Prevalence and Factors Associated with Zero-Dose Children amongst Nomadic and Non-Nomadic Fulani in Yobe State, North-East Nigeria
Immunization is a very cost-effective and readily available intervention capable of preventing Vaccines Preventable Diseases (VPDs). This study aimed to identify and compare the prevalence and factors associated with zero-dose immunization status among children of nomadic and non-nomadic Fulani in Y...
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| Veröffentlicht in: | Nigerian medical journal 2024-09, Vol.65 (5), p.775-791 |
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| creator | Ibrahim, Usman Muhammad Abdulhamid, Dauda Kofi, Boateng Wade, Mahdi Musa Danzomo, Abba Ahmed Audu, Sunday Muhammad, Nuruddeen Namadi, Faruk Abdullahi Shehu, Usman Lawal Jalo, Rabiu Ibrahim Tsiga-Ahmed, Fatimah Ismail Lisanework, Serawit Jibril, Murtala Gajida, Awwal Umar Jibo, Abubakar Mohammed |
| description | Immunization is a very cost-effective and readily available intervention capable of preventing Vaccines Preventable Diseases (VPDs). This study aimed to identify and compare the prevalence and factors associated with zero-dose immunization status among children of nomadic and non-nomadic Fulani in Yobe State, North-East Nigeria.
A comparative cross-sectional design was used to study 348 nomadic, and 345 non-nomadic under-five children, selected using a multi-staged sampling technique. Data were collected using interviewer administered questionnaire, observation of child immunization card, and recall by the caregivers, and were analysed using IBM SPSS version 22.0 with a statistical significance set at P ≤5%.
The maximum age of the nomadic caregivers was 60 and the minimum was 17 years with a mean ±SD of 28.2±7.7 years. The maximum age of the non-nomadic caregivers was 78 and the minimum was 17 years with a mean ±SD of 33.0±10.0 years. The prevalence of zero dose children among nomadic and non-nomadic Fulani were (70.1%, 242), (61.8%, 63) respectively. The zero-dose children were significantly higher among nomads (87.2%, p |
| doi_str_mv | 10.60787/nmj-v65i3.545 |
| format | Article |
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A comparative cross-sectional design was used to study 348 nomadic, and 345 non-nomadic under-five children, selected using a multi-staged sampling technique. Data were collected using interviewer administered questionnaire, observation of child immunization card, and recall by the caregivers, and were analysed using IBM SPSS version 22.0 with a statistical significance set at P ≤5%.
The maximum age of the nomadic caregivers was 60 and the minimum was 17 years with a mean ±SD of 28.2±7.7 years. The maximum age of the non-nomadic caregivers was 78 and the minimum was 17 years with a mean ±SD of 33.0±10.0 years. The prevalence of zero dose children among nomadic and non-nomadic Fulani were (70.1%, 242), (61.8%, 63) respectively. The zero-dose children were significantly higher among nomads (87.2%, p<0.001) and non-nomad (54.4%, p<0.001) with no available child immunization card.The children of vaccines hesitant caregivers of nomads and non-nomads were 10 or more times more likely to be zero dose than non-hesitant caregivers (adjusted odds ratio [aOR] =477, 95% CI = [177-13031]), and (Adjusted odds ratio [aOR] =9.7, 95% CI = [2.1-44.3]) respectively.
The burden of zero-dose was alarmingly high among nomads compared to non-nomad Fulani despite widespread immunization outreach services in the study area. The government and relevant stakeholders should intensify Context-specific health promotion activities and outreach services targeting these underserved populations.</description><identifier>ISSN: 0300-1652</identifier><identifier>EISSN: 2229-774X</identifier><identifier>DOI: 10.60787/nmj-v65i3.545</identifier><identifier>PMID: 39633685</identifier><language>eng</language><publisher>Nigeria: Nigerian Medical Association</publisher><subject>Original Research</subject><ispartof>Nigerian medical journal, 2024-09, Vol.65 (5), p.775-791</ispartof><rights>Copyright © 2024 Nigerian Medical Association.</rights><rights>Copyright © 2024 Nigerian Medical Association 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612329/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612329/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39633685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ibrahim, Usman Muhammad</creatorcontrib><creatorcontrib>Abdulhamid, Dauda</creatorcontrib><creatorcontrib>Kofi, Boateng</creatorcontrib><creatorcontrib>Wade, Mahdi Musa</creatorcontrib><creatorcontrib>Danzomo, Abba Ahmed</creatorcontrib><creatorcontrib>Audu, Sunday</creatorcontrib><creatorcontrib>Muhammad, Nuruddeen</creatorcontrib><creatorcontrib>Namadi, Faruk Abdullahi</creatorcontrib><creatorcontrib>Shehu, Usman Lawal</creatorcontrib><creatorcontrib>Jalo, Rabiu Ibrahim</creatorcontrib><creatorcontrib>Tsiga-Ahmed, Fatimah Ismail</creatorcontrib><creatorcontrib>Lisanework, Serawit</creatorcontrib><creatorcontrib>Jibril, Murtala</creatorcontrib><creatorcontrib>Gajida, Awwal Umar</creatorcontrib><creatorcontrib>Jibo, Abubakar Mohammed</creatorcontrib><title>Prevalence and Factors Associated with Zero-Dose Children amongst Nomadic and Non-Nomadic Fulani in Yobe State, North-East Nigeria</title><title>Nigerian medical journal</title><addtitle>Niger Med J</addtitle><description>Immunization is a very cost-effective and readily available intervention capable of preventing Vaccines Preventable Diseases (VPDs). This study aimed to identify and compare the prevalence and factors associated with zero-dose immunization status among children of nomadic and non-nomadic Fulani in Yobe State, North-East Nigeria.
A comparative cross-sectional design was used to study 348 nomadic, and 345 non-nomadic under-five children, selected using a multi-staged sampling technique. Data were collected using interviewer administered questionnaire, observation of child immunization card, and recall by the caregivers, and were analysed using IBM SPSS version 22.0 with a statistical significance set at P ≤5%.
The maximum age of the nomadic caregivers was 60 and the minimum was 17 years with a mean ±SD of 28.2±7.7 years. The maximum age of the non-nomadic caregivers was 78 and the minimum was 17 years with a mean ±SD of 33.0±10.0 years. The prevalence of zero dose children among nomadic and non-nomadic Fulani were (70.1%, 242), (61.8%, 63) respectively. The zero-dose children were significantly higher among nomads (87.2%, p<0.001) and non-nomad (54.4%, p<0.001) with no available child immunization card.The children of vaccines hesitant caregivers of nomads and non-nomads were 10 or more times more likely to be zero dose than non-hesitant caregivers (adjusted odds ratio [aOR] =477, 95% CI = [177-13031]), and (Adjusted odds ratio [aOR] =9.7, 95% CI = [2.1-44.3]) respectively.
The burden of zero-dose was alarmingly high among nomads compared to non-nomad Fulani despite widespread immunization outreach services in the study area. The government and relevant stakeholders should intensify Context-specific health promotion activities and outreach services targeting these underserved populations.</description><subject>Original Research</subject><issn>0300-1652</issn><issn>2229-774X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpVUEtP3DAQtqqislq49lj52EOz2HES26cKbXcBCUGlgkR7iWbjya5RYm_tZBFXfjnmVZW5zIxm5nsMIZ85m1VMKnnk-ttsV5VWzMqi_EAmeZ7rTMri5iOZMMFYxqsy3yeHMd6yFEJXWrFPZD8VQlSqnJCHnwF30KFrkIIzdAnN4EOkxzH6xsKAht7ZYUP_YPDZDx-Rzje2MwEdhd67dRzohe_B2Ob5_MK77K1fjh04S62jv_0K6a8hoX1LG2HYZAt4OrRrDBYOyF4LXcTD1zwl18vF1fw0O788OZsfn2dbzpMtDblI8iXDUrMKCmyklqrUhSpygJY1WrZVyVcrNLw1om2RKzQoheKSGaXElHx_wd2Oqx5Ng24I0NXbYHsI97UHW7-fOLup135Xc17xXOQ6IXx9RQj-74hxqHsbG-yST_RjrAUvkgItUkzJl__J_rG8fV48AuSMiFE</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Ibrahim, Usman Muhammad</creator><creator>Abdulhamid, Dauda</creator><creator>Kofi, Boateng</creator><creator>Wade, Mahdi Musa</creator><creator>Danzomo, Abba Ahmed</creator><creator>Audu, Sunday</creator><creator>Muhammad, Nuruddeen</creator><creator>Namadi, Faruk Abdullahi</creator><creator>Shehu, Usman Lawal</creator><creator>Jalo, Rabiu Ibrahim</creator><creator>Tsiga-Ahmed, Fatimah Ismail</creator><creator>Lisanework, Serawit</creator><creator>Jibril, Murtala</creator><creator>Gajida, Awwal Umar</creator><creator>Jibo, Abubakar Mohammed</creator><general>Nigerian Medical Association</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202409</creationdate><title>Prevalence and Factors Associated with Zero-Dose Children amongst Nomadic and Non-Nomadic Fulani in Yobe State, North-East Nigeria</title><author>Ibrahim, Usman Muhammad ; Abdulhamid, Dauda ; Kofi, Boateng ; Wade, Mahdi Musa ; Danzomo, Abba Ahmed ; Audu, Sunday ; Muhammad, Nuruddeen ; Namadi, Faruk Abdullahi ; Shehu, Usman Lawal ; Jalo, Rabiu Ibrahim ; Tsiga-Ahmed, Fatimah Ismail ; Lisanework, Serawit ; Jibril, Murtala ; Gajida, Awwal Umar ; Jibo, Abubakar Mohammed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1129-9a2369870e5906a4ec7978594842aaf0c97f651bbed1fd3ffe18ede738170d883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Original Research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ibrahim, Usman Muhammad</creatorcontrib><creatorcontrib>Abdulhamid, Dauda</creatorcontrib><creatorcontrib>Kofi, Boateng</creatorcontrib><creatorcontrib>Wade, Mahdi Musa</creatorcontrib><creatorcontrib>Danzomo, Abba Ahmed</creatorcontrib><creatorcontrib>Audu, Sunday</creatorcontrib><creatorcontrib>Muhammad, Nuruddeen</creatorcontrib><creatorcontrib>Namadi, Faruk Abdullahi</creatorcontrib><creatorcontrib>Shehu, Usman Lawal</creatorcontrib><creatorcontrib>Jalo, Rabiu Ibrahim</creatorcontrib><creatorcontrib>Tsiga-Ahmed, Fatimah Ismail</creatorcontrib><creatorcontrib>Lisanework, Serawit</creatorcontrib><creatorcontrib>Jibril, Murtala</creatorcontrib><creatorcontrib>Gajida, Awwal Umar</creatorcontrib><creatorcontrib>Jibo, Abubakar Mohammed</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nigerian medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ibrahim, Usman Muhammad</au><au>Abdulhamid, Dauda</au><au>Kofi, Boateng</au><au>Wade, Mahdi Musa</au><au>Danzomo, Abba Ahmed</au><au>Audu, Sunday</au><au>Muhammad, Nuruddeen</au><au>Namadi, Faruk Abdullahi</au><au>Shehu, Usman Lawal</au><au>Jalo, Rabiu Ibrahim</au><au>Tsiga-Ahmed, Fatimah Ismail</au><au>Lisanework, Serawit</au><au>Jibril, Murtala</au><au>Gajida, Awwal Umar</au><au>Jibo, Abubakar Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Factors Associated with Zero-Dose Children amongst Nomadic and Non-Nomadic Fulani in Yobe State, North-East Nigeria</atitle><jtitle>Nigerian medical journal</jtitle><addtitle>Niger Med J</addtitle><date>2024-09</date><risdate>2024</risdate><volume>65</volume><issue>5</issue><spage>775</spage><epage>791</epage><pages>775-791</pages><issn>0300-1652</issn><eissn>2229-774X</eissn><abstract>Immunization is a very cost-effective and readily available intervention capable of preventing Vaccines Preventable Diseases (VPDs). This study aimed to identify and compare the prevalence and factors associated with zero-dose immunization status among children of nomadic and non-nomadic Fulani in Yobe State, North-East Nigeria.
A comparative cross-sectional design was used to study 348 nomadic, and 345 non-nomadic under-five children, selected using a multi-staged sampling technique. Data were collected using interviewer administered questionnaire, observation of child immunization card, and recall by the caregivers, and were analysed using IBM SPSS version 22.0 with a statistical significance set at P ≤5%.
The maximum age of the nomadic caregivers was 60 and the minimum was 17 years with a mean ±SD of 28.2±7.7 years. The maximum age of the non-nomadic caregivers was 78 and the minimum was 17 years with a mean ±SD of 33.0±10.0 years. The prevalence of zero dose children among nomadic and non-nomadic Fulani were (70.1%, 242), (61.8%, 63) respectively. The zero-dose children were significantly higher among nomads (87.2%, p<0.001) and non-nomad (54.4%, p<0.001) with no available child immunization card.The children of vaccines hesitant caregivers of nomads and non-nomads were 10 or more times more likely to be zero dose than non-hesitant caregivers (adjusted odds ratio [aOR] =477, 95% CI = [177-13031]), and (Adjusted odds ratio [aOR] =9.7, 95% CI = [2.1-44.3]) respectively.
The burden of zero-dose was alarmingly high among nomads compared to non-nomad Fulani despite widespread immunization outreach services in the study area. The government and relevant stakeholders should intensify Context-specific health promotion activities and outreach services targeting these underserved populations.</abstract><cop>Nigeria</cop><pub>Nigerian Medical Association</pub><pmid>39633685</pmid><doi>10.60787/nmj-v65i3.545</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Original Research |
| title | Prevalence and Factors Associated with Zero-Dose Children amongst Nomadic and Non-Nomadic Fulani in Yobe State, North-East Nigeria |
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