What factors influence the utilisation of all doses of vaccines with subsequent doses for under-five children in Ghana?

  • Authors

    • Mustapha Immurana Mangalore University, India
    • Arabi Urmi Department of Economics, Mangalore University, India
    2017-06-26
    https://doi.org/10.14419/ijm.v5i2.7830
  • Child Health Utilization, Ghana, Immunization.
  • Pneumonia, Diarrhoea, Measles, Polio and Whooping Cough are major killers of children in the world. However, one of the most effective ways of preventing these diseases is through utilising completely their respective vaccines which are normally administered in doses. Therefore given that the 2014 Ghana Demographic and Health Survey (GDHS) report showed a fall in the coverage of the subsequent doses of the Pentavalent, Pneumococcal, Polio and Rotavirus vaccines for children in Ghana, this study investigated the factors that influence the Utilisation of all Doses of these vaccines as well as the Measles vaccine. Using Data from the 2014 GDHS and employing the binary probit model, the study among other findings revealed that, children from the Eastern, Northern and Western regions were found to be less probable to have received all the doses of the Polio and Pentavalent vaccines. Also unemployed mothers were found to be less likely to demand for all the doses of the Measles, Pentavalent, Pneumococcal and Rotavirus vaccines for their children. Moreover, rising age of the household head was associated with falling utilization of all the doses of the Pneumococcal, Pentavalent and Polio vaccines for children. Furthermore, children with single mothers were found to be less likely to have received all doses of both the Polio and Pentavalent vaccines. Also uneducated mothers were found to be less likely to demand for all the doses of the Polio, Pentavalent and Measles vaccines for their children relative to mothers with secondary education. In addition mothers without health insurance were found to be less likely to utilize all the doses of the Measles and Polio vaccines for their children. Therefore reinvigoration of regional centeredness of child health utilization drives, aiding single, unemployed and uneducated women as well as strengthening the free maternal health insurance registration scheme, could be effective tools in ensuring full utilisation of all doses of these vaccines.

  • References

    1. [1] Bosu KW, Ahelegbe D, Edum-Fotwe E, Bainson AK & Turkson KP (1997) Factors influencing attendance to immunization sessions for children in a rural district of Ghana. Acta Tropica 68, 259–267, Elsevier. http://dx.doi.org/10.1016/S0001-706X (97) 00094-6.

      [2] Cockcroft A, Usman UM, Nyamucherera FO, Emory H, Duke B, Umar AN & Andersson N (2014) Why children are not vaccinated against measles: a cross-sectional study in two Nigerian States. Archives of Public Health, 72(48). Retrieved from http://www.archpublichealth.com/content/72/1/48. https://doi.org/10.1186/2049-3258-72-48.

      [3] Duah-Owusu M (n.d.) Social Determinants and Immunisation in Ghana: Is there an Association? Unpublished MPhil Thesis, University of Bergen research centre for health promotion and development, faculty of psychology.

      [4] Dwumoh D, Essuman EE & Afagbedzi KS (2014) Determinant of factors associated with child health outcomes and service utilization in Ghana: multiple indicator cluster survey conducted in 2011. Archives of Public Health, 72(42). Retrieved from http://www.archpublichealth.com/content/72/1/42. https://doi.org/10.1186/2049-3258-72-42.

      [5] Ghana Health Service (2015) Ghana Health Service 2014 Annual Report.

      [6] Ghana Health Service (n.d.) 2014 Family Health Annual Report.

      [7] Ghana Statistical Service (GSS), Ghana Health Service (GHS) & ICF International. (2015). Ghana Demographic and Health Survey 2014. Rockville, Maryland, USA: GSS, GHS, and ICF International.

      [8] Grossman M (1999) the Human Capital Model and the Demand for Health. NBER Working Paper No. 7078. https://doi.org/10.3386/w7078.

      [9] Immurana M & Arabi U (2016a) Determinants of demand for subsequent doses of pneumococcal and rotavirus vaccines for children less than five years of age in Ghana, International Journal of Health, 4 (2), 120-127. doi: 10.14419/ijh.v4i2.6114

      [10] Immurana M & Arabi U (2016b) Demand for measles and yellow fever vaccines for children in Ghana: are socio-economic, demographic and Geographic factors relevant?, International Journal of Accounting and Economics Studies, 4 (2),136-141. https://doi.org/10.14419/ijaes.v4i2.6526.

      [11] Immurana, M & Arabi U (2016c) Socio-economic determinants of successive polio and pentavalent vaccines utilisation among underfive children in Ghana (Unpublished Manuscript).

      [12] Lakew Y, Bekele A, & Biadgilign S (2015) Factors influencing full immunization coverage among 12–23 months of age children in Ethiopia: evidence from the national demographic and health survey in 2011. BMC Public Health, 15(728). https://doi.org/10.1186/s12889-015-2078-6.

      [13] Loving S (2016) Vaccine Knowledge Project, Authoritative Information for All. Oxford Vaccine group, University of Oxford. 2016. Accessed from: www.ovg.ox.ac.uk/pertusis-whooping-cough on 4th April, 2016

      [14] Matthews Z & Diamond I (1997) Child Immunisation in Ghana: The Effects of Family, Location and Social Disparity, Journal of Biosocial Science, 29(03), 327 – 343. DOI: null, Published online: 04 April 2001.

      [15] McGlynn KN (2012) Antenatal Care as a Determinant of Immunization, and Appropriate Care for Fever and Diarrhoea in Ghanaian Children. Unpublished MSc Thesis in Epidemiology & Biostatistics, the School of Graduate and Postdoctoral Studies, the University of Western Ontario, London, Ontario, Canada.

      [16] Otieno AN, Nyawanda OB, Audi A, Emukule G, Lebo E, Bigogo G, Ochola R, Muthoka P, Widdowson M-A, Shay KD, Burton CD, Breiman FR, Katz AM & Mott AJ (2014) Demographic, socio-economic and geographic determinants of seasonal influenza vaccine uptake in rural western Kenya, 2011. Vaccine 32, 6699–6704. Retrieved from https://doi.org/10.1016/j.vaccine.2013.10.089.

      [17] Russo G, Miglietta A, Pezzotti P, Biguioh MR, Mayaka BG, Sobze SM, Stefanelli P, Vullo V & Rezza G (2015) Vaccine coverage and determinants of incomplete vaccination in children aged 12–23months in Dschang, West Region, Cameroon: a cross-sectional survey during a polio outbreak. BMC Public Health, 15(630). https://doi.org/10.1186/s12889-015-2000-2.

      [18] World Health Organization (2016a). ‘‘Children: Reducing Mortality.’’ Fact Sheet updated September, 2016. Accessed from: http://www.who.int/mediacentre/factsheets/fs178/en/ on 22/05/2017.

      [19] World Health Organisation (2016b). Measles: Fact Sheet reviewed March, 2016. Accessed from: http://www.who.int/mediacentre/factsheets/fs286/en/ on 02/06/2016.

      [20] World Health Organization (2014). Poliomyelitis, Fact Sheet NO 114. 2014

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  • How to Cite

    Immurana, M., & Urmi, A. (2017). What factors influence the utilisation of all doses of vaccines with subsequent doses for under-five children in Ghana?. International Journal of Medicine, 5(2), 158-166. https://doi.org/10.14419/ijm.v5i2.7830