exposed to family planning, % women with ideal number of children and % women with primary and higher education) significantly associated with the level of unmet need for family planning in Bangladesh. Conclusion: Since unmet needs for family planning has multiple advantages for both the individual and society, it is necessary for the governments to come up with strategies, which can reduce unmet needs.

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“…Sahu et al (2010) also saw that infants living in communities with all weather roads, public sector health facilities had higher complete vaccination coverage compared to their counterparts. (7) …”

Section: Discussionmentioning

confidence: 99%

Preval Ence of Pediatric Immunization in Kishanganj District of Bihar

Suman¹,

S²,

Sengupta³

et al. 2015

jemds

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Why immunization coverage fails to catch up in India? A community‐based analysis

Cited by 9 publications

References 7 publications

The impact of maternal health care utilisation on routine immunisation coverage of children in Nigeria: a cross-sectional study

The impact of maternal health care utilisation on routine immunisation coverage of children in Nigeria: a cross-sectional study

Why Unmet Need for Family Planning Remains High in Bangladesh: A Community Level Analysis

Preval Ence of Pediatric Immunization in Kishanganj District of Bihar

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