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Vaccination Coverage and Its Determinants in Children Aged 11 - 23 Months in an Urban District of Nigeria

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Background/Objectives: Performance of the vaccination programme in Nigeria is lower than the regional average as well the 95% target necessary for sustained control of vaccine preventable diseases. This study is aimed at assessing the vaccination coverage and its associated factors in children aged 11 - 23 months in Enugu Metropolis. Methods: A cross sectional study in which caregivers and their children pair, aged 11 - 23 months attending children’s outpatient clinics in Enugu metropolis was undertaken. Respondents were selected consecutively while data were collected using pretested interviewer administered semi-structured questionnaire. Data were analyzed using SPSS version 20.0 while level of significance was set at p < 0.05. Logistic regression analysis was used to identify independent predictors of full vaccination. Results: Of 351 subjects studied, 84.9% (298) were fully immunized according to the national programme on immunization schedule using both vaccination cards and history. The OPV0, OPV3, pentavalent-1, pentavalent-3 and measles coverage at the time of survey were 100.0%, 97.2%, 98.0%, 98.6%, 96.9% and 95.4%, respectively. On logistic regression: maternal occupation (government employees), children born in government hospitals and knowledge of when to start and complete vaccinations in a child were the likely predictors for completion of full vaccination in the children. Conclusion: The vaccination coverage among the study group was adjudged to be relatively high. Delivery of a child in a government hospital and the knowledge of the age when routine vaccinations should begin and end in a child were the independent predictors of the high vaccination coverage rate observed. Awareness and health education efforts in government tertiary hospitals should be extended to private and other hospitals to improve and sustain national vaccination coverage in Nigeria.
Cite this paper
Tagbo, B. , Eke, C. , Omotowo, B. , Onwuasigwe, C. , Onyeka, E. and Mildred, U. (2014) Vaccination Coverage and Its Determinants in Children Aged 11 - 23 Months in an Urban District of Nigeria. World Journal of Vaccines, 4, 175-183. doi: 10.4236/wjv.2014.44020. 
 

[1] (2012) Global Routine Vaccination Coverage 2011. Weekly Epidemiological Record. WHO, Geneva.
http://www.who.int/immunization/documents/vaccination_coverage/en/
[2] Itim, K., Dienye, P.O. and Ordinioha, B. (2012) Community Participation and Childhood Immunization Coverage: A Comparative Study of Rural and Urban Communities of Bayelsa State, South Nigeria. Nigerian Medical Journal, 53, 21-25.
http://dx.doi.org/10.4103/0300-1652.99826
[3] National Population Commission (2014) Nigeria’s over 167 Million Population: Implications and Challenges, Nigeria, 2011.
http://www.population.gov.ng/
[4] UNICEF (2014) At a Glance: Nigeria. http://www.unicef.org/infobycountry/nigeria_statistics.html
[5] Abdulraheem, I.S., Onajole, A.T., Jimoh, A.A.G. and Oladipo, A.R. (2011) Reasons for Incomplete Vaccination and Factors Missed Opportunities among Rural Nigeria Children. Journal of Public Health and Epidemiology, 3, 194-203.
[6] World Health Organization (2012) Immunization Surveillance, Assessment and Monitoring Vaccine Preventable Diseases.
http://www.who.int/immunization/monitoring_surveillance/en/
[7] United State Agency for International Development (USAID) for Africa (2012) Immunization Basics. Strengthening Routine Immunization Services and Sustainable Financing for Immunization 2009.
http://www.immunizationbasics.jsi.com/CountryActivities.htm
[8] Harvey, P.A.M. (2014) Factors Influencing Vaccination in Nigeria.
http://gradworks.umi.com/34/44/3444115.html
[9] (2012) Paediatric Association of Nigeria (PAN) Recommended Routine Immunization Schedule for Nigeria: PAN Advisory Committee on Immunization. Nigerian Journal of Paediatrics, 39, 152-158.
[10] (2014) Explainer: Why Polio Remains Endemic in Afghanistan, Pakistan and Nigeria.
http://www.rferl.org/content/explainer-why-polio-remains-endemic-afghanistan-pakistan-nigeria/24804097.html
[11] Oluwadare, C. (2009) The Social Determinants of Routine Immunization in Ekiti State of Nigeria. Ethno-Medicine, 3, 49-56.
[12] Etana, B. and Deressa, W. (2012) Factors Associated with Complete Immunization Coverage in Children Aged 12-23 Months in Ambo Woreda, Central Ethiopia. BMC Public Health, 12, 566.
http://dx.doi.org/10.1186/1471-2458-12-566
[13] Munthali, A.C. (2007) Determinations of Vaccination Coverage in Malawi: Evidence from the Demographic and Health Surveys. Malawi Medical Journal, 19, 79-82.
http://dx.doi.org/10.4314/mmj.v19i2.10934
[14] Tagbo, B.N., Uleanya, N.D., Nwokoye, I.C., Eze, J.C. and Omotowo, I.B. (2012) Mothers’ Knowledge, Perception and Practice of Childhood Immunization in Enugu. Nigerian Journal of Paediatrics, 39, 90-96.
[15] Tagbo, B.N. (2013) Achieving Polio Eradication in Nigeria: Prospects and Challenges. Nigerian Journal of Paediatrics, 40, 15-23.
[16] Tagbo, B.N., Uleanya, N.D. and Omotowo, I.B. (2013) Mothers’ Perception of Adverse Events Following Routine Immunization. Journal of Vaccines & Vaccination, 4, 202.
[17] National Population Commission (2006) Provisional Census Figures. Census News 2006.
[18] Glenda, L.L., Brynley, C.M. and Peter, B.M. (2004) Reasons for Incomplete Immunization among Australian Children. Australian Family Physician, 33, 13-19.
[19] UNICEF (2014) Nigeria: Low Coverage of Life-Saving Interventions.
http://www.unicef.org/nigeria/children_1927.html
[20] Olumuyiwa, O., Ewan, A., Francois, P. and Vincent, I. (2008) Determination of Vaccination Coverage in Nigeria. BMC Public Health, 8, 381-388.
http://dx.doi.org/10.1186/1471-2458-8-381
[21] Mohammed, H. and Afomsa, A. (2013) Assessment of Child Immunization Coverage and Associated Factors in Oromia Regional State, Eastern Ethiopia. Science, Technology and Arts Research Journal, 2, 36-41.
[22] FMOH, WHO, UNICEF (2004) Enhancing Routine Immunization Services in Ethiopia: Reaching Every District (RED) Approach, Field Guide and Essential Tools for Implementation. Addis Ababa.
[23] Masaham, M., Somthana, D. and Kayako, S. (2007) Factors Affecting Routine Immunization Coverage among Children Aged 12-59 Months in Lao PDR: After Regional Polio Eradication in Western Pacific Region. Bioscience Trends, 1, 43-51.
[24] Mosiur, R. and Sarker, O.N. (2010) Factors Affecting Acceptance of Complete Immunization Coverage of Children under Five Years in Rural Bangladesh. Salud Pablica de Maxico, 52, 134-140.
[25] Odusanya, O.O., Ewan, F.A., Francois, P.M. and Vincent, I.A. (2008) Determinants of Vaccination Coverage in Rural Nigeria. BMC Public Health, 8, 381.
[26] Kamau, N. and Esamai, F.O. (2009) Determinants of Immunization Coverage among Children in Mathare Valley, Nairobi. East African Medical Journal, 86, 323-329.
[27] Abdel, K., Drissa, T. and Fatouma, H. (2009) Evaluation of Immunization Coverage within the Expanded Program on Immunization in Kita Circle, Mali. BMC International Health and Human Rights, 9, 13-19.
http://dx.doi.org/10.1186/1472-698X-9-S1-S13
[28] Preveer, S., Daya, P. and Vartica, S. (2008) Assessment of Routine Immunization in Urban Slum of Agra District. Indian Journal of Preventive and Social Medicine, 39, 60-62.
[29] Sadoh, A.E. and Eregie, C.O. (2009) Timeliness and Completion Rates of Immunization among Nigerian Children Attending a Clinic Based Immunization Services. Journal of Health, Population and Nutrition, 27, 391-395.
[30] Tagbo, B.N. and Onwasigwe, C. (2005) Missed Opportunities among Children in Enugu. Nigerian Journal of Paediatrics, 32, 73-76.
[31] Centers for Disease Control and Prevention (2014) Global Routine Vaccination, 2010. Morbidity and Mortality Weekly Report (MMWR), 60, 1520-1522.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6044a3.htm      eww141024lx
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