ADDRESSING THE LOW IMMUNIZATION RATES IN UNDER FIVE CHILDREN IN NIGERIA: A DATA ANALYSIS AND POLICY IMPLICATIONS
Author(s)
Sebeh Y1, Akani B2
1Georgia State University, Atlanta, GA, USA, 2Georgia State University, Jonesboro, GA, USA
OBJECTIVES: The global health observatory data shows that under-five death rates are the highest in the WHO African region, with 74 deaths per 1000 live births. In fact, under-five children have a 15 times higher chance of dying when compared to their peers in high-income countries. Nigeria is among the countries with the lowest immunization coverage in the region, according to the WHO estimates. In 2018 70% of the population is not vaccinated, representing an approximated 3 million people. The purpose of this presentation is to identify the risk factors of incomplete immunization in under-five children in Nigeria. METHODS: Nigeria Demographic and Health Survey (NDHS) datasets, made publicly available by USAID were used. A cross-sectional analysis of secondary data was performed using the 2018 data. A logistic regression was performed to identify the risk factors of incomplete immunization. We focused on vaccine coverage status for BCG, Pentavalent, Polio 3, and Measles. The data analysis was performed using SAS. RESULTS: The analysis included a total of 6154 children aged 12 to 13 months. About 55% did not receive full immunization. Was considered having a complete immunization, children who received one dose of BCG vaccine, four doses against polio, three doses of Pentavalent vaccine, and one vaccine dose against measles. Children who had mothers with no education were 12.2 [95% CI (5.4, 27.6)] times at higher odds of having incomplete immunizations compared to those who had mothers with higher education. Added to that, children living in wealthier families were 4 [95% CI (2.4, 6.7)] times at higher odds of having incomplete immunization compared to those living in wealthier families. CONCLUSIONS: Parental factors influenced the immunization status of children under five. Immunization campaigns and national programs in Nigeria should take into consideration non-individual factors and focus on household-related factors.
Conference/Value in Health Info
2020-05, ISPOR 2020, Orlando, FL, USA
Value in Health, Volume 23, Issue 5, S1 (May 2020)
Code
PIN49
Topic
Epidemiology & Public Health
Topic Subcategory
Public Health
Disease
Vaccines