Immunisation coverage at a primary health care level in Nigeria

  • AO Olowu Department of Community Medicine, Ladoke Akintola University of Technology (LAUTECH) School ofHealth Sciences, Osogbo, Osun State, Nigeria.


Deaths from vaccine-preventable diseases continue to contribute significantly to infant mortality, hence the global drive against their eradication, especially neonatal tetanus and poliomyelitis. This study set out to evaluate the level of awareness and utilization of childhood and maternal tetanus and childhood immunisation programmes at a Primary Health Centre, Atelowo in Osogbo, Nigeria. The immunisation record was evaluated with regards to the pattern of maternal tetanus toxoid (TT) administration and childhood immunisation.

There were 209 mother-baby pairs and of these, 18 (8.6) had BCG vaccination, 49 (23.4%); DPT1/OPV1, 47 (22.5%); DPT2/OPV2 and 23 (11%); DPT3/OPV3. No infant received OPV0. Only 9 (4.3%) of 209 babies were immunised against measles. Concerning maternal TT administration, 109 (52.2%) and 74 (35.4%) had TT1 and TT2, respectively.

A general apathy towards immunisation was observed, with only 4.3% of babies being available by nine months of age; the same trend was noticed with maternal immunization. Therefore suggested is a house-to-house campaign for immunization and a restructuring of the monitoring systems of the programmes.

Sahel Medical Journal Vol.7(2) 2004: 59-63

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