Assessing readiness to implement routine immunization among patent and proprietary medicine vendors in Kano, Nigeria: a theory-informed cross-sectional study.
Expert Rev Vaccines
; 19(4): 395-405, 2020 04.
Article
em En
| MEDLINE
| ID: mdl-32238070
ABSTRACT
BACKGROUND:
Patent and proprietary medicine vendors (PPMVs) are widespread in communities and can potentially be used to expand access to routine immunization especially in underserved areas. In this study, we aimed to assess their readiness to implement routine immunization in Kano, Nigeria and identify factors associated with it.METHODS:
We conducted a cross-sectional survey of PPMVs aged 18 years and above in Kano metropolis, Nigeria, using cluster sampling technique. A 10-item Likert scale-based measure was used to estimate readiness score. The relationship between selected factors and readiness score was examined using multilevel linear modeling technique.RESULTS:
A total of 455 PPMVs with median age of 36 years participated in the study. The median raw score for readiness was 4.7 (IQR 4.3 - 4-8) (maximum obtainable was 5). The mean readiness score (obtained through factor analysis) was 5.28 (SD 0.58). Readiness score was associated with factors such as knowledge of immunization and task demand, engagement by other public health programs among others.CONCLUSION:
This study demonstrated the feasibility of measuring the level of readiness for implementing routine immunization among PPMVs. Given the high level of readiness, policy makers should consider the possibility of expanding access to immunization through PPMVs.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Imunização
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Comércio
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Acessibilidade aos Serviços de Saúde
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Área Carente de Assistência Médica
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
País como assunto:
Africa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article