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Published on: February 22, 2019
Vaccination compliance of selected childhood immunization programs and the socio-determinant factors in Nigeria
Oluyemi A Okunlola1, Olawunmi R Oyerinde2, Imisioluwa D Fashina1
1Department of Mathematical and Computer Sciences, University of Medical Sciences, Ondo City, Ondo State, Nigeria.
Insights
Full vaccination compliance in Nigerian children varies significantly by vaccine type and region. Maternal literacy and socioeconomic factors strongly predict vaccination adherence, highlighting the need for tailored public health policies.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood vaccination is crucial for preventing infectious diseases.
- Understanding vaccination compliance and associated factors is vital for public health strategies.
Purpose of the Study:
- To assess full vaccination compliance rates in Nigerian children.
- To identify socio-cultural factors influencing vaccination adherence.
Main Methods:
- Logistic regression analysis was used.
- Examined socioeconomic variables against vaccination status for tetanus, BCG, measles, and pentavalent vaccines.
Main Results:
- National compliance exceeded 60% for tetanus and BCG, but was below 50% for pentavalent and 10% for measles.
- The South East region showed the highest compliance, while the North West had the lowest.
- Maternal literacy, employment, antenatal care, and internet usage were significant predictors (p < 0.05).
Conclusions:
- Socio-cultural factors significantly impact vaccination coverage in Nigeria.
- Policy implementation should be geographically tailored to address regional disparities in vaccination compliance.
Introduction:
Adherence to full vaccination is important in preventing childhood diseases. The aim of this study was to evaluate the level of compliance to full vaccination and identify the socio-cultural factors associated with full vaccination compliance in children.
Methodology:
The socioeconomic variables associated with each of the four binary dependent variables of whether or not a child is fully vaccinated against tetanus, BCG, measles, and pentavalent were determined using logistic regression.
Results:
While compliance to full tetanus and BCG vaccinations was > 60% at the national level, less than 50% and 10% full vaccination compliance were recorded for pentavalent and measles vaccinations, respectively. The South East region of Nigeria recorded the overall highest full vaccination compliance while the least performing region was the North West zone. The mother or guardian literacy level, employment status, antenatal care attendance, and internet usage were strong predictors of full vaccination compliance (p < 0.05).
Conclusions:
The socio-cultural factors associated with achieving full vaccination coverage in Nigeria in this study should drive the implementation of policies that will be best suited to each geopolitical zone of Nigeria.
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