Presenter of 1 Presentation
AGE AT PRESENTATION FOR BIRTH DOSE VACCINATION IN NORTHERN NIGERIA: IMPLICATION FOR CARE
Abstract
Background
Lack of a timely receipt of vaccines causes challenges such as uncertain immune response and under-vaccination. Hence, timely vaccination is crucial to ensure an infant’s early protection.
Aims
To identify the age of presentation for the birth dose vaccination, vaccine antigens received, and determinants of timely presentation for vaccinations in Northern Nigeria.
Methods
A descriptive cross-sectional study involving 1952 mother-infant pairs enrolled from five different states in Northern Nigeria. Data collected include the socio-demographic, antenatal care (ANC) and delivery details, dates of birth, presentation for vaccination, and birth vaccine antigens received. Data analysis was done with SPSS-21.
Results
The median age of the infants at presentation for the birth dose vaccines was six (interquartile range 2-16) days. 413 (21.2%) mother-infant pairs presented on the day of birth (Day 0) or the next day (Day 1), while one-fifth (403, 20.6%) mother-infant pairs came after Day 28. The Bacille-Calmette-Guerin vaccine was most frequently received at 91.2% (1781 infants), oral polio vaccine 1703(87.2%) and hepatitis B vaccine birth dose (HBV-BD) the lowest at 75.1% (1565). The commonest reasons proffered for the delayed presentations were an ill baby (24.7%) and an ill mother, 21.9%. Determinants of presentation within 24 hours post-birth were hospital delivery (OR-1.67, 95% CI; 1.28-2.19), first child (OR-1.4; 95%CI; 1.02-1.93), Christianity (OR-2.141 95%C.I; 1.63-2.81) and mother with tertiary education (OR-1.62, 95%CI; 1.05-2.48).
Conclusions
Timely presentation for birth dose vaccines is low in Northern Nigeria. Furthermore, some babies do not get the required vaccines despite presenting for vaccination.Missed opportunities due to vaccine unavailability is a concern.