Knowledge of Male Caregivers on Childhood Routine Immunization and Zero Dose Children in Borno State

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DOI: 10.21522/TIJPH.2013.13.04.Art023

Authors : Bashir Adebayo Elegbede, Adegboyega Oyefabi, Shettima Abdul – Kadir

Abstract:

Immunization remains a mainstay in safeguarding children's health worldwide, but achieving universal vaccination coverage has been a significant global challenge. Nigeria faces a particularly alarming situation among these countries, with over 2.2 million estimated zero-dose children in 2021. This study determined male caregivers' knowledge of childhood RI and zero-dose children in Borno. It is a settlement-based descriptive cross-sectional study, and a multi-stage sampling technique was employed to recruit 1,318 respondents. Data collection involved a structured questionnaire and data analysis was completed using IBM SPSS version 25 and STATA SE Version 17. The level of significance was set at 5%. Overall, 56% of respondents demonstrated poor knowledge of childhood RI and ZD, whereas 44% showed good knowledge. Using the Chi-Square Test, there was a statistically significant association between socio-demographic factors (educational status, occupation, and income) and poor understanding of childhood RI and zero-dose vaccination. Also, the multivariate logistics regression analysis results further buttress the outcome of the Chi Square tests; analysis showed that participants who attained secondary education (AOR=0.45, 95% CI=0.26-0.79) and those with tertiary education (AOR=0.46, 95% CI=0.24-0.88) had statistically significantly lower odds for poor knowledge compared to their counterparts with none, Qur’anic or primary education. Despite some positives regarding increased awareness of childhood RI, the understanding of male caregivers about childhood RI and zero-dose vaccination remains poor. Initiatives such as health education and community engagement targeting men should be incorporated into immunization activities.

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