Socio-economic inequality of childhood routine immunization coverage in Nigeria:
analysis of 2003 - 2013 Nigeria demographic and health survey data
Bola Biiaminu Lawal1,&, Lawal Ahmadu2, Abdulhakeem Olorukooba2, Tukur Dahiru2, Olatayo Olawepo3
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria, 3Ahmadu Bello University Teaching Hospital, Shika, Nigeria
Bola Biiaminu Lawal, Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria
immunization coverage for Nigeria is still below the 90% target set in the Global Vaccine Action Plan (GVAP) and Nigeria is one of the 3 countries that host about 50% of the world’s infants without the third dose of Diphtheria, Pertussis and Tetanus (DPT-3) vaccination. Ensuring that routine immunization is equitably extended to all children irrespective of their socio-economic status is a key component of GVAP. We compared the socio-economic inequality of childhood routine immunization coverage in Nigeria from 2003 - 2013.
we analyzed data from Nigeria Demographic and Health Survey for 2003, 2008 and 2013 for inequalities of DPT-3 coverage.We used concentration index (CI) to measure socio-economic inequalities at national and sub-national (geopolitical zones) levels. F-statistic was used to test for statistically significant difference in CI across groups at p < 0.05. Data was analysed using Stata 13 software.
the CI for DPT-3 coverage in Nigeria was 0.398 in 2003, 0.528 in 2008 and 0.591 in 2013 (p < 0.001). At the sub-national level, in 2003, 2008 and 2013 respectively, the CI were: 0.425, 0.358 and 0.479 (p = 0.105) in North-Central; 0.148, 0.164 and 0.303 (p < 0.001) in North-East; 0.108, 0.161 and 0.275 (p < 0.001) in North-West; 0.681, 0.326 and 0.226 (p < 0.001) in South-East; 0.427, 0.445 and 0.244 (p = 0.407) in South-South; 0.295, 0.351 and 0.380 (p = 0.325) in South-West.
there was an increase in socio-economic inequality of DPT-3 coverage in Nigeria from 2003 - 2013 in favor of those with higher socio-economic status. At the sub-national level, only the North-Eastern and North-Western zones showed an increase in socio-economic inequality of DPT-3 coverage from 2003 - 2013 in favour of those with higher socio-economic status. We recommend that targeted interventions should be introduced to reduce the inequality of immunization coverage in Nigeria particularly in the North-Eastern and North-Western zones of the country.
Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)
To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)