Reducing Child Mortality in Nigeria: A Case Study of Immunization and Systemic Factors  

Oleh:

Ngowu, Rufus ; Larson, James S. ; Kim, Min Su

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 67 no. 1 (Jul. 2008), page 161-163.
Topik: Vaccination; Child Mortality; Nigeria; Chldren; Immunization; Policy

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.21 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The purpose of the study is to assess the outcome of the Expanded Program on Immunization (EPI) in Nigeria, as well as to examine systemic factors influencing its high under-five mortality rate (UFMR). The principal objective of the EPI program when it was implemented in 978 was to reduce mortality, morbidity and siability associated with six vaccine preventable diseases namely tuberculosis, tetanus, diphtheria, measles, pertussis and poliomyelitis. The methodological approach to this study is quantitative, using secondary time series data from 1970 to 2003. The study teseted three hypotheses using time series multiple regression analysis with autocorrelation adjustment as a statistical model. The results showed that the EPI program had little effect on UFMR in Nigeria. Only the literacy rate and domestic spending on healthcare had statistically significant effects on the UFMR. The military government was not a significant factor in reducing or increasing the UFMR. It appears that Nigeria needs a unified approach to healthcare delivery, rather than fragmanted programs, to overcome cultural and political divisions in society.

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