Maternal and Child Health Journal

, Volume 17, Issue 5, pp 837–841 | Cite as

Maternal Autonomy and Attitudes Towards Gender Norms: Associations with Childhood Immunization in Nigeria

  • Kavita SinghEmail author
  • Erica Haney
  • Comfort Olorunsaiye


Globally 2.5 million children under-five die from vaccine preventable diseases, and in Nigeria only 23 % of children ages 12–23 months are fully immunized. The international community is promoting gender equality as a means to improve the health and well-being of women and their children. This paper looks at whether measures of gender equality, autonomy and individual attitudes towards gender norms, are associated with a child being fully immunized in Nigeria. Data from currently married women with a child 12–23 months from the 2008 Nigeria demographic and health survey were used to study the influence of autonomy and gender attitudes on whether or not a child is fully immunized. Multivariate logistic regression was used and several key socioeconomic variables were controlled for including wealth and education, which are considered key inputs into gender equality. Findings indicated that household decision-making and attitudes towards wife beating were significantly associated with a child being fully immunized after controlling for socioeconomic variables. Ethnicity, wealth and education were also significant factors. Programmatic and policy implications indicate the potential for the promotion of gender equality as a means to improve child health. Gender equality can be seen as a means to enable women to access life-saving services for their children.


Gender Autonomy Nigeria Immunizations Children 



This work was funded by the United States Agency for International Development (USAID) through a cooperative agreement with MEASURE Evaluation. The authors would like to thank Shelah Bloom for suggestions on the gender measures and Paul Brodish for data management assistance.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Kavita Singh
    • 1
    • 2
    Email author
  • Erica Haney
    • 1
  • Comfort Olorunsaiye
    • 3
  1. 1.Department of Maternal and Child Health, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.MEASURE Evaluation, Carolina Population CenterUniversity of North Carolina at Chapel HillChapel HillUSA
  3. 3.University of North Carolina at CharlotteCharlotteUSA

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