Determinants of timely presentation for birth dose vaccination at an immunization centre in North-central Nigeria.
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Date
2019-03-01
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Abstract
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 sched-
ule 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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Ibraheem R, Abdulkadir M, Akintola M and Adeboye M. Determinants of Timely Presentation for Birth Dose Vaccination at an Immunization Centre in North-central Nigeria. AnnalsofGlobalHealth. 2019; 85(1): 20, 1–9. DOI: https://doi.org/10.5334/aogh.725