Ethnicity as a cultural factor influencing complete vaccination among children aged 12-23 months in Nigeria

Afolabi, Rotimi Felix; Salawu, Mobolaji M.; Gbadebo, Babatunde Makinde; Salawu, Adetokunbo Taophic; Fagbamigbe, Adeniyi Francis; Adebowale, Ayo Stephen

doi:10.1080/21645515.2020.1870394

Cited by 8 publications

(16 citation statements)

References 22 publications

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“…Children of Fulani ethnicity were less likely to be vaccinated compared to Igbo children, since awareness of immunisation was low amongst Fulani mothers [32,33]. Further, Fulani ethnic groups resided in mostly rural settings and were nomadic, and were often at a disadvantage for receiving health services including immunisation services.…”

Section: Discussionmentioning

confidence: 99%

“…Children living in female-headed households had relatively higher basic vaccination coverage of 39% (35)(36)(37)(38)(39)(40)(41)(42)(43)(44) in comparison to 30% (28)(29)(30)(31)(32) in male-headed households. For child characteristics, basic vaccination coverage was similar among female and male children at 31% (29)(30)(31)(32)(33) and 31% (29-34) respectively, while coverage decreased by birth order with 36% (32-40) and 23% (20)(21)(22)(23)(24)(25)(26) amongst first-born and sixth-born respectively. For healthcare characteristics, children of women who had a higher number of antenatal care visits during their pregnancy had higher basic vaccination coverage at 41% (39-44) for four or more visits and 11% (8.7-13) for no or unknown number of visits.…”

Section: Vaccination Coveragementioning

confidence: 94%

“…At the regional level, basic vaccination coverage among children ranged from 20% (17)(18)(19)(20)(21)(22)(23) in the North West region to 57% (51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62) in the South East region (Figure 4). For maternal characteristics, children of mothers aged 35-49 years had higher basic vaccination coverage at 34% (31)(32)(33)(34)(35)(36)(37)(38)(39) in comparison to 16% (12)(13)(14)(15)(16)(17)(18)(19)(20)(21) for children of younger mothers aged 15-19 years. Basic vaccination coverage increased with higher levels of maternal education among children of mothers with no education, primary education, and secondary education or higher at 15% (13)(14)(15)(16)(17), 33% (28)(29)(30)...…”

Section: Vaccination Coveragementioning

confidence: 99%

“…The coverage for the individual vaccines of BCG, DTP-HepB-Hib, polio, and measles was higher in urban areas compared to rural areas (Figure 2 and Table A2). At the national level, the mean basic vaccination coverage was 31% (95% CI: [29][30][31][32][33] with coverage of single vaccinations ranging from 48% (46-50) for the third dose of the polio vaccine to 73% (71)(72)(73)(74)(75) for the first dose of the polio vaccine.…”

Section: Vaccination Coveragementioning

confidence: 99%

“…For maternal characteristics, children of mothers aged 35-49 years had higher basic vaccination coverage at 34% (31)(32)(33)(34)(35)(36)(37)(38)(39) in comparison to 16% (12)(13)(14)(15)(16)(17)(18)(19)(20)(21) for children of younger mothers aged 15-19 years. Basic vaccination coverage increased with higher levels of maternal education among children of mothers with no education, primary education, and secondary education or higher at 15% (13)(14)(15)(16)(17), 33% (28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38), and 47% (45-50) respectively. Children living in female-headed households had relatively higher basic vaccination coverage of 39% (35)(36)(37)(38)(39)(40)(41)(42)(43)(44) in comparison to 30% (28)(29)…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

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Childhood vaccination coverage by socioeconomic, geographic, maternal, child, and healthcare characteristics in Nigeria: equity impact analysis

Williams

Akande

Abbas

2022

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Background: Nigeria has a high proportion of underimmunised children in the world. We estimated the inequities in childhood immunisation coverage associated with socioeconomic, geographic, maternal, child, and healthcare characteristics among children aged 12-23 months in Nigeria using a social determinants of health perspective. Methods: We conducted a systematic review focused on inequities in childhood immunisation in low- and middle-income countries to identify the social determinants of childhood immunisation. Using these determinants, we analysed basic vaccination coverage in Nigeria (1-dose BCG, 3-dose DTP-HepB-Hib (diphtheria, tetanus, pertussis, hepatitis B and Haemophilus influenzae type B), 3-dose polio, and 1-dose measles) of 6,059 children aged 12-23 months using the 2018 Nigeria Demographic and Health Survey. Results: We identified social determinants of immunisation - household wealth, religion, and ethnicity (socioeconomic characteristics); region and place of residence (geographic characteristics); maternal age at birth, maternal education, and maternal household head status (maternal characteristics); sex of child, and birth order (child characteristics); antenatal care and birth setting (healthcare characteristics). While basic vaccination coverage was 31% (95% CI: 29-33), 19% (18-21) of children aged 12-23 months had received none of the basic vaccines. After controlling for background characteristics, there was a significant increase in the odds of basic vaccination by household wealth, living in an urban area, antenatal care, delivery in a health facility, maternal age and maternal education. Children of Fulani ethnicity in comparison to children of Igbo ethnicity had lower odds of receiving basic vaccinations. Discussion: Children of Fulani ethnicity, living in rural areas, born in home settings, with young mothers living in the poorest households with no formal education and no antenatal care visits were associated with lower rates of basic vaccination in Nigeria. We recommend a proportionate universalism approach with targeted vaccination programmes proportionate to the level of disadvantage for addressing the immunisation barriers.

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Section: Discussionmentioning

confidence: 99%