Impacts of Health Education Intervention Programme on Vaccines Hesitancy and Routine Immunization Schedule Adherence in Taraba State-Nigeria
Abstract:
Vaccines hesitancy is an established
phenomenon that contributes significant health challenges with resultant high morbidities
and mortalities. This study examined the impact of health education in resolving
vaccines hesitancy and non-adherence to routine immunization schedule among intervention
group in comparison to the non-intervention group in Taraba State. Interventions
to resolve vaccines-hesitancy and non-adherence to childhood routine immunization
schedule in Nigeria is highly needed but inadequate.
Quasi-experimental design used; newborn
infantβs mothers accessing immunization in two health facilities PHCC Kona (the
intervention group) and PHC Mayo Gwai (the control group) constitute target population
explored in this study. Sample size of 20 newborn infant mothers each from the two
health facilities, intervention and non-intervention.
The mean age for both intervention and
control group are 27.20+ 2.93, and 27.51+ 2.95 respectively. Participants were female,
60% have non-education, 25% have primary education, 15% have secondary education,
participants with none and tertiary education 0%. Married [78%] Single [18%]; Divorced
[4%]; Widow [0%]; Separated [0%]. The results of appointment-keeping measured at
9thmonth follow-up on a 9-point scale reported for control (π=4.77, SE=0.13 or 64.1%) and for intervention
one (π=7.50,
SE=0.06 or 94.3%) showed a large effect size (ES) of 2.31(95%CI: 2.74 to 3.88) that
was significant at p<0.001.
At the end of the study fully vaccinated
were 20 (100%), partial and not vaccinated 0% each. For the control group, fully
vaccinated were 5(25%) partially vaccinated 13 (65%) not vaccinated 0 (0%).
Keywords: Vaccines hesitancy, vaccination, routine
immunization schedule adherence, vaccines preventable diseases, mothers, and family
support health education.
References:
[1]. Machingaidze
S, Wiysonge CS, Hussey GD. Strengthening the expanded programme on immunization
in Africa: looking beyond 2015. PLoS Med 2013;10(3): e1001405. doi:
10.1371/journal.pmed.1001405. PMID:23526886. [PMC free article] [PubMed] [CrossRef]
[Google Scholar].
[2].
Feldstein
LR, Mariat S, Gacic-Dobo M, Diallo S, Conklin L, Wallace A. Global routine vaccination
coverage, 2016. Wkly Epidemiol Rec 2017;92(46):701β7. PMID:29148273. [Google Scholar].
[3].
World
Health Organization Global vaccine action plan: Regional vaccine action plans 2016
progress reports. Geneva: WHO; 2016. Available at
http://www.who.int/immunization/sage/meetings/2016/october/3_Regional_vaccine_action_plans_2016_progress_reports.pdf
(accessed 2January2018). [Google Scholar].
[4].
Patel
MK, Gacic-Dobo M, Strebel PM, et al. Progress toward regional measles elimination
β worldwide, 2000β2015. MMWR Morb Mortal Wkly Rep 2016;65(44):1228β33. doi:10.15585/mmwr.mm6544a6.
PMID:27832050. [PubMed] [CrossRef] [Google Scholar].
[5].
World
Health Organization Immunization coverage: Fact sheet. Geneva: WHO; 2018. Available
at http://www.who.int/mediacentre/factsheets/fs378/en/ (accessed 1March2018). [Google Scholar].
[6].
World
Health Organization Assessment report of the global vaccine action plan. Strategic
advisory group of
experts on immunization.
Geneva: WHO; 2017. Available at
http://www.who.int/immunization/web_2017_sage_gvap_assessment_report_en.pdf
(accessed 1March2018). [Google Scholar].
[7].
MacDonald
NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine 2015;33(34):4161β4.
doi: 10.1016/j.vaccine.2015.04.036. PMID:25896383. [PubMed] [CrossRef] [Google Scholar].
[8].
Dube
E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: An overview.
Human vaccines & immunotherapeutics 2013;9(8):1763β73. doi:10.4161/hv.24657.
[PMC free article] [PubMed] [CrossRef] [Google Scholar].
[9].
Dube
E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine
movement: Influence, impact and implications. Expert Rev Vaccines 2015;14(1):99β117.
doi:10.1586/14760584.2015.964212. PMID:25373435. [PubMed] [CrossRef] [Google Scholar].
[10].
The
Vaccine Confidence Project The state of vaccine confidence. London, UK: London School
of Hygiene & Tropical Medicine; 2015. Available at http://www.vaccineconfidence.org/research/the-state-of-vaccine-confidence/
(accessed 5January2018). [Google Scholar].
[11].
Ghinai
I, Willott C, Dadari I, Larson HJ. Listening to the rumours: What the northern Nigeria
polio vaccine boycott can tell us ten years on. Global public health 2013;8(10):1138β50.
doi:10.1080/17441692.2013.859720. PMID:24294986. [PMC free article] [PubMed] [CrossRef]
[Google Scholar].
[12].
UNICEF
Kenya Combatting antivaccination rumours: Lessons learned from case studies in East
Africa. Nairobi, Kenya: UNICEF; 2001. Available at http://www.path.org/vaccineresources/details.php
?i=144 (accessed 12June2017). [Google Scholar].
[13].
Fine
P, Eames K, Heymann DL. "Herd immunity": A rough guide. Clinical infectious
diseases: an official publication of the Infectious Diseases Society of America
2011;52(7):911β6. doi:10.1093/cid/cir007. PMID:21427399. [PubMed] [CrossRef] [Google
Scholar].
[14].
World
Health Organization Meeting of the Strategic Advisory Group of Experts on immunization,
October 2014 β conclusions and recommendations. Wkly Epidemiol Rec 2014;89(50):561β76.
PMID:25513671. [PubMed] [Google Scholar].
[15].
Larson
HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy
around vaccines and vaccination from a global perspective: a systematic review of
published literature, 2007β2012. Vaccine 2014;32(19):2150β9. doi:
10.1016/j.vaccine.2014.01.081. PMID:24598724. [PubMed] [CrossRef] [Google Scholar].
[16].
Betsch
C, BΓΆhm R, Chapman GB. Using behavioral insights to increase vaccination policy
effectiveness. Policy Insights from the Behavioral and Brain Sciences 2015;2(1):61β73.
doi:10.1177/2372732215600716. [CrossRef] [Google Scholar].
[17].
Henrich
J, Heine SJ, Norenzayan A. The weirdest people in the world? Behav Brain Sci 2010;33(2β3):61β83;
discussion -135. doi:10.1017/S0140525X0999152X. PMID:20550733. [PubMed] [CrossRef]
[Google Scholar].
[18].
Jarrett
C, Wilson R, O'Leary M, Eckersberger E, Larson HJ. Strategies for addressing vaccine
hesitancy β A systematic review. Vaccine 2015;33(34):4180β90. doi:
10.1016/j.vaccine.2015.04.040. PMID:25896377. [PubMed] [CrossRef] [Google Scholar].
[19].
Larson
HJ, Jarrett C, Schulz WS, et al. Measuring vaccine hesitancy: The development of
a survey tool. Vaccine 2015;33(34):4165β75. doi: 10.1016/j.vaccine.2015.04.037.
PMID:25896384. [PubMed] [CrossRef] [Google Scholar].
[20].
Opel
DJ, Mangione-Smith R, Taylor JA, et al. Development of a survey to identify vaccine-hesitant
parents: the parent attitudes about childhood vaccines survey. Human vaccines 2011;7(4):419β25.
doi:10.4161/hv.7.4.14120. PMID:21389777. [PMC free article] [PubMed] [CrossRef]
[Google Scholar].
[21].
SAGE
Vaccine Hesitancy Working Group Report of the SAGE working group on vaccine hesitancy.
Geneva: World Health Organization; 2014. [Google Scholar].
[22].
Poland
CM, Brunson EK. The need for a multi-disciplinary perspective on vaccine hesitancy
and acceptance. Vaccine 2015;33(2):277β9. doi: 10.1016/j.vaccine.2014.11.022. PMID:25448096.
[PubMed] [CrossRef] [Google Scholar].