Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria

Obinna Oleribe, Vibha Kumar, Adebowale Awosika-Olumo, Simon David Taylor-Robinson

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Introduction: Immunization is the world’s most successful and cost-effective public health intervention as it prevents over 2 million deaths annually. However, over 2 million deaths still occur yearly from Vaccine preventable diseases, the majority of which occur in sub-Saharan Africa. Nigeria is a major contributor of global childhood deaths from VPDs. Till date, Nigeria still has wild polio virus in circulation. The objective of this study was to identify the individual and socioeconomic factors associated with immunization coverage in Nigeria through a secondary dataset analysis of Nigeria Demographic and Health Survey (NDHS), 2013. Methods: A quantitative analysis of the 2013 NDHS dataset was performed. Ethical approvals were obtained from Walden University IRB and the National Health Research Ethics Committee of Nigeria. The dataset was downloaded, validated for completeness and analyzed using univariate, bivariate and multivariate statistics. Results: Of 27,571 children aged 0 to 59 months, 22.1% had full vaccination, and 29% never received any vaccination. Immunization coverage was significantly associated with childbirth order, delivery place, child number, and presence or absence of a child health card. Maternal age, geographical location, education, religion, literacy, wealth index, marital status, and occupation were significantly associated with immunization coverage. Paternal education, occupation, and age were also significantly associated with coverage. Respondent's age, educational attainment and wealth index remained significantly related to immunization coverage at 95% confidence interval in multivariate analysis. Conclusion: The study highlights child, parental and socioeconomic barriers to successful immunization programs in Nigeria. These findings need urgent attention, given the re-emergence of wild poliovirus in Nigeria. An effective, efficient, sustainable, accessible, and acceptable immunization program for children should be designed, developed and undertaken in Nigeria with adequate strategies put in place to implement them.

Original languageEnglish (US)
Article number220
JournalPan African Medical Journal
Volume26
DOIs
StatePublished - Apr 24 2017

Fingerprint

Nigeria
Immunization
Immunization Programs
Research Ethics Committees
Occupations
Vaccination
Demography
Education
Poliovirus
Africa South of the Sahara
Maternal Age
Marital Status
Religion
Poliomyelitis
Vaccines
Multivariate Analysis
Public Health
Parturition
Confidence Intervals
Viruses

Keywords

  • Immunization
  • Nigeria
  • Nigerian demographic and health survey (NDHS)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria. / Oleribe, Obinna; Kumar, Vibha; Awosika-Olumo, Adebowale; Taylor-Robinson, Simon David.

In: Pan African Medical Journal, Vol. 26, 220, 24.04.2017.

Research output: Contribution to journalArticle

Oleribe, Obinna ; Kumar, Vibha ; Awosika-Olumo, Adebowale ; Taylor-Robinson, Simon David. / Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria. In: Pan African Medical Journal. 2017 ; Vol. 26.
@article{68022a6a39f949999411e4a7d24d8fe0,
title = "Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria",
abstract = "Introduction: Immunization is the world’s most successful and cost-effective public health intervention as it prevents over 2 million deaths annually. However, over 2 million deaths still occur yearly from Vaccine preventable diseases, the majority of which occur in sub-Saharan Africa. Nigeria is a major contributor of global childhood deaths from VPDs. Till date, Nigeria still has wild polio virus in circulation. The objective of this study was to identify the individual and socioeconomic factors associated with immunization coverage in Nigeria through a secondary dataset analysis of Nigeria Demographic and Health Survey (NDHS), 2013. Methods: A quantitative analysis of the 2013 NDHS dataset was performed. Ethical approvals were obtained from Walden University IRB and the National Health Research Ethics Committee of Nigeria. The dataset was downloaded, validated for completeness and analyzed using univariate, bivariate and multivariate statistics. Results: Of 27,571 children aged 0 to 59 months, 22.1{\%} had full vaccination, and 29{\%} never received any vaccination. Immunization coverage was significantly associated with childbirth order, delivery place, child number, and presence or absence of a child health card. Maternal age, geographical location, education, religion, literacy, wealth index, marital status, and occupation were significantly associated with immunization coverage. Paternal education, occupation, and age were also significantly associated with coverage. Respondent's age, educational attainment and wealth index remained significantly related to immunization coverage at 95{\%} confidence interval in multivariate analysis. Conclusion: The study highlights child, parental and socioeconomic barriers to successful immunization programs in Nigeria. These findings need urgent attention, given the re-emergence of wild poliovirus in Nigeria. An effective, efficient, sustainable, accessible, and acceptable immunization program for children should be designed, developed and undertaken in Nigeria with adequate strategies put in place to implement them.",
keywords = "Immunization, Nigeria, Nigerian demographic and health survey (NDHS)",
author = "Obinna Oleribe and Vibha Kumar and Adebowale Awosika-Olumo and Taylor-Robinson, {Simon David}",
year = "2017",
month = "4",
day = "24",
doi = "10.11604/pamj.2017.26.220.11453",
language = "English (US)",
volume = "26",
journal = "Pan African Medical Journal",
issn = "1937-8688",
publisher = "Pan African Medical Journal",

}

TY - JOUR

T1 - Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria

AU - Oleribe, Obinna

AU - Kumar, Vibha

AU - Awosika-Olumo, Adebowale

AU - Taylor-Robinson, Simon David

PY - 2017/4/24

Y1 - 2017/4/24

N2 - Introduction: Immunization is the world’s most successful and cost-effective public health intervention as it prevents over 2 million deaths annually. However, over 2 million deaths still occur yearly from Vaccine preventable diseases, the majority of which occur in sub-Saharan Africa. Nigeria is a major contributor of global childhood deaths from VPDs. Till date, Nigeria still has wild polio virus in circulation. The objective of this study was to identify the individual and socioeconomic factors associated with immunization coverage in Nigeria through a secondary dataset analysis of Nigeria Demographic and Health Survey (NDHS), 2013. Methods: A quantitative analysis of the 2013 NDHS dataset was performed. Ethical approvals were obtained from Walden University IRB and the National Health Research Ethics Committee of Nigeria. The dataset was downloaded, validated for completeness and analyzed using univariate, bivariate and multivariate statistics. Results: Of 27,571 children aged 0 to 59 months, 22.1% had full vaccination, and 29% never received any vaccination. Immunization coverage was significantly associated with childbirth order, delivery place, child number, and presence or absence of a child health card. Maternal age, geographical location, education, religion, literacy, wealth index, marital status, and occupation were significantly associated with immunization coverage. Paternal education, occupation, and age were also significantly associated with coverage. Respondent's age, educational attainment and wealth index remained significantly related to immunization coverage at 95% confidence interval in multivariate analysis. Conclusion: The study highlights child, parental and socioeconomic barriers to successful immunization programs in Nigeria. These findings need urgent attention, given the re-emergence of wild poliovirus in Nigeria. An effective, efficient, sustainable, accessible, and acceptable immunization program for children should be designed, developed and undertaken in Nigeria with adequate strategies put in place to implement them.

AB - Introduction: Immunization is the world’s most successful and cost-effective public health intervention as it prevents over 2 million deaths annually. However, over 2 million deaths still occur yearly from Vaccine preventable diseases, the majority of which occur in sub-Saharan Africa. Nigeria is a major contributor of global childhood deaths from VPDs. Till date, Nigeria still has wild polio virus in circulation. The objective of this study was to identify the individual and socioeconomic factors associated with immunization coverage in Nigeria through a secondary dataset analysis of Nigeria Demographic and Health Survey (NDHS), 2013. Methods: A quantitative analysis of the 2013 NDHS dataset was performed. Ethical approvals were obtained from Walden University IRB and the National Health Research Ethics Committee of Nigeria. The dataset was downloaded, validated for completeness and analyzed using univariate, bivariate and multivariate statistics. Results: Of 27,571 children aged 0 to 59 months, 22.1% had full vaccination, and 29% never received any vaccination. Immunization coverage was significantly associated with childbirth order, delivery place, child number, and presence or absence of a child health card. Maternal age, geographical location, education, religion, literacy, wealth index, marital status, and occupation were significantly associated with immunization coverage. Paternal education, occupation, and age were also significantly associated with coverage. Respondent's age, educational attainment and wealth index remained significantly related to immunization coverage at 95% confidence interval in multivariate analysis. Conclusion: The study highlights child, parental and socioeconomic barriers to successful immunization programs in Nigeria. These findings need urgent attention, given the re-emergence of wild poliovirus in Nigeria. An effective, efficient, sustainable, accessible, and acceptable immunization program for children should be designed, developed and undertaken in Nigeria with adequate strategies put in place to implement them.

KW - Immunization

KW - Nigeria

KW - Nigerian demographic and health survey (NDHS)

UR - http://www.scopus.com/inward/record.url?scp=85025103984&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025103984&partnerID=8YFLogxK

U2 - 10.11604/pamj.2017.26.220.11453

DO - 10.11604/pamj.2017.26.220.11453

M3 - Article

VL - 26

JO - Pan African Medical Journal

JF - Pan African Medical Journal

SN - 1937-8688

M1 - 220

ER -