Background: Mothers, but not fathers, are the usual focus of strategies to maximize immunization coverage in low income countries.
Methods: A study of the immunization determinants of children aged 12-18 months was conducted in 1991 in the Eastern Region of Ghana using structured interviews of a population sample of 294 mothers and 170 (67%) of the children's fathers.
Results: Fathers were more likely than mothers to perceive that the fathers had participated in the decision to send children for immunizations. Where both parents reported that the father had participated in the decision, and he could speak English, the child was more likely to have completed the immunization schedule by 12 months (OR = 5.7, 95% confidence interval [CI]: 1.5-21.7), independently of other factors. Neither the father's participation, nor his ability to speak English, was independently associated with the child's immunization status.
Conclusions: The results of the study suggest that, where fathers have a higher level of education, programmes which are designed to involve them in decisions about their children's use of preventive health services have the potential to increase timely immunization coverage levels.
PIP: Programs and strategies to maximize immunization coverage in low income countries generally focus upon mothers. 294 mothers of children aged 12-18 months and 170 (67%) of the children's fathers were interviewed in a 1991 study of immunization determinants in the Eastern Region of Ghana. Fathers were more likely than mothers to perceive that the fathers had participated in the decision to send children for immunizations. Where both parents reported the father's involvement in the decision making process, and the father could speak English, the child was more likely to have completed the immunization schedule by 12 months, independently of other factors. Neither the father's participation, nor his ability to speak English, was independently associated with the child's immunization status. These findings suggest that where fathers have a relatively higher level of education, programs involving them in decision making about their children's use of preventive health services may increase timely immunization coverage levels.