https://doi.org/10.4081/acbr.2021.117

Assessment of healthcare worker’s implementation of childhood routine immunization in primary healthcare centers in Edo State, Nigeria: A mixed method survey

Vol. 2 No. 1 (2021)
Submitted: 3 November 2020
Accepted: 17 November 2020
Published: 21 January 2021
Challenges, knowledge, immunization
Abstract Views: 1944
PDF: 182
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Noel Ebehiremen Uwaibi
noel.uwaibi@gmail.com
Department of Community Health, College of Clinical Sciences, Edo University Iyamho, Edo State, Nigeria.
Francis Osezua Erah
Department of Community Health, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

The role of the health care personnel in the delivery of immunization services is very important in achieving the target of immunization coverage of 90% given by the world Health Organisation (WHO). The objective of the study was to determine the challenges affecting healthcare worker’s implementation of immunization services in Primary Healthcare Care (PHC) centres in Edo State, Nigeria. A descriptive cross-sectional study design, with a mixed method of data collection approach (incorporating quantitative and qualitative methods) using an interviewer administered questionnaire among 295 respondents (comprised of 270 health care providers, 7 key informants and 18 supervisors) of immunization activities in the various health care facilities for the Focus Group Discussion (FGD) guide. Ethical clearance for the study was obtained from the Ethics Committee of the University of Benin Teaching Hospital. Quantitative data collected was analyzed using the International Business Machine statistical package for Social Science (IBM) version 21.0 while themes occurring in the qualitative data were analyzed using ATLAS.ti software. Logistic regression was calculated to determine odds ratio and level of significance was set at <0.05. This study showed that good knowledge of immunization. age, training on the implementation of immunization, and designation affected their knowledge of immunization, and some of the challenges encountered were insufficient workers and transport for outreach activities, funding and impress, lack of motivation. Health worker’s knowledge of immunization was good, majority were trained on implementation on immunization services but there were still numerous challenges such as insufficient workers and transportation which must be addressed to strengthen and improve immunization service delivery.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Tagbo BN, Uleanya ND, Nwokoye IC, et al. Mothers’ knowledge, perception, and practice of childhood immunization in Enugu. Niger J Paed 2012;39:90-6. DOI: https://doi.org/10.4314/njp.v39i3.1
Goldstein S, Macdonad NS, Gurguis S. SAGE working group. Health communication and vaccine hesitancy. Vaccine 2015;33:12-4. DOI: https://doi.org/10.1016/j.vaccine.2015.04.042
Hannan AA. Maternal satisfaction about childhood immunization in primary health centre. Pan Afr Med J 2014;18:157.
National Population Commission and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria: NPC and ICF International; 2014:92-153
Birhanu S, Anteneh A, Kibie Y, Jejaw A. Knowledge, attitude and practice of mothers towards immunization of infants in health centres at Addis Ababa, Ethiopia. Am J Health Res 2015;4:6-17. DOI: https://doi.org/10.11648/j.ajhr.20160401.12
Saleh JA, Adamu HI, Ningi AI. NNT Elimination and the Nigeria’s health system: Where is the missing link? Sci J Public Health 2015:3:417-22. DOI: https://doi.org/10.11648/j.sjph.20150303.28
Beaven AA, Atienza BS, Abing VT, et al. Maternal constraints towards compliance to expanded program on immunization. J Nurs Health Care 2016;3:30-8.
Okafor IP, Dolapo CD, Onigbogi OM, Iloabuchi IG. Rural-urban disparities in maternal immunization knowledge and childhood health seeking behaviour in Nigeria: a mixed method study. African Health Sci 2014;14:333-47.
Oche MO, Adamu H. Determinants of patients waiting time in the General Outpatients department of a tertiary health institution in north western Nigeria. Ann Med Health Sci 2013;34:588-92.
Shen AK, Fields AR, McQuestion MB. The future of routine immunization in the developing world: challenges and opportunities. Global Health Sci Pract 2014;2:381-92. DOI: https://doi.org/10.9745/GHSP-D-14-00137
Adebayo BE, Oladokun RE, Akinbami FO. Immunization coverage in a rural community in South-eastern Nigeria. J Vaccines Vaccine 2012;3:143.
Cochrane WG. Sampling Techniques, 3rd Edition. New York: John Wiley and Son 1977.
Paediatric Association of Nigeria Recommended routine immunization schedule for Nigerian children. Niger J Paed 2012;39:152-58. DOI: https://doi.org/10.4314/njp.v39i4.1
Al-Ayed IH. Knowledge and practices of childhood immunization among primary health care providers in Riyadh City: Part I: handling and administration of vaccines. Curr Pediatr Res 2005;9:15-21.
Widsanugorn O, Suwattana O, Sakamoto J, Rashid H. Healthcare workers’ knowledge and practices regarding expanded program on immunization in Kalasin, Thailand Nagoya J Med Sci 2011; 73:177– 185.
National Centre for Immunization and Respiratory Disease. Advisory Committee on Immunization Practices: General Recommendations on Immunization MMWR Recommendations and Reports 2011;60:1-64.
Lismail NA, El-Shoubary WA, Mahaba H. Safe injection practice among health workers in gharbiya governorate Eygpt. Eastern Medit Health J 2007;13:897-906.
Audu O, Joshua SA, Enokela OP. Knowledge and practice of injection safety among workers of Nigerian Prison service Health facilities in Kaduna State. Am J Public Health Res 2013;1:171-6. DOI: https://doi.org/10.12691/ajphr-1-7-5
Chowdhury KA, Roy T, Faroque BM, Bachar SC, Asaduzzaman M, Nasrin N. A comprehensive situation assessment of injection practices in primary health care hospitals in Bangladesh. BMC Public Health. 2011; 11:779. Doi.10.1471-2458/11/779. DOI: https://doi.org/10.1186/1471-2458-11-779
Anderson GS, Gaetz M, Masse J. First aid skill retention of first responders within the workplace. Scand J Trauma Resusc Emerg Med 2011;19:11. DOI: https://doi.org/10.1186/1757-7241-19-11
Amaral F, Almeida Troncon LE. Retention of knowledge and clinical skills by medical students: a prospective, longitudinal, one-year study using basic pediatric cardiology as a model. Open Med Educ J 2013;6:48-54. DOI: https://doi.org/10.2174/1876519X01306010048
Omorogbe VE, Omuemu VO, Isara AR. Injection safety practices among nursing staff of mission hospitals in Benin City, Nigeria. Ann Afr Med 2012;11:36-41. DOI: https://doi.org/10.4103/1596-3519.91020
Bolarinwa OA, Asowande A, Akintimi CI. Needle stick injury pattern among health Workers in Primary Health Care Facilities in Ilorin, Nigeria. Academic Research International. 2011;1: 419-429.
Kolade ES. Injection safety: knowledge and practice among health workers. West Afr J Med 2002; 21:70–3.
Noel Ebehiremen Uwaibi, Department of Community Health, College of Clinical Sciences, Edo University Iyamho, Edo State

Department of Community Health, college of clinical sciences, Edo university Iyamho, Edo state Nigeria

Francis Osezua Erah, Department of Community Health, Irrua Specialist Teaching Hospital, Irrua, Edo State

Department of Community Health, college of clinical sciences, Edo university Iyamho, Edo state Nigeria

How to Cite

Uwaibi, N. E., & Erah, F. O. (2021). Assessment of healthcare worker’s implementation of childhood routine immunization in primary healthcare centers in Edo State, Nigeria: A mixed method survey. Annals of Clinical and Biomedical Research, 2(1). https://doi.org/10.4081/acbr.2021.117

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.