Inequitable childhood immunization uptake in Nigeria: a multilevel analysis of individual and contextual determinants.

BMC Infectious Diseases
Diddy Antai

Abstract

Immunization coverage in many parts of Nigeria is far from optimal, and far from equitable.Nigeria accounts for half of the deaths from Measles in Africa, the highest prevalence of circulating wild poliovirus in the world, and the country is among the ten countries in the world with vaccine coverage below 50 percent. Studies focusing on community-level determinants therefore have serious policy implications Multilevel multivariable regression analysis was used on a nationally-representative sample of women aged 15-49 years from the 2003 Nigeria Demographic and Health Survey. Multilevel regression analysis was performed with children (level 1) nested within mothers (level 2), who were in turn nested within communities (level 3). Results show that the pattern of full immunization clusters within families and communities, and that socio-economic characteristics are important in explaining the differentials in full immunization among the children in the study. At the individual level, ethnicity, mothers' occupation, and mothers' household wealth were characteristics of the mothers associated with full immunization of the children. At the community level, the proportion of mothers that had hospital delivery was a determinant of full...Continue Reading

References

Oct 20, 2001·Kennedy Institute of Ethics Journal·UNKNOWN National Reference Center for Bioethics Literature
Oct 31, 2001·American Journal of Public Health·A V Diez Roux
May 2, 2003·The Journal of Infectious Diseases·Claudia E SteinPeter Strebel
Jul 5, 2003·Lancet·Robert E BlackJennifer Bryce
Jul 11, 2003·Lancet·Janet E Dancey, Boris Freidlin
Jul 11, 2003·Lancet·Gareth JonesUNKNOWN Bellagio Child Survival Study Group
Mar 30, 2005·Lancet·Jennifer BryceUNKNOWN WHO Child Health Epidemiology Reference Group
Jan 28, 2006·The Lancet Infectious Diseases·Barbara Schimmer, Chikwe Ihekweazu
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
Jun 10, 2006·Epidemiologic Reviews·Robert Menzies, Peter McIntyre
Feb 1, 2008·Bulletin of the World Health Organization·Lara J WolfsonJean-Marie Okwo-Bele
May 8, 2009·The New England Journal of Medicine·Saad B OmerNeal Halsey
Jul 1, 2009·Bulletin of the World Health Organization·Anand B JoshiThomas F Wierzba
Jan 23, 2010·Biologicals : Journal of the International Association of Biological Standardization·UNKNOWN WHO
Jan 1, 2002·The American Economic Review·Anne CaseChristina Paxson
Jan 1, 2003·The American Economic Review·Janet Currie, Mark Stabile

❮ Previous
Next ❯

Citations

Oct 8, 2013·Women & Health·Dorothy Ngozi OnonokponoSunday Adedini
Jan 9, 2013·International Journal for Equity in Health·Carine Van MalderenNiko Speybroeck
May 29, 2013·Journal of Biosocial Science·Oyelola A AdegboyeOlasunkanmi A Adegboye
May 23, 2014·International Health·Akinola Ayoola Fatiregun, Emem Emmanuel Etukiren
Dec 18, 2015·Vaccine·Angus ThomsonGaëlle Vallée-Tourangeau
Jul 15, 2015·Lancet·Andrew TomkinsPhilemon Yugi
Oct 20, 2010·Tropical Medicine & International Health : TM & IH·Yadlapalli S KusumaSanjeev K Gupta
Apr 12, 2013·Child: Care, Health and Development·B A UshieD B Ugal
Feb 12, 2015·Archives of public health = Archives belges de santé publique·Anne CockcroftNeil Andersson
Dec 20, 2014·Vaccine·Manas K AkmatovRafael T Mikolajczyk
Dec 27, 2011·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Diddy Antai
Jul 21, 2011·Asian Pacific Journal of Tropical Medicine·Renae FernandezNiyi Awofeso
Jan 15, 2014·Journal of Biosocial Science·Sunday A AdediniLatifat Ibisomi
May 22, 2016·Health Policy and Planning·John E AtagubaHyacinth E Ichoku
Nov 9, 2016·Bulletin of the World Health Organization·María Clara Restrepo-MéndezCesar G Victora
Mar 3, 2017·BMC Health Services Research·Abayomi Samuel Oyekale
Apr 19, 2013·The International Journal of Social Psychiatry·Jonathan K BurnsAmy S Kapadia
Nov 22, 2017·Journal of Biosocial Science·Clifford Odimegwu, Sunday A Adedini
Apr 30, 2019·Transactions of the Royal Society of Tropical Medicine and Hygiene·Peter Austin Morton NtendaMfundi President Stam Motsa
Sep 16, 2018·International Journal of Environmental Research and Public Health·Yu HuYaping Chen
Oct 3, 2018·Tropical Medicine and Infectious Disease·Nurnabi SheikhAbdur Razzaque Sarker
Jul 3, 2013·Maternal and Child Health Journal·Dorothy N OnonokponoSunday A Adedini

❮ Previous
Next ❯

Software Mentioned

Stata
MLwiN

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.