Reducing child mortality in Nigeria: A case study of immunization and systemic factors
Reducing child mortality in Nigeria: A case study of immunization and systemic factors
复制标题
DOI：
10.1016/j.socscimed.2008.03.004
复制
发表时间：
2008-07-01
影响因子：
5.4
通讯作者：
Kim, Min Su
中科院分区：
文献类型：
--
作者：
Ngowu, Rufus;Larson, James S.;Kim, Min Su
这项研究的目的是评估尼日利亚扩大免疫方案的结果，并审查影响其五岁以下儿童高死亡率的系统因素。1978年实施扩大免疫方案时，其主要目标是减少与六种疫苗可预防疾病有关的死亡率、发病率和残疾，这六种疾病是结核病、破伤风、白喉、麻疹、百日咳和脊髓灰质炎。本研究的方法是定量的，使用1970年至2003年的二级时间序列数据。本研究以自相关调整的时间序列多元回归分析作为统计模型，检验三个假设。结果表明，计划免疫项目对尼日利亚的UFMR影响不大。只有识字率和国内保健支出对UFMR有统计上的显著影响。军政府不是减少或增加UFMR的重要因素。看来，尼日利亚需要一个统一的方法来提供医疗保健，而不是分散的方案，以克服社会中的文化和政治分歧。(C)2008爱思唯尔有限公司保留所有权利。
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 1978 was to reduce mortality, morbidity and disability 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 tested 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 fragmented programs, to overcome cultural and political divisions in society. (C) 2008 Elsevier Ltd. All rights reserved.