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Health Policy and Planning; 10(3): 312-318
© 1995

research-article

Immunization determinants in the Eastern Region of Ghana

RUAIRl BRUGHA1, and JOHN KEVANY2

1St Mary's Hospital Medical School London
2Medical School, Trinity College Dublin, Ireland

Dr Ruairi Brugha, Lecturer in Public Health Medicine, Academic Department of Public Health, St Mary's Hospital Medical School, Norfolk Place, London, W2 1PG, UK

A study of the immunization determinants of children aged 12 to 18 months was conducted in 1991 in the Eastern Region of Ghana, using structured interviews of mothers and fathers. The completion of immunization schedules by one year, among the 294 children, was positively associated (P<0.005) with the town of residence of the child and mother, the ability of the mother to speak English, the target child having been treated for illness at the local hospital, the child's mother having given birth to less than 5 children, the possession of a sewing machine by the mother, and the birth of the child in the current town of residence. Significantly higher immunization coverage levels were achieved where the Under Fives' Clinic was an affordable and acceptable service, integrating preventive and curative care, and where measures were implemented by the community to increase attendance levels at the Clinic. This was achieved among a target group who were otherwise at a relatively high risk of failing to complete immunization schedules on-time.


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