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Determinants of Timely Presentation for Birth Dose Vaccination at an Immunization Centre in North-central Nigeria
Rasheedat Ibraheem1,2, Mohammed Abdulkadir1,2, Moshood Akintola3
1University of Ilorin, NG.
Insights
Timely birth dose vaccination in Nigeria is low. Maternal education, antenatal care, hospital delivery, and immunization knowledge are key factors for early presentation.
Area of Science:
- Pediatrics
- Public Health
- Immunization Practices
Background:
- Timely immunization is crucial for early child protection.
- A significant proportion of infants in Nigeria do not receive birth dose vaccines on time.
Purpose of the Study:
- To identify factors associated with timely presentation for birth dose vaccination.
- To determine reasons for delayed vaccination beyond 24 hours in Ilorin, Nigeria.
Main Methods:
- A descriptive cross-sectional study of 480 mother-infant pairs was conducted.
- Data collected included socio-demographics, antenatal care, delivery details, and vaccination dates.
- Logistic regression analysis identified factors associated with timely presentation.
Main Results:
- Only 49.8% of infants received vaccination within the first day.
- Maternal post-secondary education, antenatal care attendance, and hospital delivery were linked to timely presentation.
- Knowledge of the immunization schedule tripled the odds of early presentation; weekend/holiday deliveries were common reasons for delay.
Conclusions:
- Hospital delivery, antenatal care, higher maternal education, and immunization knowledge promote timely birth dose vaccination.
- Interventions should address out-of-hospital births and weekend/holiday deliveries.
- Integrating immunization education into school curricula may improve vaccination timeliness.
Background:
Timely receipt of immunization is an essential prerequisite to ensure early protection of the child. However, a low proportion of children in Nigeria benefit from the timely administration of the birth dose vaccines.
Objectives:
These were identification of factors associated with timely presentation and reasons for presentation beyond 24 hours at an immunization centre in Ilorin, Nigeria.
Method:
A descriptive cross-sectional study involving 480 mother-infant pairs was conducted at an immunization centre. Socio-demographic, antenatal care (ANC) and delivery details, infant's birthday and day of presentation for vaccination were recorded. Logistic regression was used to identify factors associated with time to presentation within day one.
Findings:
239 (49.8%), 421 (87.7%) and 454 (94.6%) babies were vaccinated within days one, seven and 14 respectively. Post-secondary education level of mothers (OR = 3.60; 95% C.I: 1.30-9.91), antenatal care attendance (OR = 9.55; 95% C.I: 1.75-52.12), and hospital delivery (OR = 6.36; 95% C.I: 1.33-30.38) were associated with presentation within day one. Having correct knowledge of the immunization schedule increased the odds of early presentation by three times, p = 0.025. The commonest reason for presentation after day one for vaccination was weekend/public holiday delivery identified in 83 (35.2%) mother-infant pairs.
Conclusion:
Hospital delivery, attendance at antenatal care, postsecondary education and knowledge of the immunization schedule were factors associated with timely presentation for birth dose vaccination. Strategies to improve timeliness of the birth dose vaccination should target babies delivered outside the hospital as well as during weekends in the hospital. Also, inclusion of immunization into the health education curriculum of schools could be beneficial.
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