Determinants of routine immunization coverage in Bungudu, Zamfara State, Northern Nigeria, May 2010
| Autor: | Saheed Gidado, Patrick Nguku, Oladayo Biya, Ndadilnasiya Endie Waziri, Abdulaziz Mohammed, Peter Nsubuga, Henry Akpan, Akin Oyemakinde, Abdulsalami Nasidi, Idris Suleman, Emmanuel Abanida, Yusuf Musa, Kabir Sabitu |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Rural Population fully immunized child Health Knowledge Attitudes Practice Motivation routine immunization Adolescent Research Culture Vaccination Nigeria Infant Mothers General Medicine Sampling Studies Young Adult Cross-Sectional Studies Child Preschool Surveys and Questionnaires routine immunization coverage Educational Status Humans Immunization Female |
| Zdroj: | The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| Popis: | Introduction Immunization is a cost-effective public health intervention to reduce morbidity and mortality associated with infectious diseases. The Nigeria Demographic and Health Survey of 2008 indicated that only 5.4% of children aged 12-23 months in Bungudu, Zamfara State were fully immunized. We conducted this study to identify the determinants of routine immunization coverage in this community. Methods We conducted a cross-sectional study. We sampled 450 children aged 12-23 months. We interviewed mothers of these children using structured questionnaire to collect data on socio-demographic characteristics, knowledge on immunization, vaccination status of children and reasons for non-vaccination. We defined a fully immunized child as a child who had received one dose of BCG, three doses of oral polio vaccine, three doses of Diptheria-Pertusis-Tetanus vaccine and one dose of measles vaccine by 12 months of age. We performed bivariate analysis and logistic regression using Epi-info software. Results The mean age of mothers and children were 27 years (standard error (SE): 0.27 year) and 17 months (SE: 0.8 month) respectively. Seventy nine percent of mothers had no formal education while 84% did not possess satisfactory knowledge on immunization. Only 7.6% of children were fully immunized. Logistic regression showed that possessing satisfactory knowledge (Adjusted OR=18.4, 95% CI=3.6-94.7) and at least secondary education (Adjusted OR=3.6, 95% CI=1.2-10.6) were significantly correlated with full immunization. Conclusion The major determinants of immunization coverage were maternal knowledge and educational status. Raising the level of maternal knowledge and increasing maternal literacy level are essential to improve immunization coverage in this community. |
| Databáze: | OpenAIRE |
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