Cited by 26Vaccine Coverage and HesitancyGlobal Maternal and Child HealthImmune responses and vaccinations

Differential determinants and reasons for the non- and partial vaccination of children among Nigerian caregivers

Sato, Ryoko·2020·Vaccine

Abstract

Background Vaccination has saved millions of lives. However, the vaccination rate in Nigeria remains low. We differentiate reasons for incomplete vaccination by status: not- and partially- vaccinated, and examine the association between sociodemographic characteristics of caregivers and reasons for incomplete vaccination. Methods Data from the Multiple Indicator Cluster Survey (MICS) conducted in Nigeria in 2016 and 2017 was analyzed. The logistic regression was used to evaluate associations between sociodemographic characteristics of caregivers and incomplete vaccination according to different reasons. Results The most common reason for non-vaccination is that caregivers have no faith in immunization (27.0%), followed by lack of awareness of the need for immunization (26.0%) and the perception that the place where immunization is given is too far/inconvenient (24.3%). The most common reason for partial vaccination is that caregivers thought the children had already been fully immunized (44.8%), followed by the inconvenient location for immunization (15.3%) and supply-side issues such as shortage of vaccine stock and absence of vaccinators (14.4%). Among caregivers whose children are never vaccinated, a lower level of education is correlated with more likelihood of having no faith in immunization and poorer households are more likely to state a lack of awareness of the need for immunization need and an inconvenient place as the reasons for non-vaccination. Among caregivers wh…

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Crossref · 10.1016/j.vaccine.2019.09.097

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  • Many reviewed studies used data from multiple centres across the country or population-based surveys, and thus may be nationally representative.

    “Many of the reviewed studies used data from multiple centres across the country (or population-based surveys) [3, 8, 15, 20, 22–24, 28, 31, 33, 34, 37, 38], and thus, maybe nationally representative.”
  • The review identified stockouts and related issues in Nigeria's medicine and vaccine supply chains, including stock-outs, substandard medicines, inadequate supply of vaccines, and regular stock-outs of essential medicines due to inefficient inventory management systems, equipment and corruption.

    “Stock-outs, substandard medicines, shortage of vaccine stock and vaccine stock-outs, Regular stock-outs of essential medicines due to inefficient inventory management systems, equipment and corruption, Inadequate supply of vaccines”

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Authors
Sato, R.
Affiliations
Harvard University (US)
Corresponding author
Sato, Ryoko
Venue
Vaccine
Publisher
Elsevier BV
Published
2020-01
Volume
38
Issue
1
Pages
63-69
ISSN
0264-410X (ISSN-L)
OpenAlex
W2980213460
Cited by
26
References
13
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 4
FWCI
2.92
Type
journal article
Language
en
Open access
closed
Locations
  • Vaccine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
Keywords
childhood immunization, incomplete immunization, reasons for non-vaccination, partial vaccination, vaccine hesitancy, immunization barriers, immunization awareness, Nigeria
MeSH terms
Adolescent, Adult, Child, Preschool, Educational Status, Female, Health Services Accessibility, Humans, Infant, Infant, Newborn, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nigeria, Surveys and Questionnaires, Socioeconomic Factors, Vaccination, Caregivers, Young Adult

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