
The Library
Incomplete childhood immunization in Nigeria : a multilevel analysis of individual and contextual factors
Tools
Adedokun, Sulaimon, Uthman, Olalekan A., Adekanmbi, Victor and Wiysonge, Charles S. (2017) Incomplete childhood immunization in Nigeria : a multilevel analysis of individual and contextual factors. BMC Public Health, 17 (236). ISSN 1471-2458.
|
PDF
WRAP_art%3A10.1186%2Fs12889-017-4137-7.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (656Kb) | Preview |
|
![]() |
PDF
WRAP_Immunization paper.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (553Kb) |
Official URL: http://dx.doi.org/10.1186/s12889-017-4137-7
Abstract
Background: Under-five mortality remains high in sub-Saharan Africa despite global decline. One quarter of these deaths are preventable through interventions such as immunization. The aim of this study was to examine the independent effects of individual-, community- and state-level factors on incomplete childhood immunization in Nigeria, which is one of the 10 countries where most of the incompletely immunised children in the world live.
Methods: The study was based on secondary analyses of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (DHS). Multilevel multivariable logistic regression models were applied to the data on 5,754 children aged 12–23 months who were fully immunized or not (level 1), nested within 896 communities (level 2) from 37 states (level 3).
Results: More than three-quarter of the children (76.3%) were not completely immunized. About 83% of children of young mothers (15–24 years) and 94% of those whose mothers are illiterate did not receive full immunization. In the fully adjusted model, the chances of not being fully immunized reduced for children whose mothers attended antenatal clinic (adjusted odds ratio [aOR] = 0.49; 95% credible interval [CrI] = 0.39–0.60), delivered in health facility (aOR = 0.62; 95% CrI = 0.51–0.74) and lived in urban area (aOR = 0.66; 95% CrI = 0.50–0.82). Children whose mothers had difficulty getting to health facility (aOR = 1.28; 95% CrI = 1.02–1.57) and lived in socioeconomically disadvantaged communities (aOR = 2.93; 95% CrI = 1.60–4.71) and states (aOR = 2.69; 955 CrI =1.37–4.73) were more likely to be incompletely immunized.
Conclusions: This study has revealed that the risk of children being incompletely immunized in Nigeria was influenced by not only individual factors but also community- and state-level factors. Interventions to improve child immunization uptake should take into consideration these contextual characteristics.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
Library of Congress Subject Headings (LCSH): | Immunization of children, Immunization of children--Nigeria | ||||||||
Journal or Publication Title: | BMC Public Health | ||||||||
Publisher: | BioMed Central Ltd. | ||||||||
ISSN: | 1471-2458 | ||||||||
Official Date: | 8 March 2017 | ||||||||
Dates: |
|
||||||||
Volume: | 17 | ||||||||
Number: | 236 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 9 March 2017 | ||||||||
Date of first compliant Open Access: | 10 March 2017 | ||||||||
Funder: | Warwick Medical School, Wellcome Trust (London, England), Carnegie Corporation of New York, Styrelsen för Internationellt Utvecklingssamarbete (SIDA) | ||||||||
Grant number: | 087547/Z/08/Z (Wellcome Trust), B 8606.R02 (Carnegie), 54100029 (SIDA) |
Request changes or add full text files to a record
Repository staff actions (login required)
![]() |
View Item |
Downloads
Downloads per month over past year