Assessment of the knowledge of fathers, uptake of routine immunization, and its associated factors in a rural community of North West Nigeria

Raji, Mansur Olayinka; Sani, Abdullahi; Ibrahim, Luqman Sanda; Muhammad, Hafsah; Oladigbolu, R. A.; Kaoje, Aminu Umar

doi:10.4103/aam.aam_41_18

Cited by 13 publications

(11 citation statements)

References 13 publications

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“…The variable measured the extent of the in uence of fathers or husbands on childhood vaccination decisions in households. Their attitudes toward vaccination play an important role in acceptance or refusal [38][39][40]. Mothers who solely depend on their husbands' or child's father's approval are susceptible to vaccine hesitancy if he refuses [41].…”

Section: Masculinitymentioning

confidence: 99%

Understanding Drivers of Vaccine Hesitancy among Pregnant Women in Nigeria: A Longitudinal Study

Adeyanju

Betsch

Sprengholz

2021

Preprint

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Background: Vaccine-preventable diseases are major contributors to the disease burden in Sub-Saharan Africa, accounting for many childhood illnesses, disabilities, and mortality. There is dearth of knowledge on the drivers of vaccine hesitancy in Nigeria and the extent of its impact on coverage. Pregnant women are a particularly important vulnerable and at-risk group and, additionally, very relevant for childhood vaccination decisions. However, this group is understudied in Nigeria. This study’s aims are to adapt Confidence, Complacency, Constraints, Calculation, and Collective Responsibility, also known as the 5C psychological antecedence scale for the Nigerian context and to measure vaccine hesitancy to predict the intention to vaccinate among pregnant women (prenatal) and subsequent vaccination behavior (postnatal). Method: It is a longitudinal study that used multi-stage sampling procedure. One healthcare facility was selected from each district in five regional clusters, from which 255 pregnant women were randomly drawn. A standardized questionnaire was used to collect data on demographic characteristics, sources of vaccination information, and the 5C psychological antecedents of vaccination. Additional variables tested included the importance of religion, masculinity, and rumor/conspiracy theory. The scale’s reliability was explored, and a backward elimination regression analysis was performed to identify the major determinants of childhood vaccination intention among pregnant women (T1) and their postnatal behavior (T2). Results: The prenatal (T1) findings revealed low reliability of the 5C subscales in Nigeria’s setting. Pregnant women’s intention to vaccinate unborn children was lower if they were Muslims, had lower confidence in public authorities or the health system, if husband approval was important for vaccination, and if they believed in rumor. Postnatal (T2) findings revealed that vaccination was more likely to follow mothers’ religious beliefs, when confidence in vaccine effectiveness was high and when mothers felt responsible for the collective. However, higher levels of everyday stress (constraints) were related to less vaccination behavior, and intention did not predict actual vaccination behavior. Conclusion: The 5C scale is incompletely adaptable in Nigeria but is a better tool for measuring vaccination behavior than intention. Overall, the vaccination intention did not predict behavior among pregnant women. The additional variables are good instruments that need further exploration.

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Section: Masculinitymentioning

confidence: 99%

Understanding Drivers of Vaccine Hesitancy among Pregnant Women in Nigeria: A Longitudinal Study

Adeyanju

Betsch

Sprengholz

2021

Preprint

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“…This may also be attributed to the fact that individuals who have higher education are more likely to appreciate the basic concepts of vaccination. 31 , 32 This calls for full integration of immunization-related topics into the health education of students at all levels. Efforts should be made to improve the use of the mass media and social media channels in propagating or reinforcing messages on the benefits of childhood immunization.…”

Section: Discussionmentioning

confidence: 99%

Public Knowledge and Opinion on Childhood Routine Immunizations in Two Major Cities of Anambra State, Nigeria

Oli¹,

Ogwaluonye²,

Onubogu³

et al. 2021

JMDH

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Background Immunization programs suffer recurrent setbacks in developing countries. Purpose We evaluated the knowledge and opinion of parents towards childhood immunization. Materials and Methods A cross-sectional study was conducted among 2400 parents/guardians in two major Anambra cities. Results The male:female ratio was 1:1 and about two-third (64.3%) of respondents were aged 21–40 years. The majority were married (85.0%), Christians (88.3%), and had heard about childhood immunization (92.3%) mainly from formal settings (56.5%). A little above half (56.2%) of them correctly cited “disease prevention” as reason for childhood immunization. A larger proportion of those that gave this correct response worked in tertiary institutions and had post-secondary school education ( p <0.001). The majority of the respondents appropriately agreed or disagreed with opinions that can influence immunization uptake. However, some of them did not agree that immunization was important during the first year of life (16.7%) or afterwards (23.1%); to ensure full immunization (22.8%) or maintain proper immunization records (25.6%) of their children; and to actively support childhood immunization (33.9%). Likewise, some respondents would withhold immunization for perceived fear of adverse reactions (30.7%) or if naturally acquired infection was perceived to confer better protection (28.2%). Respondents who worked in tertiary institutions, and had higher education or family income were more likely to agree or disagree appropriately to opinions. Males had comparable opinions with females although females seemed to do better in opinions that reflect actual vaccination practice. Conclusion Awareness of the term “immunization” was high although knowledge of its indication did not measure up with this awareness, especially among the less educated. Most parents, especially those who worked in tertiary institutions,r had higher income, or education, were favorably disposed towards opinions that could positively influence immunization uptake. Efforts should be intensified at improving awareness on the indication, benefits and safety of immunization, and improving public opinions in order to optimize childhood immunization.

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“…The mention of fathers, mothers-in-law, and traditional birth attendants as counseling targets is important, especially considering their disproportionate influence and decision-making powers in northern Nigeria. 33 Apart from prenatal, delivery, and postnatal visits, social gatherings (e.g., naming ceremonies), provide opportunities to educate the community on the importance of vaccinating children, including those exposed or infected with HIV.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Health Care Workers’ Knowledge and HIV-Exposed Infant Immunization Counseling Practice in Northern Nigeria

et al. 2020

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Background: Human Immunodeficiency Virus (HIV)-exposed and HIV-infected infants are at increased risk of vaccine-preventable diseases. However, little is known about health care workers’ knowledge and immunization counseling practices in this population. We determined the predictors of health care workers’ knowledge of vertical transmission risks, HIV exposed/infected infant immunization, and counseling practices in a tertiary center in Northern Nigeria. Methods: A cross-section of 297 health workers were interviewed using a structured, validated questionnaire. Knowledge and HIV-exposed infant immunization counseling practices were analyzed, and adjusted odds ratios for predictors were derived from logistic regression models. Results: Of the 297 participating health care workers, (32.3%, n=96) had adequate knowledge of HIVexposed/infected infant immunization. Two-thirds (67%, n=199) of the participants appropriately identified the timing of infant diagnosis, while (73%, n=217) and (56.2%, n=167) correctly categorized infants as HIV-exposed and HIV-infected, respectively. Only (19.5%, n=58) participants had ever counselled a HIVpositive mother on infant immunization. Knowledge was predicted by work unit (HIV clinic vs. Obstetrics & Gynecology clinic), (Adjusted Odds Ratio (AOR) =3.78, 95% CI: 1.27-5.54), age (30-39 vs. <30 years), (AOR=2.24, 95% CI:1.19-5.67), years of experience (≥10 vs. <5), (AOR=1.76, 95% CI: 1.15-6.04), number of children (1 vs. 0), (AOR=1.73, 95% CI:1.14-4.23), infant immunization training (yes vs. no), (AOR=1.57, 95% CI:1.12-5.43), female sex (AOR = 1.17, 95% CI:1.06-2.21), profession (nurse/midwife vs. physician), (AOR=0.44, 95% CI:0.21-0.94) and previous HIV test (no vs. yes), (AOR=0.67, 95% CI:0.21-0.83). Conclusion and Global Health Implications: Knowledge of HIV-exposed infant immunization was low and counseling practices were sub-optimal. Both immunization knowledge and counseling practices were predicted by demographic, professional, and training variables. Our findings indicate the need for educating health care workers on HIV exposed/infected infant immunization policy and improving counseling skills through capacity-building programs. Key words: • Knowledge • Health care workers • HIV • Infant • Immunization • Nigeria Copyright © 2021 Iliyasu et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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Assessment of the knowledge of fathers, uptake of routine immunization, and its associated factors in a rural community of North West Nigeria

Cited by 13 publications

References 13 publications

Understanding Drivers of Vaccine Hesitancy among Pregnant Women in Nigeria: A Longitudinal Study

Understanding Drivers of Vaccine Hesitancy among Pregnant Women in Nigeria: A Longitudinal Study

Public Knowledge and Opinion on Childhood Routine Immunizations in Two Major Cities of Anambra State, Nigeria

Correlates of Health Care Workers’ Knowledge and HIV-Exposed Infant Immunization Counseling Practice in Northern Nigeria

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