SOCIO-POLITICAL DETERMINANTS OF SUSTAINABILITY OF IMMUNIZATION COVERAGE IN RESOURCE-CONSTRAINED TERTIARY HEALTH INSTITUTIONS IN BENUE STATE, NIGERIA

Terhemen Joseph Igbudu, Livinus Egwuda, Godwin Akpehe, Uya John Abua, Iorfa Tor-anyiin, Ason Benjamin Tsuung, Osarieme Enahoro Omokhua, Rufus Izeji

Abstract


Background: Sustainability and healthy preservation of human species is feasible via the instrument of childhood immunization. In Nigeria, this cost-effective strategy (immunization) is targeted at the vulnerable groups who are mostly pregnant women and children under five years of age. Aim: This study assessed childhood immunization coverage and the determinants of its full coverage among children between the ages of 0-12 months in tertiary health centres in Makurdi, according to National Programme of Immunization (NPI) schedule. Materials and Methods: The study used a mix-methodology relating the sustainable development theory and sound deductive reasoning with a cross-sectional study design via the instrument of a structured questionnaire. The determinants of full coverage of childhood immunization were considered in relation to parents/guardians, children, tertiary health facilities and other factors like man-made/ natural disasters, religious and political factors from secondary data. Results: The results of the study generally revealed optimum coverage (95-100%) of childhood immunization according to NPI schedule. Shortage of vaccines at the health facilities, child illness and “no reasons” were revealed determinants of full immunization coverage after analysis. Conclusion and Recommendations: The health of the future generation will be more secured if the Government and parents/guardians join hands in ensuring effective and timely immunizations of her/their children through appropriate legislation, provision of potent vaccines and tackling of the prevailing security challenges.

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Keywords


immunization coverage determinants, vaccine prevented diseases, childhood, infants, sustainability

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DOI: http://dx.doi.org/10.46827/ejphs.v4i2.94

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