Immunisation services in North-Eastern Nigeria: perspectives of critical stakeholders to improve uptake and service delivery
J. Public Health Africa (Online)
; 14(11): 1-11, 2023. figures, tables
Artículo
en Inglés
| AIM (África)
| ID: biblio-1530659
Biblioteca responsable:
CG1.1
ABSTRACT
We investigated the perspectives of parents, health workers (HWs) and traditional medical practitioners (TMPs) on immunisation advocacy, knowledge, attitudes and immuni sation practice and ways of improving immunisation uptake in Borno State, North eastern Nigeria. A cross sectional study analysing quantitative data from the three stakeholders' categories. It was conducted across 18 local government areas of Borno State. A representative sample of 4288 stakeholders (n=1763 parents, n=1707 TMPs, and n=818 HWs aged 20 to 59years, had complete data. The sample has more males 57.8% (Parents); 71.8% (TMPs) and 57.3% (HWs). The awareness of immunisation schedule among the stakeholders ranged from 87.2 to 93.4%. The study showed that 67.9% of the parent and 57.1% of the health workers had participated in immunisation except the TMPs (27.8%). Across the stake holders' categories, between 61.9 and 72.6% have children who had Adverse Event Following Immunisation (AEFI). The most common AEFI was fever. Safety concerns, preference for herbs and charm, culture and religions, and vaccination perception as a western culture were the major barriers to immunisation uptake. While 63.6 to 95.7% of respondents indicated that community leaders, religious and spiritual leaders and TMPs should be involved in immunisation advo cacy, 56.9 70.4% of them reported that community leaders should be involved in immunisation policy. Upscaling the critical stakeholders' involvement in advocacy, policy devel opment and implementation of immunization activities may improve acceptance, create demand and engender ownership in vulnerable communities of Borno State, Nigeria. AEFI could be detrimental to immunisation access and utilization. Consequently, health education by health workers needs strengthening to minimise vaccine hesitancy.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3C Aumentar la financiación de la salud y la contratación, el desarrollo, la capacitación y la retención del personal sanitario
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Agenda de Salud Sostenible para las Américas
Problema de salud:
Estrategias de Implementación para Profesionales de la Salud
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Objetivo 5: Medicamentos, vacunas y tecnologías sanitarias
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Objetivo 3: Recursos humanos para la salud
Base de datos:
AIM (África)
Asunto principal:
Cobertura de Vacunación
Tipo de estudio:
Estudio observacional
Aspecto:
Investigación de implementación
Idioma:
Inglés
Revista:
J. Public Health Africa (Online)
Año:
2023
Tipo del documento:
Artículo
Institución/País de afiliación:
Department of Community Medicine, Faculty of Clinical Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria/NG
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Department of Physiotherapy, Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria/NG
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Federal Neuropsychiatric Hospital, Kaduna, Nigeria/NG
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Nigeria Natural Medicine Development Agency, Lagos, Nigeria/NG
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World Health Organisation, Nigeria/NG