Attitude and subjective wellbeing of non-compliant mothers to childhood oral polio vaccine supplemental immunization in Northern Nigeria

Abstract

BackgroundAttitude and subjective well-being are important factors in mothers accepting or rejecting Oral Polio Vaccine (OPV) supplemental immunization. The purpose of the study was to determine the role of mothers’ attitude and subjective wellbeing on non-compliance to OPV supplemental immunization in Northern Nigeria.MethodsThe study utilized a cross-sectional design to assess attitude and subjective well-being of mothers using previously validated VACSATC (Vaccine Safety, Attitudes, Training and Communication-10 items) & SUBI (Subjective Well-being Inventory-40 items) measures. A total of 396 participants (equal number of non-compliant and compliant mothers) from 94 non-compliant settlements were interviewed, after informed consent. T-test was run to assess difference in mean scores between the non-compliant and compliant mothers on VACSATC and SUBI measures.ResultsThe research showed a significant difference in mean scores between the non-compliant and compliant groups on VACSATC measure of mothers’ attitude (M = 18.9 non-compliant, compared to 26.5 compliant; p < 0.05). On subjective well-being, the study showed there was no significant difference in the mean scores of the SUBI measure (M = 77.4 non-compliant, compared to 78.0 compliant; p > 0.05).ConclusionThe research has shown that negative attitude is more commonly present in non-compliant mothers and may be a factor in vaccine refusal in Northern Nigeria.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5126-1) contains supplementary material, which is available to authorized users.

Oral Polio Vaccine Refusal Pattern in Kumbotso Local Government Area, Kano State, Northern Nigeria

“…From what was observed in this study, the government in collaboration with development partners and experts should support the conduct of operational studies to fully understand factors that may be responsible for noncompliance in addition to what was outlined here, earlier observed by Umeh et al, (2018). Addressing these issues could, therefore, be key to eliminating polio and other diseases of public health importance (Svea et al, 2015).…”

Factors Influencing Childhood Immunization Uptake in Africa: A Systematic Review

“…Having expectation towards the protection that follows childhood immunization signi cantly in uence childhood immunization [52]. Likewise, Knowing the seriousness of VPDs was also found to be a predictor for non-compliance [41]. The more knowledge mothers acquired with regards to bene t of child immunization and consequences of not immunizing a child the more tendency of increasing their practice con dence towards childhood immunization uptake.…”

“…With regards to maternal outcome expectation, three studies reported knowledge on bene t of childhood immunization uptake [29,30,52] and one study revealed severity of VPDs [41]. For environmental factors, two studies reported religious belief [40,64].…”

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