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Assessing full immunisation coverage using lot quality assurance sampling in urban and rural districts of southwest Nigeria

Background: This study was conducted to identify administrative wards (lots) with unacceptable levels of full child immunisation coverage, and to identify factors associated with achievement of a complete child immunisation schedule in Ibadan North East (IBNE) and Ido local government areas (LGAs) o...

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Published: 2013
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/13010
042 |a dc 
720 |a Fatiregun, A. A.  |e author 
720 |a Adebowale, A. S.  |e author 
720 |a Ayoka, R. O.  |e author 
720 |a Fagbamigbe, A. F.  |e author 
260 |c 2013 
520 |a Background: This study was conducted to identify administrative wards (lots) with unacceptable levels of full child immunisation coverage, and to identify factors associated with achievement of a complete child immunisation schedule in Ibadan North East (IBNE) and Ido local government areas (LGAs) of Oyo State, Nigeria. Methods: A cross-sectional survey involving 1178 mothers, 588 from IBNE LGAs and 590 from Ido LGAs, with children 12–23 months of age was conducted. Children were considered ‘fully-immunised if they received all the vaccines included in the immunisation schedule. Lot quality assurance sampling was used to determine lots with acceptable and non-acceptable coverage. Samples were weighted based on the population by lot to estimate overall coverage in the two LGAs and a logistic regression model was used to identify factors associated with the fully immunised child. Results: Mean age of the mothers was 28.5+5.6 and 28.1+6.0 years in IBNE and Ido LGAs, respectively. Eleven of 12 wards in IBNE and all the wards in Ido had unacceptable coverage. The proportion of fully immunised children was 40.2% in IBNE and 41.3% in Ido. Maternal age ≥30 years, retention of an immunisation card, completion of tertiary education, or secondary education, hospital birth and first-order birth were significant predictors of complete childhood immunisation. Conclusion: The level of full immunisation coverage was unacceptable in almost all the wards. Educational inter vention on the importance of completion of immunisation schedule should target young, uneducated mothers, mothers who delivered their babies at home and those with a high birth order. 
024 8 |a 0035-9203 
024 8 |a ui_art_fatiregun_assessing_2013 
024 8 |a Transactions of the Royal Society of Tropical Medicine and Hygiene 107(11), pp. 731-740 
024 8 |a https://repository.ui.edu.ng/handle/123456789/13010 
653 |a Immunisation coverage 
653 |a Full immunisation 
653 |a Vaccination schedule 
653 |a Lot quality assurance sampling 
653 |a Nigeria 
653 |a Vaccine preventable diseases 
245 0 0 |a Assessing full immunisation coverage using lot quality assurance sampling in urban and rural districts of southwest Nigeria