Caregivers Preference Source of Information about Childhood Immunization in Zamfara State, Northern Nigeria

Abstract:
The study investigates the relationship between caregivers’ preferred mediums of information about immunization and childhood immunization coverage in Zamfara state, Northern Nigeria. Primary data was collected from 200 caregivers from KauraNamoda, Bakura and Gusau local government areas of the state using a semi-structured interviewer administered questionnaires. The data was analyzed using descriptive statistical tools and Binary Logistic regression models. The descriptive result shows that most of the caregivers were between the age of 31 and 50 years (70%) with 96 (48%) having secondary school certificate (high school) has their highest level of education, about 98 (49%) and 23 (12%) preferred information from their traditional and religious leaders respectively, while 20 (10%) preferred information through town criers, 40 (20%) preferred information from the State’s Radio stations, , 6 (3%) through test messages, 5 (3%) through health workers, 5 (3%) through family and 2 (1%) through television. Results from Binary Logistic regression also reveal a positive relationship between these preferred mediums of information about immunization and a potential increase of childhood immunization coverage with a positive coefficient (0.91) that is statistically significant at 5% with a P-Value of 2.52%. This shows that people from this place have more believed and respect for their traditional institutions which are the custodian of culture in these places so culture is been respected in these areas. Therefore, there is a need for policy makers to have more collaboration with traditional institutions during implementation of immunization programmes. The study also shows that media especially radio (20%) can also play an important role in disseminating of information on immunization in these communities. So, in implementing a holistic program on immunization traditional institution (traditional leaders, religious leaders and town criers) with local radio stations should be targeted for information dissemination in order to improve immunization coverage in the State.
References:
[1]. Cecilia
Vidal Fuertes, Nicole, E., Johns Tracey, S., Goodman, Shirin Heidari, Jean
Munro, and Ahmad Reza Hosseinpoor, 2022,*The Association between Childhood Immunization and Gender Inequality: A
Multi-Country Ecological Analysis of Zero-Dose DTP Prevalence and DTP3
Immunization Coverage’:Vaccines (Basel). 2022 Jul; 10(7): 1032.
Published online 2022 Jun 27. doi: 10.3390/vaccines10071032
[2]. Edwin,
L., Anderson Recommended Solutions to the
Barriers to Immunization in Children and Adults Mo Med. 2014
Jul-Aug; 111(4): 344–348.
[3]. Orif, 2022, Office of
International Religious Freedom, 2021 Report on International Religious
Freedom: Nigeria: https://www.state.gov/reports/2021-report-on-international-religious-freedom/nigeria/
[4]. Adam, D., Mokieldin, A., Bilal, A. A.,
Hussein, A., Hirsi, M., 2015, SocioEconomic factors influence measles
immunization coverage in Shendi and Almatama localities-Sudan. Int. J. Chem.
Environ. Biol. Sci. 3, 411–414.
[5]. Ejemai,
Saye, and Fiammelta, 2022, Gender Inequality and Childhood Immunization in
Nigeria. Working paper: Link:Ejemai% 2C + Saye +and+ Fiammelta + %282022
%29%2C&sca_esv=594946161&sxsrf=AM9HkKl3T5rwSHLM5
&sclient=gws-wiz-serp
[6]. Antai, D., 2009, Inequitable childhood
immunization uptake in Nigeria: A multilevel analysis of individual and
contextual determinants. BMC Infectious Diseases, 9,
181.doi.org/101186/1471-2334-9-181
[7]. Gidado, S., Nguku, P., Biya, O., Waziri,
N. E., Mohammed, A., Nsubuga, P., & Sabitu, K., 2014, Determinants of
routine immunization coverage in Bungudu, Zamfara state, northern Nigeria. The
Pan African Medical Journal, 18(1).
[8]. Antai, D., 2012, Gender inequities,
relationship power, and childhood immunization uptake in Nigeria: A
population-based cross-sectional study. International Journal of Infectious
Diseases, 1(6), 136–145.
[9]. World
Health Organization. Explorations of inequality: childhood immunization. Geneva: WHO, 2018
[10]. Oleribe, O., Kumar, V., Awosika-Olumo,
A., & Taylor-Robinson, S. D., 2017, Individual and socioeconomic factors
associated with childhood immunization coverage in Nigeria. Pan African
Medical Journal, 26(220). doi: 10.org/.11604/pamj.26.220.11453
[11]. Adedire, E. B., Ajayi, O., Fawole, O. I.,
Ajumobi, A., O., Kasasa, S., & Wasswa, P., 2016, Immunization coverage and
its determinants among children aged 12-23 months in Atakumosa-west district,
Osun State Nigeria: A cross-sectional study. BMC Public Health16(1),
905.doi.org/10.1186/s12889-016-3531-x
[12]. Abdulraheem, I., Onajole, A., Jimoh, A.,
Oladipo, A., 2011, Reasons for incomplete vaccination and factors for missed
opportunities among rural Nigerian children. J. Public Health Epidemiol.
3, 194–203.
[13]. Tanko Saidu, 2019, ‘Research
Methodology’: Published by American Economic Research, U.S.A, P81-95.
[14]. Endurance A. Ophori,1,2,* Musa
Y. Tula,1 Azuka V. Azih,1 Rachel Okojie,1 and Precious
E. Ikpo1 Current Trends of
Immunization in Nigeria: Prospect and Challenges Trop Med Health. 2014 Jun; 42(2): 67–75
[15]. Galadima, A. N.,
Zulkefli, N. A. M., Said, S. M., Ahmad, N., Factors
influencing childhood immunisation uptake in Africa: a systematic review. BMC Public Health. (2021) 21:1475. doi: 10.1186/s12889-021-11466-5, PMID: [PMC
free article] [PubMed] [CrossRef] [Google
Scholar]
[16]. Adedokun, S. T., Uthman, O. A.,
Adekanmbi, V. T., & Wiysonge, C. S., 2017, Incomplete childhood
immunization in Nigeria: A multilevel analysis of individual and contextual
factors. BMC Public Health, 17, 236.doi.org/101186/s12889-017- 4137-7
[17]. Dauda Milgwe Madubu, Sociodemographic
Factors Associated with Childhood Vaccination Status in Sokoto State, Nigeria,
2021
[18]. Kitamura, T., Komada, K., Xeuatvongsa,
A., & Hachiya, M., 2013, Factors affecting childhood immunization in Lao
People's Democratic Republic: A cross-sectional study from nationwide,
population-based, multistage cluster sampling. Bioscience Trends, 7(4),
178-185. doi:10.5582/bst. 2013.v7.4.178
[19]. Samuel E. Danso, 1
, 2 Augustina Frimpong, 3 Nana A. H.
Seneadza, 1 and Michael F. Ofori
[20]. Jude N. Tuma, 2000 caregiver attitudes and beliefs associated with compliance to childhood immunization in Bamenda, Cameroon.