Original Research
Rural-urban inequities in childhood immunisation in Nigeria: The role of community contexts
Submitted: 08 October 2010 | Published: 22 September 2011
About the author(s)
Diddy Antai, Institute of Environmental, Medicine, Karolinska Institute, Sweden The Angels Trust, Nigeria, SwedenAbstract
Objectives: To assess the role of community contexts on rural-urban inequities in full immunisation uptake amongst children 12 months of age and older.
Methods: Data from the 2003 Nigeria Demographic and Health Survey including 6029 live born children from 3725 women aged 15–49 years were examined using multilevel regression analysis.
Results: Rural children were disadvantaged both in the proportion receiving full immunisation and individual vaccines. Contextual or community-level factors such as community prenatal care by doctor, community hospital delivery, and region of residence accounted for significant rural-urban inequities in full immunisation.
Conclusion: This study stresses the need for community-level interventions aimed at closing rural-urban inequities in the provision of maternal and child health care services.
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