Maternal characteristics as predictors of immunization status of under-five in Ebonyi State of Nigeria. A community based cross-sectional study

Authors

  • Eunice N. Afoke Department of Human Kinetics and Health Education, Ebonyi State University, Ebonyi State, Nigeria http://orcid.org/0000-0003-2142-5967
  • Lois N. Omaka-Amari Department of Human Kinetics and Health Education, Ebonyi State University, Ebonyi State, Nigeria
  • Jude N. Nwafor Department of Physical and Health Education, Ebonyi State University College of Education Ikwo, Nigeria
  • Raphael E. Ochiaka
  • Christian O. Aleke Department of Human Kinetics and Health Education, Ebonyi State University, Ebonyi State, Nigeria
  • Michael O. Okereke Department of Human Kinetics and Health Education, Faculty of Education, University of Calabar, Nigeria
  • Edu Theresa Sylvester Department of Community Health, College of Health Technology Calabar, Nigeria
  • Bassey Rita Edet Department of Community Health, College of Health Technology Calabar, Nigeria
  • Ilo Cajetan Ikechukwu Department of Human Kinetics and Health Education, Ebonyi State University, Ebonyi State, Nigeria

DOI:

https://doi.org/10.26911/thejmch.2022.07.03.06

Abstract

Background: : Childhood immunization with the interacting factors has been a significant public health challenge especially in the sub-Saharan Africa. Nigeria has been presented as one the countries with the worst under-five mortality rates, and factors affecting childhood immunization are poorly understood. This study determined the influence of maternal characteristics as a predictor of immunization status of under-five in Ebonyi State of Nigeria.

Subjects and Method: The design in this study is cross-sectional survey. The population of the study was 572,955 under-five children in Ebonyi State from which 2865 was sampled. Data were analyzed using percentages and chi-square.

Results: The results revealed that 83.01% of under-5 children were fully immunized, suggesting a high immunization status in Ebonyi State. The chi-square analysis shows a significant influence of mothers’ age (p < 0.05), mothers’ location of residence (p < 0.05), mothers’ educational level (p < 0.05) and immunization status of under-five children.

Conclusion: It was concluded that immunization status of under-five children in Ebonyi State was high and maternal characteristics had significant influence on immunization status of under-five children. Thus, it was reco­mmended among others, that government at all levels should provide tangible incentives to mothers who fully immunized their children and promulgate a law to prevent children without immunization cards, also compel mothers, teachers to show full immunization of under-five children by registering in public and private primary schools. 

Keywords:

maternal characteristics, immunization status, under-five children

Author Biography

Eunice N. Afoke, Department of Human Kinetics and Health Education, Ebonyi State University, Ebonyi State, Nigeria

References

Aboubakary S, Seraphin S, Kouyaté B, Marylène D, Janice G, Gilles B (2009). Assessment of factors associated with complete immunization coverage in children aged 12-23 months: a cross-sectional study in Nouna district, Burkina Faso. BMC Int. Health Hum. Rights. 9(1).

Adebayo BE, Oladokun RE, Akinbami FO (2012). Immunization coverage in a rural community in outhwestern Nigeria. World J. Vaccines. 3, 143. doi:10.4172/21577560.1000143

Adenike OB, Adejumoke J, Olufunmi O, Ridwan O (2017). Maternal characteristics and immunization status of children in North Central of Nigeria. Pan Afr Med J. 26, 159. doi: 10.11604/pamj.2017.26.159.11530.

Banerjee S, SubirBiswas, Roy S, Pal M, Hossain MG, Bharati P (2021). Nutritional and immunization status of under-five children of India and Bangladesh. BMC Nutrition 7: 77. doi: 10.1186/s40795021004846.

Chakraborty A, Dasgupta U, Mondal K, Das I, Sengupta D, Mundle M (2014). Poor maternal education and incomplete immunization status are key predictors in development of under nutrition a descriptive study among under five children attending a tertiary care Hospital in Kolkata, West Bengal. Indian J Prev Soc Med. 45(12): 6. Retrieved from http://ijpsm.co.in/index.php/ijpsm/article/view/157.

Duclos P, Okwo-Bele JM, Gacic-Dobo M, Cherian T (2009). Global immunization: status, progress,challenges and future. BMC Int Health Hum Rights 9, S2. doi: org/10.1186/1472698X9S1S2.

Oyefara JL (2014). Mothers’ characteristics and immunization status of under-five children in ojo local government area, Lagos State, Nigeria. SAGE Open. 1– 10. https://doi.org/10.1177/2158244014545474.

Department of Health and Human Services (2009). Epidemiology and prevention of vaccine-preventable diseases, 11th ed. Washington DC, 1-7.

Ebonyi State Ministry of Information (2010). History of Ebonyi State. Abakaliki: Ministry of Information.

Elizabeth TL, Mary MM, Abigail S, Susan YC (2003). Maternal characteristics associated with vaccination of young children. Paediatrics. 111(5): 1215-1218.

Etana B, Deressa W (2011). Factors affecting immunization status of children aged 12-23 months in ambo woreda, west shewa zone of Oromia Regional State: Addis Ababa University College of Health Science.

Etana B, 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. doi:10.1186/1471245812566.

Fernandez RC, Awofeso N, Rammohan A (2011). Determinants of apparent rural-urban differentials in measles vaccination uptake in Indonesia, Rural and Remote Health, 11: 1702.

Global Immunization and Global Immunization Vision and Strategy [GIVS], (2006). Challenges in global immunization and the global immunization vision and strategy 2006-2015. Weekly Epidemiol Rec. 2006, 81: 190-195. Retrieved from: http://www.who.int/wer/2006/wer8119.

He Y, Zarychta A, Ranz JB, Carrol M, Singleton LM, Wilson PM, Schlaudecker E (2012). Childhood immunization rates in rural intibca, Honduras: an analysis of a local database tool and community health centre records for assessing and improving vaccine coverage. BMC public health, 12, 1056. Retrieved from: http://www.biomedcentral.com/14712458/12/1056

Ibnouf AH, Van D, Borne HW, Maarse JAM (2007). Factors influencing immunization coverage among children under-five years of age in Khartoum State, Sudan. S. Afri. Fam. Pract. 49(8):102-111.

Immunization Coverage Fact Sheet (2016). Nigeria: WHO and UNICEF estimates of immunization coverage. Retrieved from www.who.immunizatio/da

Kamau N, Esamai FO (2001). Determinants of immunisation coverage among children in Mathare Valley, Nairobi. East Afr Med J. 78(11): 590-594. https://doi.org/10.4314/eamj.v78i11.8949.

Kidane T, Yigzaw A, Sahilemariam Y, Bulto T, Mengistu H, Belay T (2008). National Epi coverage survey report. Ethiop J Health Dev. 22(2): 148-157. Retrieved from https://www.ejhd.org/index.php/ejhd/article/view/491.

Lee S (2005). Demand for immunization, parental selection, and child survival. Evidence from rural India. Rev Econ Househ. 3(2):171-197. DOI: 10.1007/s111500050709x.

Luman ET, McCauley MM, Shefer A, Chu SY (2003). Maternal characteristics associated with vaccination of young children. Pediatrics.111(5 Pt 2):1215-8.

Mokogwu N, Adeyele OA (2014). Full immunization status of under-five children in an urban community in South-south Nigeria. African Journal Online (AJOL) Nigerian Medical Practitioner, 65, 3-4.

Mosiur R, Sarker ON (2010). Factors affectting acceptance of complete immunization coverage of children under five years in rural Bangladesh. Salud Publica Mex. 52(2): 134-40.

Mukungwa T (2015). Factors associated with full immunization coverage amongst children aged 12–23 months in Zimbabwe. Afr. pop. stud. 29, 2. Retrieved from: http://aps.journals.ac.za.

Munthali AC (2007). Determinations of vaccination coverage in Malawi: evidence from the demographic and health surveys. Malawi Med. J. 19: 79-82. doi: 10.4314/mmj.v19i2.10934.

Mutua MK, Kimani-Murage E, Ettarh RR (2011). Childhood vaccination in informal urban settlements in Nairobi, Kenya: Who gets vaccinated? BMC Public Health. 11, 6. doi:10.1186/14712458116.

National Population Commission Nigeria (2016). State population projected Nigeria.Demographic and Health Survey. Abuja, Nigeria.

Nwana OC (2008). Introduction to educational research for students-teachers, (Revised edition). Ibadan: HEBN Publishers Plc.

Odusanya OO, Alufohai EF, Meurice FP (2008). Determinants of vaccination coverage in rural Nigeria. BMC Public Health, 8: 381. doi:10.1186/147124588381.

Olumuyiwa O, Ewan A, Francois P, Vincent I (2008). Determination of vaccination coverage in Nigeria. British Medical Council Public Health, 8, 381-388. doi: 10.1186/147124588381.

Osomu E, moore D, Abuya BA, Okech, IN, Collins M (2015). Maternal education and immunization status among children in Kenya. Matern. Child Health J. doi:10.1007/S/1099501516861.

Osuala UK (2015). Predictors of full childhood immunization status in Owerri, Nigeria. Walden University Dissertation and Doctoral Studies. Retrieved from: http://scholarworks.waldenu.edu/dissertations.

Oyefara JL (2011). Socio-cultural context of adolescent fertility in Yoruba society: Insight from Osun State, Nigeria. La-gos: Concept Publications.

Oyefara JL (2014). Mothers’ characteristics and Immunization status of under-five children in ojo local government area, Lagos Nigeria. strategic group of experts. SAGE Open. 4, doi: 10117/2158244014545474.

Sarab K, Abedalrahman ARS, Ruqiya S, Tawfeek R (2008). Factors predicting immunization coverage in Tikrit city middle East. J Fam Med. 6(1): 8-10.

Tagbo BN, Eke CB, Omotowo BI, Onwuasigwe, CN, Onyeka EB, Mildred UO (2014). Vaccination Coverage and Its Determinants in Children Aged 11 - 23 Months in an Urban District of Nigeria. World J Vaccines. 4: 175-183. doi:org/10.4236/wjv.2014.44020

UNICEF. (2009). State of the world's vaccines and immunization, 3rd ed. Geneva, WHO. Retrieved from http://www.unicef.org/media/files/SOWVI_full_report_english_LR1.

UNICEF (2013). Improving child nutrition. In: The achievable imperative for global progress. New York: UNICEF.

United NC Fund (2002). The State of the World's Children. New York.

World Bank (1993). Investing in health. World Development Report. New York: Oxford University Press.

World Bank (2015). Immunization coverage DPT3 coverage by wealth quartile. Washington, DC: Wealth Sector Performance. 15-28.

World Health Organization (2002). Childhood nutrition and progress in implementing the international code of marketing of breast-milk substitute. Geneva: WHO.

ZimStat (2007). Zimbabwe demographic health survey (DHS) 2005-06, Harare Zimbabwe. USA: ICF International, Inc.

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Published

2022-05-16

How to Cite

Afoke, E. N., Omaka-Amari, L. N., Nwafor, J. N., Ochiaka, R. E., Aleke, C. O., Okereke, M. O., Sylvester, E. T., Edet, B. R., & Ikechukwu, I. C. (2022). Maternal characteristics as predictors of immunization status of under-five in Ebonyi State of Nigeria. A community based cross-sectional study. Journal of Maternal and Child Health, 7(3), 294–306. https://doi.org/10.26911/thejmch.2022.07.03.06

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