Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa

Context: Administration of a single dose of Bacilli Calmette-Guérin (BCG) vaccine at birth is a key component of pillar one in the End Tuberculosis strategy and has been shown to be a cost effective tuberculosis preventive intervention. However, the proportion of children vaccinated at birth varies...

Full description

Bibliographic Details
Main Authors: Ekop EE, Akor AA, Oyari F
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2021-07-01
Series:Ibom Medical Journal
Subjects:
Online Access:https://ibommedicaljournal.org/index.php/imjhome/article/view/45
_version_ 1797271903888474112
author Ekop EE
Akor AA
Oyari F
author_facet Ekop EE
Akor AA
Oyari F
author_sort Ekop EE
collection DOAJ
description Context: Administration of a single dose of Bacilli Calmette-Guérin (BCG) vaccine at birth is a key component of pillar one in the End Tuberculosis strategy and has been shown to be a cost effective tuberculosis preventive intervention. However, the proportion of children vaccinated at birth varies within and across countries. Objective: To determine the proportion of infants vaccinated with BCG at birth, identify factors associated and barriers to vaccination at birth. Materials and methods: A cross-sectional study carried out among infants aged 0 – 12 months attending the immunization clinic at a tertiary health facility in Abuja. Frequency tables, chi square and logistic regression were used in the statistical analysis. Results: Among 414 caregiver participants, 100%, 75.8% and 97.1% were females, with tertiary education and married, respectively. Majority (53.1%) of infants were male. Almost all (99.5%) had received BCG but only 35.3% received at birth. No association was found between receipt of BCG at birth and socio-demographic factors or maternal obstetric history. The commonest barrier to receipt at birth was the vaccine not given to infants at health facilities on birth date (p = 0.0001 OR= 14.56 CI 8.077-26.248). Conclusion: Majority of the infants had received the BCG vaccine, however, only a small proportion had received it at birth. There is an unmet need of ensuring infant vaccination with BCG occurs daily including weekends and public holidays while increasing public awareness especially through antenatal clinics. This may help reduce child mortality and morbidity from tuberculosis.
first_indexed 2024-03-07T14:16:51Z
format Article
id doaj.art-c962664475f44f3e8b62d30a7126377b
institution Directory Open Access Journal
issn 1597-7188
2735-9964
language English
last_indexed 2024-03-07T14:16:51Z
publishDate 2021-07-01
publisher Nigerian Medical Association, Akwa Ibom State Branch
record_format Article
series Ibom Medical Journal
spelling doaj.art-c962664475f44f3e8b62d30a7126377b2024-03-06T12:03:22ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642021-07-0114310.61386/imj.v14i3.45Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan AfricaEkop EE0Akor AAOyari FDepartment of Paediatrics, College of Health Sciences, University of Abuja and Department of Paediatrics, University of Abuja Teaching Hospital, Gwagwalada, Abuja FCT, Nigeria Context: Administration of a single dose of Bacilli Calmette-Guérin (BCG) vaccine at birth is a key component of pillar one in the End Tuberculosis strategy and has been shown to be a cost effective tuberculosis preventive intervention. However, the proportion of children vaccinated at birth varies within and across countries. Objective: To determine the proportion of infants vaccinated with BCG at birth, identify factors associated and barriers to vaccination at birth. Materials and methods: A cross-sectional study carried out among infants aged 0 – 12 months attending the immunization clinic at a tertiary health facility in Abuja. Frequency tables, chi square and logistic regression were used in the statistical analysis. Results: Among 414 caregiver participants, 100%, 75.8% and 97.1% were females, with tertiary education and married, respectively. Majority (53.1%) of infants were male. Almost all (99.5%) had received BCG but only 35.3% received at birth. No association was found between receipt of BCG at birth and socio-demographic factors or maternal obstetric history. The commonest barrier to receipt at birth was the vaccine not given to infants at health facilities on birth date (p = 0.0001 OR= 14.56 CI 8.077-26.248). Conclusion: Majority of the infants had received the BCG vaccine, however, only a small proportion had received it at birth. There is an unmet need of ensuring infant vaccination with BCG occurs daily including weekends and public holidays while increasing public awareness especially through antenatal clinics. This may help reduce child mortality and morbidity from tuberculosis. https://ibommedicaljournal.org/index.php/imjhome/article/view/45TimelinessBCGvaccineinfantsbarriers
spellingShingle Ekop EE
Akor AA
Oyari F
Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa
Ibom Medical Journal
Timeliness
BCG
vaccine
infants
barriers
title Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa
title_full Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa
title_fullStr Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa
title_full_unstemmed Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa
title_short Timeliness of Bacilli Calmette-Guérin vaccination among infants in a tertiary health facility in sub-Saharan Africa
title_sort timeliness of bacilli calmette guerin vaccination among infants in a tertiary health facility in sub saharan africa
topic Timeliness
BCG
vaccine
infants
barriers
url https://ibommedicaljournal.org/index.php/imjhome/article/view/45
work_keys_str_mv AT ekopee timelinessofbacillicalmetteguerinvaccinationamonginfantsinatertiaryhealthfacilityinsubsaharanafrica
AT akoraa timelinessofbacillicalmetteguerinvaccinationamonginfantsinatertiaryhealthfacilityinsubsaharanafrica
AT oyarif timelinessofbacillicalmetteguerinvaccinationamonginfantsinatertiaryhealthfacilityinsubsaharanafrica