Reproductive Health and Wellness

Socio Cultural and Geographical Determinants of Child Immunisation in Borno State, Nigeria

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Immunisation has been an important strategy
for disease prevention globally. Despite
proven successes in other settings, child
immunisation has continued to be problematic
in developing countries including Nigeria. In
addressing the problems, policy in Nigeria is
largely directed at overcoming socio cultural
issues surrounding parents’ rejection of vaccines.
However, determinants of immunisation
have geographical implications as well. A cross
sectional survey was used to select 484 mothers/
caregivers through a multi stage cluster
sampling technique from the three senatorial
districts of Borno State, Nigeria. Mothers or
caregivers of children 12–23 months were
interviewed using a structured questionnaire
adapted from the Nigeria Demographic and
Health Survey (2008). Socio cultural factors
measured include mother’s education, religion,
husband’s permission and sex of child
while spatial variables include location i.e.
whether rural or urban, and distance measured
in terms of physical distance, cost and
perception of physical distance. Descriptive
statistics, univariate and multivariate logistic
regressions were used to analyse the results.
Data indicate that only 10.5% of children were
fully immunised. Though immunisation
uptake differed between the senatorial districts,
this was not significant (P=0.1). In the
bivariate analysis, mothers living in urban
areas,

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Publication Information

: ., 2013

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Language

English

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Subject(s)

Nigeria
Socio-cultural Factors
Child Immunisation
Spatial Factors
Distance
Geographical Determinants

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Article

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