Determinants of compliance with child immunization among mothers of children under five years of age in Ekiti State, Nigeria

Patience Konwea · Funmilayo Alice David · Seyi Elizabeth Ogunsile

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Vaccine Coverage and Hesitancy Global Maternal and Child Health Child and Adolescent Health

Abstract

Purpose Vaccine preventable diseases are major threats to the health and well-being of children under five years of age. They contribute a great deal to childhood illnesses and disabilities, and are accountable for a high percentage of childhood mortality worldwide. In Nigeria, the government has made a lot of effort to provide immunizations against these childhood diseases. It is however sad to note that many children still do not complete their routine immunization. The purpose of this paper is to determine factors which influence mothers’ compliance with childhood immunization. Design/methodology/approach This was a descriptive study carried out among 600 mothers of under-five children randomly selected from nine postnatal clinics in Ekiti State between January and August 2016. A self-structured validated questionnaire containing items to explore demographic characteristics of respondents, compliance with child immunization (Cronbach’s α=0.92) and determinants of compliance (Cronbach’s α=0.83) was the instrument for data collection. Multiple regression analysis was used to identify determinants of mothers’ compliance with childhood immunization. Findings The level of compliance of mothers with childhood immunization was high (80 percent). The two factors which contributed significantly to mothers’ compliance were the mothers’ knowledge of childhood immunization (β weight= 0.243) and mothers’ educational status (β weight=0.169). Mothers with tertiary education had the highest level of compliance (76.8 percent). Originality/value Having good knowledge of childhood immunization and a high educational status positively influence a mothers’ compliance with child immunization.

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References

2008Identifying the determinants of childhood immunization in the Philippines 2017Evaluation of immunization coverage and its associated factors among children 12–23 months of age in Techiman Municipality, Ghana, 2016 2007Delays in Immunization Have Potentially Serious Health Consequences 2008Parental Hesitation as a Factor in Delayed Childhood Immunization 2014Parents′ Knowledge and Attitudes on Childhood Immunization, Taif, Saudi Arabia 2012Mothers’ knowledge, perception and practice of childhood immunization in Enugu

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2021Using participatory action research to improve immunization utilization in areas with pockets of unimmunized children in Nigeria 2021Investigating Factors Associated with Immunization Incompletion of Children Under Five in Ebonyi State, Southeast Nigeria: Implication for Policy Dialogue 2023Determinants of childhood immunization among rural mothers in Nigeria 2024Factors contributing to immunization coverage among children less than 5 years in Nadowli-Kaleo District of Upper West Region, Ghana

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