Effects of Educational Intervention and Telephone-Reminders on Appointment-Keeping for Immunization among Mothers with Under-5 Children in Oyo State, Nigeria.
DOI:
https://doi.org/10.47672/ejhs.1063Keywords:
Appointment-keeping, Educational intervention, Immunization, Telephone-reminders, Mothers of under-5.Abstract
Purpose: This study assessed effects of educational intervention and telephone-reminders on appointment-keeping for immunization among mothers with under-5 children in Oyo state, Nigeriao state, Nigeria.
Methodology: The study utilized a quasi-experimental design which comprised two experimental groups and one control group using the quantitative approach. Health education intervention was delivered to the one experimental group, Health education intervention and Telephone-reminder SMS was delivered to the experimental group two at 6th and 10th week of their immunization appointment and no intervention was delivered to the control group. The educational intervention was for a duration of 2 weeks which was in three sessions, lasting for an average of 120 minutes. At baseline, data were collected before the intervention, at 2weeks immediately after the intervention, and at 8th weeks post-intervention in both the experimental and control groups. Data was analyzed using IBM SPSS version 23 to generate descriptive and inferential results.
Findings: Results showed that at baseline, there was no significant difference p<0.05 in the mean score of appointment-keeping practices in Intervention 2 (5.30±1.40), Intervention 1 (5.40±3.30), and control group (5.53±1.20). Between baseline and immediate post intervention, there was increase in the mean score of appointment-keeping practices in Intervention 2 (from 5.30±1.40 to 14.73±1.40, ES= 1.70), Intervention 1 (from 5.40±1.11 to 14.60±2.12, ES= 1.13). The level of appointment-keeping increased significantly between baseline and 8th-weeks follow up in Intervention 2 (from 5.30±1.40 to 16.75±2.15, ES= 4.24); Intervention 1 (from 5.40±3.30 to 14.80±2.04, ES= 2.37). However, there was no significant (p>0.05) difference in the CG at baseline and post intervention (from 5.53±1.20 to 5.61±1.40, ES= 0.14) also baseline and 8-weeks follow up (from 5.53±1.20 to 5.60±1.66, ES= 0.13). Intervention 2 results were significantly higher. In conclusion, the combined health education and telephone-reminder intervention was a more effective approach than the health education approach in increasing the appointment-keeping practices of mothers with under-5 children.
Recommendation: The study recommend that telephone-reminder be incorporated in health education strategies for mothers of under-5 children for effective control and prevention of vaccine preventable diseases.
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References
Abdulraheem, I., Onajole, A., Jimoh, A., & Oladipo, A. (2011). Reasons for incomplete vaccinationand factors for missed opportunities among rural Nigerian children. Journal of Public Health Epidemiology, 3(4):194-203
Adedire, E. B., Ajayi, L., Fawole, O. J., Kasasa, S., Wassawa. P., & Nguku, P. (2019). Immunization coverage and its determinants among children aged 12-13 months in AtakUmosa-west district, Osun state Nigeria. A cross sectional study. BMC Public Health, 16:905
Anderson E. L. (2014). Recommended solutions to the barriers to immunization in children and adults. Missouri medicine, 111(4), 344-348.
Awadh, A.I., Hassali, M.A., Al-lela, O. Q., Bux, S. H., Elkalmi R. M., & Hadi, H. (2014). Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing. BMC Public Health 14, 1107 https://doi.org/10.1186/1471-2458-14-110
Bangura, J. B., Xiao, S., Qiu, D., Ouyang, F., & Chen, L. (2020). Barriers to childhood immunization in sub-Saharan Africa: A systematic review. BMC Public Health 20, 1108 https://doi.org/10.1186/s12889-020-09169-4
Bangure, D., Chirundu, D., Gombe, N., Marufu, T., Mandozana.G.,Tshimanga, M., & Takundwa, L. (2015). Effectiveness of short message services reminder on childhood immunization programme in Kadoma, Zimbabwe - a randomized controlled trial, 2013. BMC Public Health, 15: 137
Donewell, B., Daniel, C., Notion, G., Tawanda, M., Gibson, M., Mufuta, T., & Lucia, T. (2015). Effectiveness of short message services reminder on childhood immunization programmeinKadoma, Zimbabwe - a randomized controlled trial, BMC Public Health 15:137 DOI 10.1186/s12889-015-1470-6
Favin, M., Steinglass, R., Fields, R., Banerjee, K., & Sawhney M. (2012). Why children are not vaccinated: a review of the grey literature. International Health, 4(4):229-238.
Harmsen I., Mollema, L., Ruiter, R., Paulussen, T., de Melker, H., & Kok, G. (2013). Why parents refuse childhood vaccination: a qualitative study using online focus groups. BMC Public Health, 13(1):1183
Jacobson, J. C., & Szilagyi, P. (2020). Patient reminder and patient recall systems to improve immunization rates. Cochrane Database Syst Rev.;20 (3):CD003941.
Kazi, A. M., Ali, M., Zubair, K., Kalimuddin, H., Kazi, A. N., Iqbal, S. P., Collet, J. P., & Ali, S. A. (2018). Effect of Mobile Phone Text Message Reminders on Routine Immunization Uptake in Pakistan: Randomized Controlled Trial. JMIR public health and surveillance, 4(1), e20. https://doi.org/10.2196/publichealth.7026
Larson, W., McCloskey, L., Mwale, M., Mwananyanda, L., Murray, K., Herman, A., Thea, D., MacLeod, W., & Gill, C. ( 2018). When you are injected, the baby is protected:" assessing the acceptability of a maternal T dap vaccine based on mothers' knowledge, attitudes, and beliefs of pertussis and vaccinations in Lusaka, Zambia. Vaccine, 36(21):3048-53. https://doi.org/10.1016/j.vaccine.2018.03.081.
Nwokeukwu, H. I., Emma-Ukaegbu, U., Ajuogu, E., Osunkwo, D., & Asinobi, A. (2019). Use of Telephone Calls in Reduction of dropout Rates of Routine Immunization in a Tertiary Health Facility in South Eastern Nigeria. European Journal of Preventive Medicine. 3(3); 39-43
Obi-Jeff, C., Garcia, C., Onuoha, O., Adewumi, F., David, W., Bamiduro, T., Aliyu, A. B., Labrique, A., & Wonodi, C. (2021). Designing an SMS reminder intervention to improve vaccination uptake in Northern Nigeria: a qualitative study. BMC health services research, 21(1), 844. https://doi.org/10.1186/s12913-021-06728-2
Oladepo, O., Dipeolu, I. O., & Oladunni, O. (2020). Outcome of reminder text messages intervention on completion of routine immunization in rural areas, Nigeria. Health Promotion International, 1-9 doi: 10.1093/heapro/daaa092
Oladepo. O., Dipeolu. I. O., & Oladunni, O. (2019). Nigerian rural mothers' knowledge of routine childhood immunizations and attitudes about use of reminder text messages for promoting timely completion. Journal of Public Health Policy40:459-477. https://doi.org/10.1057/s41271-019-00180-7
Olorunsaiye, C. Z., & Degge, H. (2019). Variations in the Uptake of Routine Immunization in Nigeria: Examining Determinants of Inequitable Access, Global Health Communication,2:1, 19-29, DOI: 10.1080/23762004.2016.1206780
Ophori, E. A., Tula, M. Y., Azih, A. V., Okojie, R., & Ikpo, P. E. (2014).Current trends of immunization in Nigeria: Prospects and challenges.Tropical Medicine and Health, 42(2), 67-75. doi:10.2149/tmh.2013-13
Rainey, J., Watkins, M., Ryman, T., Sandhu, P., Bo, A., & Banerjee, K. (2011). Reasons related to non- vaccination and under-vaccination of children in low and middle income countries: findings from a systematic review of the published literature, 1999-2009. Vaccine, 29(46):8215-21. https://doi.org/10.1016/j.vaccine.2011.08.096.19
Romance, D., Marissa, S., Amynah, J., & David, D. (2019). Providing mothers with mobile phone message reminders increases childhood immunization and vitamin A supplementation coverage in Côte d'Ivoire: A randomized controlled trial. Journal of Public Health in Africa; vol 10:1032
Sheikh. A., Iqbal,B., Ehtamam, A., Rahim, M., Shaikh, H., Usmani, H., Nasir, J., ,Ali, S., Zaki, M, & Wahab, T (2013). Reasons for non-vaccination in pediatric patients visiting tertiary care centers in a polio-prone country. Archives of Public Health, 71(1):19.
Stockwell, M. S., Kharbanda, E. O., Martinez, R. A., Lara, M., Vawdrey, D., Natarajan K. (2012). Impact of text Message Reminder-recalls for Paediatric and Adolescent Immunization. American journal of Public Health; 102(2):e15 -e21
Tengiz, V., Mariam, J., Ana L., Revaz J. & Beka, D. (2019). Mothers' Knowledge and Attitudes Towards Child Immunization in Georgia. The Open Public Health Journal. ISSN: 1874-9445, Vol 13.
World Health Organization (WHO). (2014a). Progress towards poliomyelitis eradication- Nigeria, January 2013-September 2014. WeeklyEpidemiological Record, 47(89), 517-528.
World Health Organization (WHO). (2015a). 1 in 5 children in Africa do not have access to life saving vaccines. Retrieved from http://www. afro.who.int/en/media-centre/afro-feature/item/7620-1-in-5-childrenin-africa-do-not-have-access-to-life-saving-vaccines.html
World Health Organization (WHO). (2015b). Nigeria reaches one year without polio. Retrieved from http://www.polioeradication.org/mediaroom/newsstories/Nigeria-reaches-one-year-without-polio/tabid/526/news/1257/Default.aspx?popUp=true
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