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The Relationship between Facility-Based Delivery and Infant Immunization in sub-Saharan Africa

Cheryl A. Moyer(1), Dana Benyas(2), Sarah Rominski(3),


(1) Global REACH, University of Michigan Medical School; Department of Learning Health Sciences, University of Michigan Medical School; Department of Obstetrics and Gynecology, University of Michigan Medical School
(2) Global REACH, University of Michigan Medical School
(3) Global REACH, University of Michigan Medical School
Corresponding Author

Abstract


This study explored the relationship between facility-based delivery and infant immunizations in sub-Saharan Africa, controlling for economic development indicators. Publically available data were collected and imported into Stata 11.0 for descriptive, correlation, and regression analyses. Facility delivery was significantly associated with full vaccination and BCG immunization in children aged 12-23 months. Facility delivery was associated with full vaccination (p<.019), even after controlling for antenatal care usage, Gross National Income per capita, percent of the country’s population residing in an urban setting, and percent of the population with at least a secondary education (β: 0.45 (95% CI: 0.08 – 0.81)). The relationship between facility delivery and immunization is significant, and robust enough to remain after controlling for economic and social indicators linked to both. These results suggest the benefits of facility delivery transcend the immediate survival benefit for mothers and their babies, and may serve as a gateway to further interactions with the healthcare system. (Afr. J Reprod Health 2016; 20[2]: 27-33).

References


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Moyer et al. Facility Delivery and Immunization

African Journal of Reproductive Health June 2016; 20 (2): 33

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