Factors Associated with Antenatal Care Visit and Measles Immunization of Children in Nigeria: A Cross-Sectional Study

Abstract

Abstract Background Antenatal care is critical for improving maternal and newborn health. Late-onset antenatal care limits the effectiveness of addressing obstetrical problems. Measles is one of the leading causes of mortality among children, and the utilization of prenatal care relates to child immunization. There is an impact of antenatal care visits on child immunization. This study, therefore, sought to determine the factors associated with the first antenatal care visit and complete measles immunization coverage in children older than twelve months in Nigeria. Methods The study is a cross-sectional analysis of household sample demographic and health survey (DHS) in Nigeria from 2008 to 2013. It reviews reproductive-age females 15 to 49 years and their children older than 12 months. Data on gestational age at the first antenatal care (ANC) visit and measles immunization of children were checked. The logistic model was used to estimate the unadjusted and adjusted OR, while the Student, ANOVA, and linear regression model eased the evaluation of unadjusted and adjusted mean change in gestational age at the first antenatal care visit. P-value < 0.05 was considered statistically significant. Results Data from 5968 females and 3994 children were sampled. The residence type was statistically significant with the age of the first antenatal visit. In univariate analysis, education attainment, wealth index, and occupation were statistically significant. Living in a rural area, wealth index, first ANC, and the child’s age (> 24) increased the odds of measles immunization statistically significantly in logistics regression. The observation was similar except for the wealth index in the multivariate analysis. Conclusion The woman’s education level, first ANC by a midwife, and the child’s age (> 24) are determinants of children’s complete measles immunization. These factors demand attention when addressing ANC and measles vaccination in Nigeria.