Knowledge And Attitudes of Caregivers Towards Measles Vaccine Second Dose in Adamawa State Nigeria, June 2024
Abstract:
Despite the availability of
reliable and affordable measles vaccines, Nigeria is still experiencing low
vaccination coverage, resulting in high cases of measles and related.se. This
study assessed the baseline knowledge and attitude of caregivers towards measles and MCV2 in Adamawa State, Nigeria. Baseline
reports of the knowledge and attitudes of caregivers towards measles and MCV2
were obtained from a three-arm, parallel randomized control trial conducted in
four health facilities sampled through three-stage
multistage sampling technique in Adamawa State. Semi-structured
interviewer-administered questionnaire was administered to 351enrolled caregivers. Mean age of caregivers was 30.7 (SD±6.7);
212 (60.39%) of caregivers had good knowledge of measles and MCV2 and 265 (75.5%) had high
level of positive attitude toward measles and MCV2. Major
factors statistically associated with good knowledge of measles and MCV2 among
caregivers include age (X2=27.1, p-value=<0.001) marital status
(X2=37.0, p-value=<0.001) and Family size (X2=15.1,
p-value=<0.001). Factors statistically associated with the positive attitude
of mothers towards MCV2 include marital status (X2=49.0,
p-value=<0.001), religion (X2=73.3.0, p-value=<0.001) and
occupation of caregiver (X2=11.1, p-value=<0.049). There
is partial understanding of measles and MCV2 among caregivers in Adamawa State;
however, there is relatively high level of awareness on measles with high level
of positive attitude towards MCV2 among caregivers. Knowledge of caregivers on
MCV2 is suboptimal but a good proportion had positive attitude towards measles
and MCV2; therefore, the Adamawa State government should develop measures to
improve measles vaccination coverage by increasing awareness of MCV2 through
monitoring and addressing knowledge gaps on MCV2.
References:
[1]. Franconeri, L., Antona, D., Cauchemez, S.,
Lévy-Bruhl, D., Paireau, J., 2019, Two-dose measles vaccine effectiveness
remains high over time: A French observational study 2017–2019, Vaccine 2023,
41(39):5797-5804, https://pubmed.ncbi.nlm.nih.gov/37586955/
[2]. World Health Organization 2021,
Immunization coverage, Fact Sheet 2021. Retrieved From (https://www.who.int/news-room/fact-sheets/detail/immunization-coverage)
[3]. World Health Organization 2021,
Implementing the Immunization Agenda 2030, WHO 2021:1–32, Retrieved from
https://www.who.int/publications/m/item/implementing-the-immunization-agenda-2030
[4]. Mehedi, H. M., Soares, M. R., Ahmed, S., et
al, 2021, Meeting the global target in reproductive, maternal, newborn, and
child health care services in low- And middle-income countries, Glob Health
Sci Pract., 8(4):654-665, https://pubmed.ncbi.nlm.nih.gov/33361233/
[5]. World Health Organization 2020,
Immunization Agenda 2030: a global strategy to leave no one behind, Retrieved
from https://www.who.int/publications/m/item/immunization-agenda-2030-a-global-strategy-to-leave-no-one-behind/
(accessed March 17, 2024).
[6]. Ward, J. L., Azzopardi, P. S., Francis, K.
L., Santelli, J. S., Skirbekk, V., Sawyer, S. M., et al., 2019, Global,
regional, and national mortality among young people aged 10–24 years,
1950–2019: a systematic analysis for the Global Burden of Disease Study 2019, The
Lancet 2021, 398 (10311), 1593 - 1618 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01546-4/fulltext
[7]. Nigeria Economic Summit Group 2021, Health
Vaccine Policy, Received from https://nesgroup.org/download_policy_drafts/Nigeria%20Vaccine%20Policy%20%282021%29_Draft%20I_1661875592.pdf
[8]. World Health Organization 2021, Development
of Vaccines, Retrieved from https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChcSEwjPlPbWnqaIAxXWl4MHHWBpAPcYABAAGgJlZg&co=1&ase=2&gclid=CjwKCAj
[9]. Wariri, O., Nkereuwem, E., Erondu, N. A.,
Edem, B., Nkereuwem, O. O., Idoko, O. T., et al., 2021, A scorecard of progress
towards measles elimination in 15 west African countries, 2001–19: a
retrospective, multi-country analysis of national immunisation coverage and
surveillance data, Lancet Glob Health, 9(3), e280-e290 https://pubmed.ncbi.nlm.nih.gov/33607028/
[10]. Adamawa State Government 2020, Adamawa
State Situation Analysis of Children, Retrieved from https://adspc.ad.gov.ng/wp-content/uploads/2024/01/Adamawa-State-Child-Situation-Analysis-SitAn.pdf
[11]. Durrheim, D. N., 2020, Measles eradication
- retreating is not an option, Lancet Infect Dis 2020; 20(6),
e138-e14120, https://pubmed.ncbi.nlm.nih.gov/32197095/
[12]. World Health Organization 2019, More than
140,000 die from measles as cases surge worldwide, Retrieved from https://www.who.int/news/item/05-12-2019-more-than-140-000-die-from-measles-as-cases-surge-worldwide
[13]. Wang, R., Jing, W., Liu, M., Liu, J., 2021,
Trends of the Global, Regional, and National Incidence of Measles, Vaccine
Coverage, and Risk Factors in 204 Countries From 1990 to 2019, Front Med
(Lausanne), 8(2), 205-207, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810814/
[14]. Utazi, C. E., Aheto, J. M., Wigley, A.,
Tejedor-Garavito, N., Bonnie, A., Nnanatu, C., et al., 2023, Mapping the
distribution of zero-dose children to assess the performance of vaccine
delivery strategies and their relationships with measles incidence in Nigeria,
Vaccine 2023, 41(1), 170-181 https://www.sciencedirect.com/science/article/pii/S0264410X22014207
[15]. Ehlman, D. C., Magoola, J., Tanifum, P.,
Wallace, A. S., Behumbiize, P., Mayanja, R., et al., 202, Evaluating a mobile
phone–delivered text message reminder intervention to reduce infant vaccination
dropout in Arua, Uganda: Protocol for a randomized controlled trial, JMIR
Res Protoc, 10(2), 17262 -17263, https://pubmed.ncbi.nlm.nih.gov/33625372/
[16]. Lwanga, S. K., Lemeshow, S., 1991, Sample
Size Determination in Health Studies. Biometrics 1991;47 (2), 36-42, https://tbrieder.org/publications/books_english/lemeshow_samplesize.pdf
[17]. Dalaba, M. A., Ane, J., Bobtoya, H. S.,
2023, Factors contributing to low second dose measles-rubella vaccination
coverage among children aged 18 to 59 months in Bolgatanga Municipality of
Ghana: a cross-sectional study, Journal of Global Health Science, 5(1),
2671-2923, https://www.e-jghs.org/pdf/10.35500/jghs.2023.5.e11
[18]. Oluseye, O. M., Jimoh, N. A., Ogunleye, C.
A., 2021, Knowledge and Attitude of Mothers towards Measles, Mumps and Rubella
MMR) Vaccine in Idi- Aba Community Abeokuta, Nigeria, Open Journal of
Medical Research, 2(2), 136–148. https://www.openjournalsnigeria.org.ng/pub/ojmr0202006-259.pdf
[19]. Taiwo, B., Abidemi, L., 2017, Knowledge,
Perception, Practice and Sources of information on Immunization among
mothers/Caregivers of Children Aged 12-23 months in Kaduna State, Nigeria,
9(1), 168-170, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462320/
[20]. Adedire, E. B., Ajumobi, O., Bolu, O.,
Nguku, P., Ajayi, I., 2021, Maternal knowledge, attitude, and perception about
childhood routine immunization program in Atakumosa-west Local Government Area,
Osun State, Southwestern Nigeria. Pan Afr Med J, 40(1), 8-10, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474928/
[21]. Owais, A., Hanif, B., Siddiqui, A. R., Agha,
A., Zaidi, A. K., 2011, Does improving maternal knowledge of vaccines impact
infant immunization rates? A community-based randomized-controlled trial in
Karachi, Pakistan, BMC Public Health, 11 (1), 238-239, https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-239
[22]. Uwaibi, N. E., Akhimienho, I. K., 2020,
Assessment of knowledge and practice of childhood routine immunization among
mothers/caregivers attending primary health care centres in Benin City, Nigeria,
Journal of Applied Sciences and Environmental Management, 24 (10),
1703–1710, https://www.semanticscholar.org/paper/Assessment-of-knowledge-and-practice-of-childhood-Uwaibi-Akhimienho/89b9ffa2659edf5ffe8a83b4f204ab4a5e1f2959
[23]. Tagbo, B., Uleanya, N., Nwokoye, I., Eze,
J., Omotowo, I., 2012, Mothers’ knowledge, perception and practice of childhood
immunization in Enugu, Niger J Paediatr, 39 (3), 314-318, https://www.researchgate.net/publication/272338782_Mothers'_knowledge_perception_and_practice_of_childhood_immunization_in_Enugu
[24]. Pulcini, C., Massin, S., Launay, O., Verger,
P., 2014, Knowledge, attitudes, beliefs and practices of general practitioners
towards measles and MMR vaccination in southeastern France in 2012, Clinical
Microbiology and Infection, 20(1), 38–43, https://pubmed.ncbi.nlm.nih.gov/23517454/
[25]. Htike, A. Z., Aung, S. M., Win, O. M.,
2020, Maternal Knowledge on Routine Childhood Immunization: A Community Based
Cross-sectional Study in Rural Area of Mon State, Myanmar, Asian Journal of
Research in Infectious Diseases, 3(2), 1–9, https://journalajrid.com/index.php/AJRID/article/view/54
[26]. Shaheen, A., Afzal, M., Majeed, I., Amir
Gilani, S., 2019, Mother’s Knowledge and Attitude Towards Childhood
Immunization in a Rural Community, Global Scientific Journals, https://www.globalscientificjournal.com/researchpaper/Mother_s_knowledge_and_attitude_towards_childhood_immunization_in_a_rural_community.pdf
[27]. Cockcroft, A., Usman, M. U., Nyamucherera,
O. F., Emori, H., Duke, B., Umar, N. A., et al., 2014, Why children are not
vaccinated against measles: A cross-sectional study in two Nigerian States, Archives
of Public Health, 72(1), 48-50, https://archpublichealth.biomedcentral.com/articles/10.1186/2049-3258-72-48
[28]. Weiss, C., Schröpfer, D., Merten, S., 2016, Parental attitudes towards measles vaccination in the canton of Aargau, Switzerland: A latent class analysis, BMC Infect Dis, 16(1), 400 -405, https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-016-1747-0
