Influence of Family Structure and Functionality on Immunization Status of Infants Attending GOPC of BMC Saki
Keywords:
Immunization status, family structure, family functionality, vaccine, health facility, NigeriaAbstract
Introduction: Vaccine-preventable diseases are endemic in Nigeria, and contribute greatly to childhood morbidities and mortalities. Good family structure has been reported to improve children's wellbeing, health and eating habit, but the contribution of family structure together with family functionality on immunization status has not been documented. Overall, the goal of the research was to determine the level of immunization status in the study population, assess their knowledge of immunization and determine what influence family structure and functionality have on children's immunization status.
Methods: A cross-sectional descriptive study was conducted in 2016 in the General outpatient clinic (GOPC) of Baptist Medical Centre (BMC), Saki, Oyo State. Family APGAR Scale and self-design questionnaire were used to collect data from 299 respondents using systematic sampling technique. A SPSS (version 21) was used for the analysis.
Results: Our results showed that 82.9% of the respondents were fully immunized and 98% had knowledge about Immunization. Majority of the respondents came from functional families, accounting for 85.6% of cases. The following factors were found to be statistically significantly associated with immunization status: family functionality (X2 = 101.694, P = 0.000), family type (p value =0.000), family size (p value = 0.000), ethnic group (p value = 0.000) and number of children (P value = 0.000)
Conclusion: Our findings showed that there is an adequate knowledge of immunization in the study population, and that a child's immunization status is significantly influenced by the family structure and functionality. However, given the fact that this is a single, hospital-based study, several multi-center studies would have to be employed not just to validate this conclusion but also to inform policy making.
References
Ali M, Sur D, Lopez AL, Kanungo S, Ochiai RL, Manna B, et. al. Community Participation in Two Vaccination Trials in Slums of Kolkata, India: A
Multi-level Analysis. HealthPopulNutr 2010; 28(5): 450–457.
Saroja CH, Lakshmi PK, Bhaskaran S. Recent trends in vaccine delivery system: A Review. Int J Pharm Investing 2011; 1(2):64-74.
Molina AC, Godoy I, Carvalho LR, Caldas AL. Infant vaccination situation and individual and family characteristics of the interior of São Paulo. Acta Sci. Health Sci. 2007; 29(2):99–106.
FBA Health System Analysts. The state of Routine
Immunization Services in Nigeria and Revisions for Current Problems. Abuja, Nigeria: DFID, 2005.
Folliden B. Health System Analysts. The State of
Routine Immunization Services in Nigeria and Reasons for Current Problems. June 2005;8: 3-42.
Jorgensen A, Padersea TP, Meilstrup CR. The influence of family structure on breakfast habit among adolescents: Dan Med Bull. 2011;
(5):4262.
Gage AJ, Sommerfelt E, Piani A. Household structure and childhood immunization in Niger and Nigeria. Demography 1997; 34(2):295-309.
Babalola S. Adewuyi A. Factors Influencing Immunization Uptake in Nigeria: A Theory-based Reseach in Six States. Abuja: PATHS; 2005.
Pequegnat W, Bray JH. Families and HIV/AIDS J from psych 11:3, 1997. In: The Family's Influence on Health.CambellTL,Bray JH. Rackel RE.
Textbook of Family Practice, 6 ed.2002: p; 31. th
Emaj U. Cross-Cultural family structure between Muslim and Santal communities in Bangladesh: A Review: Antrocom. 2010; 6(1): 7-12.
Williams KS, Sassler A, Frech F. Addo, Cooksey E. behavior risk factors in a primary care facility.Afr J “Policy Brief.” journal of Health and Social Prm Health Care Fam Med. 2010; 2(1):177-182.
Behaviour. 2013; 54:277. 24. Rodriguez FE, Gea SA, Gomez MA, Garcia JM.
Boundless. “Family Structures.” Boundless Apgar questionnaire in the study of family Sociology Boundless, 08 Aug. 2016. Retrieved 09 function.Aten Primaria.1996; 17(5):338-341.
Jan. 2017 from https://www.boundless 25. Bellón JA, Delgado SA, Luna JD,Lardelli CP. .com/sociology-textbook/family-12/family- Validity and Reliability of family APGAR family 91/family-structures-521-10352/. function test.Aten Primaria.1996; 18(6):289-296.
Paraszki RD, Walsh D. Family distress in palliative 26. Laura Z. A Family of Neglect and “Dysfunction” medicine: A pilot study of Family APGAR Scale. Personal Blames or Structural Constraints? Human Amer J hops Palliative care. 2002; 19(6):292-396. architecture: Journal of the sociology of Self-
Sousa F, Figueiredo M, Erdmann A. Instruments for knowledge.2007; 2:125-136.
assessment and family intervention: A descriptive 27. Nwabunwanne CO. Families at crossroads: Whither study.2010; 11(1):160-163. the future of youths? Catholic Teachers' Newsletter 15. Ibrahim T. Research Methodology and Dissertation .2010; 1(3): 2-6.
writing for Health and Allied Health Professional 28. Nwokolo C.Family environmental variables and
Nigeria: Cress Globat link limited. 2009:70-75. deviant behaviors among Secondary school
National pop Commission. Nigeria and ORL macro students in Onitsha Education zone. Nigerian nutrition status of children. Nigeria Demographic Journal of Teacher Education and Teaching (2007); 3 and Health Survey (NDHS). Maryland: National (1): 171-179.
Population Commission, Nigeria Macro;2008.163- 29. Maina LC, Karanja S, Kombich J. Immunization
coverage and its determinants among children aged
Ferrer RL, Burge PR. The family Contribution to 12 - 23 months in a peri-urban area of Kenya. The health status: A population level estimate. Ann Fam Pan African Medical Journal. 2013; 14:3.
Med. 2005;3(2):102-108. doi:10.11604/pamj. 2013.14.3.2181.
Lawan UM, Amole GT, Wali NY, Jahun MG, Jibo AM, 30. Siddiqi N, Khan A, Nisar N, Siddiqi A. Assessment Nakore AA. Pattern of adverse events following of Expanded program of immunization (EPI) immunization in nourished and malnourished infants vaccine coverage in a peri-urban area. Journal of the in Kano, North-Western Nigeria. Sahel Med J 2016; Pakistan Medical Association · September 2007;
:131-136. 57(8):391-395.
Kumar A, Ram F. Influence of Family Structure on 31. National pop Commission. Nigeria and ORL macro Child Health: Evidence from India. Journal of nutrition status of children. Nigeria Demographic
Biosocial Science.2013; 45: 577-599. and Health Survey (NDHS). Maryland: National
Mapping family change. Two, one, or no parents? Population Commission, Nigeria Macro;2008.163-
Children's Living Arrangements and Educational 168.
Outcomes Around the World.An international report 32. Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai from child trends. World Family Map 2013. VI. Determinants of vaccination coverage in www.worldfamilymap. ifstudies.org/2013/e- rural Nigeria. BMC Public Health.2008, 8:381.
ppendix/figure5. 33. Obiajunwa PO. Olaogun AA. Childhood
Akinyemi JO, Chisumpa VH, Odimegwu CO. Immunization Coverage in South West
Household structure, maternal characteristics and Nigeria.Sudanese Journal of Public Health, 2013; 8, childhood mortality in rural sub-Saharan Africa. 94-98.
Rural Remote Health. 2016 Apr-Jun;16(2):3737. 34. Bernsen RM, Al-Zahmi FR, Al-Ali NA, Hamoudi
Sewpaul V, Pillay A. Household and family RO, Ali NA, et al. Knowledge, attitude and practice structure: a baseline study among primary school towards immunizations among mothers in a learners in Chatsworth, South Africa. Social traditional city in the United Arab Emirates. Journal Work/Maatskaplike Werk 2011; 47(3):288. of Medical Sciences.2011; 4: 114-121.
Muyibi AS, Ajayi I-OO, Irabor AE, Ladipo MMA. 35. Yousif MA, Albarraq AA, Abdallah MAA, Elbur AI. Relationship between adolescents' family function Parents' Knowledge and Attitudes on Childhood with socio-demographic characteristics and Immunization, Taif, Saudi Arabia. J Vaccines Vaccin
; 5:215. doi:10.4172/ 2157-7560.1000215. parenthood associated with more or less well-being?
Vandermeulen C, Roelants M, Theeten H. Psychol. Bull. 2014; 140 846–895.
Vaccination coverage in 14-year-old adolescents: 41. Russo G, Miglietta A, Pezzotti P, Biguioh RM,
documentation, timeliness, and sociodemographic Mayaka GB, Sobze MS et al. Vaccine coverage and
determinants. Pediatrics 2008; 121:428–434. determinants of incomplete vaccination in children
Adeyinka D, Oladimeji O, Adeyinka F, Aimakhu C. aged 12–23 months in Dschang, West Region,
Uptake of Childhood Immunization Among Mothers Cameroon: a cross-sectional survey during a polio
of Under-Five in Southwestern Nigeria. The Internet outbreak BMC Public Health 2015; 15:630
Journal of Epidemiology. 2008; 7:2. 42. Choi JY, Lee S. Does Prenatal Care Increase Access
Kissane D, Bloch S. Family Focused Grief Therapy: to Child Immunization Bias among Children in
a model of Family-centred care during palliative care India? Social science &Medicine.2006; 63(1):107-
and bereavement. Buckingham, Philadelphia: Open 117.
University Press;2002. In: Tan HM. The experience 43. Adebayo BE, Oladokun RE, Akinbami FO.
of palliative patients and their families of a family Immunization Coverage in A Rural Community in
meeting utilized as an instrument for spiritual and Southwestern Nigeria. J Vaccines Vaccine. 2012;
psychosocial care. BMC Palliat Care. 2011; 10:7. 3:143. doi:10.4172/2157-7560.1000143.
Krauss W. Measures of Stress and Coping in 44. Osuala UK. Predictors of Full Childhood
Families. In: H.B. Weiss and F.H. Jacobs, (eds.) Immunization Status in Owerri, Nigeria.
Evaluating Family Programs. New York: Aldine de Dissertation Submitted in Partial Fulfillment of the
Gruyter; 1988. pp. 177-194. Requirements for the Degree of Doctor of
Nelson SK, Kushlev K, Lyubomirsky S. The pains Philosophy Public Health, Walden University.
and pleasures of parenting: When, why, and how is March, 2015.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Research Journal of Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Research Journal of Health Sciences journal is a peer reviewed, Open Access journal. The Journal subscribed to terms and conditions of Open Access publication. Articles are distributed under the terms of Creative Commons License (CC BY-NC-ND 4.0). (http://creativecommons.org/licences/by-nc-nd/4.0). All articles are made freely accessible for everyone to read, download, copy and distribute as long as appropriate credit is given and the new creations are licensed under the identical terms.
