There are high reported cases of pentavalent 3 vaccines dropout and low
immunization coverage in Miga local government area (LGA), Jigawa State,
Nigeria. This study aims to evaluate
the determinants of the low immunization coverage in children aged 12-23 months
in order to formulate/recommend public health interventions to revitalize the
routine immunization activities in the Local government area.
This is a cross-sectional study (using the WHO cluster
sampling technique) conducted among 390 care givers who
have eligible children between 12-23 months old using structured free tested
questioner on routine immunization activities to find out the determining
factors responsible for the low immunization coverage and high dropout rate of
pentavalent vaccines. A stratified sampling method was used to select 30
clusters from 186 settlements. The Data collected was analyzed using the excel
spread sheet and determinants responsible for the low coverage were identified.
After differential analysis of the data collected, 5 factors were identified:
maternal education, mass media exposure, community education and awareness
campaign on routine immunization all other factors that prevented child from
visiting health clinic such as not trusting vaccine by the parent, permission
not granted by the husband, cost of transportation to the clinic ,non execution
of planned outreaches by the health workers as major determinants responsible
for wide gap in routine immunization coverage in the local government area.
Low immunization coverage has debilitating
consequences on the lives of the children. To improve the immunization uptake,
it is recommended that health education/promotion programs that focus on
meeting the needs of the caregivers of the eligible children as well as
continual social support should be developed and be part of the LGA’s holistic
public health/promotion program to save the
[1.] Annual Program Activity and progress
implementation report 2013 pg28-29 by NPHCDA.
[2.] Adeyinka, D.A., Oladimeji, O., Adeyinka, F.E.,
&Aimakhu, C. (2009). Uptake Of Childhood Immunization Among Mothers Of
Under-Five In Southwestern Nigeria. The Internet Journal of Epidemiology, 7.doi:
DOI: 10.5580/f4 Antai, D. (2009). Faith and child survival: the role of
religion in childhood immunization in Nigeria. Journal of Biosocial Science,
[3.] Babalola, S. (2009). Determinants of the Uptake
of the Full Dose of Diphtheria-Pertussis Tetanus Vaccines (DPT3) in Northern
Nigeria: A Multilevel Analysis. Maternal Child Health Journal 13,
550-558. Centre for Disease control and prevention (CDC) (2010).
[4.] Burton A, Monasch R, Lautenbach B, et al. WHO
and UNICEF estimates of national infant immunization coverage: methods and
processes. Bull World Health Organ 2009;87:535–41.
[5.] CDC. Global routine vaccination coverage, 2010.
MMWR Morb Mortal Wkly Rep 2011;60:1520–2.
[6.] Federal Ministry of Health, National Primary
Health Care Development Agency. Comprehensive EPI Multi-Year Plan 2009 - 2014
[7.] GHO Global
Health Observatory Data 2015 http://www.who.int/gho/publications/world_health_statistics/2015/en/
[8.] Improving Routing Immunization in Northern
Nigeria Apr,2013(PRRIN –MNCH) report.
[9.] Jennifer B. Harris, PhD1, 2, Marta Gacic-Dobo,
MSc3, Rudolf Eggers, MD3, David W. Brown, DSc 4, Samir V. Sodha, “MDI 1 Global
Immunization Division, Center for Global Health, CDC; 2 Epidemic Intelligence
Service, CDC; 3 Department of Immunization, Vaccines and Biological, World
Health Organization; 4 Division of Data, Research and Policy, United Nations
Children's Fund (Corresponding author: Jennifer Harris, email@example.com,
404-639-4498) NOV 2014
Maina1,&, Simon Karanja1, Janeth Kombich2 1Institute of Tropical
Medicine and Infectious Diseases, Jomo Kenyatta University of agriculture and
Technology. P.O.BOX 62000-00200 Nairobi, Kenya, 2Kabianga University College,
P.O. Box 2030, 20200, Kericho, Kenya 2012.
[11.] Miga LGA WHO facilitators
November 2014 IPDs report.
[12.] Nath B, Singh J V, Awasthi S, Bhushan V, Kumar
V, Singh S K. A study on determinants of immunization coverage among 12-23
months old children in urban slums of Lucknow district, India. Indian J Med
[13.] National Primary Health Care Development
Agency. National Immunization Coverage Survey; 2003
[14.] PRRIN Jigawa
state exit Data presentations 2014.
[15.] Research advisors sample size
time table 2006 Google web site (http://research.advisors.com)
[16.] SaheedGidado, ,Kabir Sabit and 10 Others Determinants of routine immunization coverage
in Bungudu, Zamfara State, Northern Nigeria, May 2010
[17.] Salako AA, Oluwole AF. An Appraisal of
Immunization in Nigeria: Towards Improving Coverage. Nigerian Hospital
[18.] SMOH (State Ministry of
Health ) Jigawa State Task force on immunization presentation Jan 2015
[19.] Tagbo, B.N., Eke, C.B., Omotowo, B.I.,
Onwuasigwe, C.N., Onyeka, E.B. and Mildred, U.O. (2014) Vaccination Coverage
and Its Determinants in Children Aged 11 - 23 Months in an Urban District of
Nigeria. World Journal of Vaccines, 4, 175-183. http://dx.doi.org/10.4236/wjv.2014.44020
[20.] Vanguard Nigeria news paper
26th June , 2012 www.vanguardngr.com/.../new.pentavalent2012
Cached Fact sheet from WHO on immunization coverage: provides key facts and
information about recommended vaccines, key challenges and WHO response.(2015)
[22.] World Health Organization. Expanded Programmed
on Immunization: Routine Immunization Schedule in Nigeria. 2009 www.int.org
[23.] WHO immunization coverage Cluster Survey
Reference Manual, Department of Immunization Vaccines And Biological http//www.who.int/vaccines.documents.
[24.] WHO Jigawa
State Task force on immunization presentation Jan 2015
[25.] Wikipedia the free
encyclopedia Jigawa State 2015 https//en.m,Wikipedia.Jigawa_state
[26.] WHO Regional office for
Africa web site /news Nigeria launches penta vaccines www.afro.who.int/.../nigeria/.../4735