Acceptability of the Use of Reminder/Recall in Vaccination Services among Clients and Service Providers in Enugu, Nigeria (original) (raw)
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International Journal of Contemporary Pediatrics, 2022
Background: Globally, under-5 children account for three-quarter of the two million annual deaths caused by vaccine preventable diseases (VPD). The VPD is comparatively higher in developing countries, and in particular, Nigeria where 1 in 5 childhood deaths is VPD-related. This higher mortality has been attributed to inequitable uptake of immunization variably caused by low education, confusion and forgetfulness among others. The millennium mobile phone proliferation has made it a useful reminder tool. We therefore explore access to mobile phone, willingness and predictors of willingness to receive reminder by mothers. Methods: Semi-structured questionnaire was deployed in this cross-sectional study to obtain relevant information from 384 mother-child pairs at the immunization clinic (cluster) over 9 months.Results: A total of 372 (96.9%) and 379 (98.7%) mothers had access to personal and husbands’ phone respectively while 339 (88.3%) mothers showed willingness for a reminder. The f...
Asian Journal of Pediatric Research, 2018
Background: Missed immunisation (MI) may contribute to low immunisation coverage in diverse settings, especially developing countries. Receipt of vaccines at the recommended ages and intervals will ensure that children are adequately protected from target diseases at all times. Immunisation reminder and recall (RR) systems are cost-effective methods of improving adherence to recommended immunisation schedules. This study, therefore, determined the effect of immunisation reminders and recalls on reducing missed immunisations in Abakaliki. Materials and Methods: This is a quasi-experimental study conducted among caregivers of infants in rural health facilities in Abakaliki. Mile-Four and St. Vincent hospitals located in Ebonyi and Izzi Local Government Areas (LGA) respectively in Ebonyi State were selected purposively. Mile-Four was assigned intervention group and St. Vincent as control group. The sample size was determined using the formula for comparing two proportions. Caregiver-c...
European Journal of Health Sciences
Purpose: This study assessed effects of educational intervention and telephone-reminders on appointment-keeping for immunization among mothers with under-5 children in Oyo state, Nigeriao state, Nigeria. Methodology: The study utilized a quasi-experimental design which comprised two experimental groups and one control group using the quantitative approach. Health education intervention was delivered to the one experimental group, Health education intervention and Telephone-reminder SMS was delivered to the experimental group two at 6th and 10th week of their immunization appointment and no intervention was delivered to the control group. The educational intervention was for a duration of 2 weeks which was in three sessions, lasting for an average of 120 minutes. At baseline, data were collected before the intervention, at 2weeks immediately after the intervention, and at 8th weeks post-intervention in both the experimental and control groups. Data was analyzed using IBM SPSS version...
Port Harcourt Medical Journal, 2018
Background: Immunisation drop-out rate measures the effectiveness of the immunisation programme. When drop-outs exceed 10 percent it indicates a problem of utilisation of services. Receipt of vaccines at the recommended ages and intervals will ensure that children are adequately protected from target diseases at all times. Immunisation reminder and recall (RR) systems are cost-effective methods of improving adherence to recommended immunisation schedules. This study, therefore, determined the effect of immunisation reminders and recalls on reducing pentavalent vaccination drop-outs in Abakaliki. Materials and Methods: This is a quasi-experimental study among caregivers of infants in rural health facilities in Abakaliki, Nigeria. Mile-Four and St. Vincent hospitals in Izzi and Ebonyi Local Government Areas (LGA) of Ebonyi State were selected purposively. Mile-Four was assigned the phone reminder/recall intervention group and St. Vincent as a control group. The sample size was
The factors associated with third dose of diphtheria, pertussis and tetanus (DPT3) uptake, a true indicator of compliance with required regimen of vaccines, in Anambra state, Nigeria, were investigated in a cross-sectional survey of 600 mothers (15-49). Being an older mother showed a positive association with compliance. Compliance was more among those who used the government health facilities for their health needs ( 2 ¼ 12.286, p < .001). Satisfactory experiences with health service influenced compliance ( 2 ¼ 8.542, p ¼ .002). Those with good perception (30.1%) complied more ( 2 ¼ 42.572, p < .001). Those who were aware that immunization protects the children against vaccine preventable diseases complied more ( 2 ¼ 8.735, p ¼ .002). In conclusion, the action-hesitancy model strengthens the Health Belief Model in explaining parents' attitude to childhood immunization, as experience and perception of the health service influenced uptake more. Health education and campaigns should be directed at factors that would encourage mothers to adopt required behaviours.
Texila International Journal of Public Health, 2023
Globally, vaccines are the most cost-effective medical intervention to prevent death and disease. The objectives of this study were to assess the effect of access to immunization information on vaccine acceptance amongst parents/caregivers visiting the major health facilities within Wushishi Local Government Area, Niger State. A semi-structured interviewer-administered questionnaire was used for this study. The result of the study showed a mean age of respondents was 26.88 years. 96.5% of the respondents were females, 45.5% had no formal education, 30.7% were unemployed, and 35.5% were of Hausa ethnicity. 65.1% of respondents obtain information on routine immunization within 12 months before the study. 54.5% had satisfactory knowledge of immunization, while 71.5% exhibited a favorable attitude toward immunization. The major source of information was health workers. Those who had access to information were more likely to have good knowledge of immunization (X 2 =127.246, DF=1, p=0.001) and a more favorable attitude towards immunization (X 2 =14.155, DF=1, p=0.001). This study has demonstrated that access to information on immunization greatly affects the knowledge and, consequently, the attitude of parents toward making a positive decision to accept vaccination. Efforts should be made to understand the content and effect of information sources on knowledge and attitudes toward vaccination by relevant stakeholders involved in the implementation of immunization programs.
Journal of Public Health Policy
Mothers' poor knowledge and attitudes about routine immunization impede childhood immunization completion. This study assessed mothers' knowledge in rural communities about routine immunization and acceptability of mobile phone reminder text messages as an intervention for improving uptake and timely completion of routine immunization. The study adopted a descriptive cross-sectional design among 3440 consenting mothers of infants in six randomly selected Nigerian states and in the Federal Capital Territory (FCT). We used a Focus Group Discussion guide and validated questionnaire to collect data; we analysed data using a thematic approach and descriptive statistics. Respondents' ages were 26.7 ± 5.5 years. Knowledge of routine immunization was poor; attitudinal disposition was positive. Most (90.5%) indicated willingness to accept reminder text messages for routine immunization and 91.5% opined that mobile phones can be effective in providing such information. Mothers' willingness to accept the use of SMS reminder text messages for promoting routine immunization completion requires well-designed and culturesensitive persuasive messages.
International Journal of Immunology
Despite our hygiene and safety some infections can still spread hence the need for vaccination and immunization of people especially during childhood. The high effectiveness of immunization in preventing diseases and death as made immunization one of public health's most cost-effective intervention. When parents fail or do not complete their child's vaccination, diseases that are long gone might reappear. This study aimed at determining the knowledge, attitude and practice of mothers/guide towards immunization and the factors affecting utilization of immunization services in a tertiary institution in NorthWest Nigeria. One hundred and thirty-eight mothers/guides participated in this cross-sectional study. Respondents were recruited using a purposive sampling technique. A 47-item questionnaire on the self-reported knowledge, attitudes and practices towards utilization of immunization services was formulated and used for data collection. A focus group discussion which involved three vaccination health workers working in the health facility was also carried out in the study. A large proportion of the participants are within the age group of 21-30 (60.14%). Those who had no formal education, 53 (38.41%) were the majority. This study revealed that 93% have poor knowledge while 7% have good knowledge about immunization. 57.97% have good attitudes and 42.03% have poor attitude towards immunization. 52.90% have good practices while 47.10% have poor practices towards immunization. Level of education was revealed to have statistical significant relationship with mothers/guides knowledge, attitude and practice towards immunization. Factors such as lack of husbands' consent, absence from town, sick child, travel cost and travel distance were reported to affect utilization of immunization services. According to the outcome of this study, it implies that a high proportion of mothers/guides have poor knowledge about immunization. Efforts should be made to appropriately educate mothers/guides on various vaccine preventable diseases and appropriate immunization schedules to ensure better compliance. Lack of husband's consent is a major factor that affects the utilization of child immunization services by mothers/guides. Therefore, efforts should be targeted at educating men and employ necessary campaigns to change gender discrimination in relationships and households in this part of Nigeria.
Vaccine, 2020
Introduction: Vaccination coverage is low in Nigeria, partly due to poor demand for the vaccines. Till date, there is limited understanding of what works to improve demand for vaccination. A Vaccine Indicator and Reminder (VIR) band was designed to be worn on a child's ankle to serve as a constant reminder to parents/caregivers on when to bring their children for vaccinations. This study assessed the acceptability of the band as a wearable reminder for infant vaccination in Kebbi State, Nigeria. Methods: A total of 503 infants who met the eligibility criteria were enrolled between August 2017 and February 2018. The intervention involved 1) sensitisation and mobilisation of community gatekeepers to advocate for immunisation; 2) engaging traditional birth attendants (TBAs) to refer mothers for vaccination and VIR bands; and 3) training facility-based health workers to secure the band on an eligible child. Focus group discussions and in-depth interviews were conducted at baseline (May 2016) and end-line (July 2018) with purposively selected participants. These interviews were analysed thematically. Results: There was general acceptability of the band at all levels, especially among community members who likened it to a ''wristwatch" that constantly reminds mothers when next to vaccinate their children. The strong support from community leaders, TBAs and participating health workers increased acceptability of the band. Similarly, the VIR band's aesthetics, ease of use and perceived benefits contributed to its acceptability. Wearing the VIR band was not perceived as an impediment because similar accessories are worn on new-borns. However, there were concerns about wearing accessories on the ankle, the red indicator colour, and the malfunctioning of some bands. Conclusions: This study demonstrates that cultural adaptability of interventions and engagement with community structures are important in facilitating acceptability of new innovations. Further studies will evaluate the effectiveness of VIR band in improving vaccination coverage.