Determinants of Childhood Immunization in Idoha Community

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TABLE OF CONTENTS

Title Page            i
Certification            ii
Dedication           iii
Acknowledgements      iv
Abstract            v
Table of Contents        vi
List of Tables                    vii
List of Acronyms
Chapter one
Introduction ………………………………………………………………              1
Statement of the problem…………………………………………………             1
Justification and Significance of the study………………………………            3
Research Questions………………………………………………………               4
Objectives/Aims of the study………………………………………………           4
Chapter two
Literature review……………………………………………………………           5
Chapter Three
Materials and Methods……………………………………………………             17
Chapter Four
Results………………………………………………………………………            23
Chapter Five
Discussion…………………………………………………………………             33
Conclusion…………………………………………………………………             38
Recommendation………………………………………………………….             38
References…………………………………………………………………             40
Appendices

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INTRODUCTION

Immunization remains one of the most important public health interventions and a cost
effective strategy to reduce both the morbidity and mortality associated with infectious diseases. An estimated three million deaths are prevented  through  immunization  each year worldwide^.1 .
In spite of this measures, vaccine preventable diseases remain the most common cause of childhood mortality in an estimated three million deaths each year.
Uptake of vaccination services is dependent not only on provision of these services but  also on other factors including knowledge and attitude of mothers,^3,4 density of health workers,⁵ accessibility to vaccination clinics and availability of safe needles and syringes.
Assessing immunization practice and coverage help to evaluate progress in achieving programme objectives and in improving service delivery.⁷ Such positive evidence is required for continuing support from donor-supported initiatives like global alliance for vaccine and immunization GAVI^.7
National programme on immunization aims at  delivering  the  primary  immunization series to at least 90% of infants.⁸
However, inadequate levels of immunization against childhood diseases remain a significant public health problem and reasons for  non-uptake of immunization services are poorly understood.

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REFERENCES

World Health Organization (WHO) Immunization, vaccines and biological. 2005 available at http://www.who.int/immunization/en/ accessed 12/6/16
Centre for Global Development. Making Markets for vaccines: from ideas to actions. Centre for Global Development; Washington DC; 2005.
Abel N, Wondewosen K, Sahilu A, Ada K. Factors associated with incomplete childhood immunization in Arbegona district, southern Ethiopia: a case – control study BMC Public Health. 2015; 16: 27
Maina LC, Karanja S, Kombich J. Immunization coverage and its determinants among children aged 12-23 months in a peri-urban area of Kenya. Pan Afr Med J 2013;14:36-40
Anand S, Bärnighausen T. Health workers and  vaccination  coverage  in  developing countries: an econometric analysis. Lancet. 2007;369:1277–85
Bonu S, Rani M, Baker TD. The impact of the national polio immunization campaign on levels and equity in immunization coverage: evidence from rural North India. SocSci Med. 2003; 57:1807–19.