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Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study

BACKGROUND: The role of health communication in vaccination programmes cannot be overemphasized: it has contributed significantly to creating and sustaining demand for vaccination services and improving vaccination coverage. In Nigeria, numerous communication approaches have been deployed but these...

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Autores principales: Oku, Afiong, Oyo-Ita, Angela, Glenton, Claire, Fretheim, Atle, Eteng, Glory, Ames, Heather, Muloliwa, Artur, Kaufman, Jessica, Hill, Sophie, Cliff, Julie, Cartier, Yuri, Bosch-Capblanch, Xavier, Rada, Gabriel, Lewin, Simon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5311723/
https://www.ncbi.nlm.nih.gov/pubmed/28202001
http://dx.doi.org/10.1186/s12889-017-4020-6
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author Oku, Afiong
Oyo-Ita, Angela
Glenton, Claire
Fretheim, Atle
Eteng, Glory
Ames, Heather
Muloliwa, Artur
Kaufman, Jessica
Hill, Sophie
Cliff, Julie
Cartier, Yuri
Bosch-Capblanch, Xavier
Rada, Gabriel
Lewin, Simon
author_facet Oku, Afiong
Oyo-Ita, Angela
Glenton, Claire
Fretheim, Atle
Eteng, Glory
Ames, Heather
Muloliwa, Artur
Kaufman, Jessica
Hill, Sophie
Cliff, Julie
Cartier, Yuri
Bosch-Capblanch, Xavier
Rada, Gabriel
Lewin, Simon
author_sort Oku, Afiong
collection PubMed
description BACKGROUND: The role of health communication in vaccination programmes cannot be overemphasized: it has contributed significantly to creating and sustaining demand for vaccination services and improving vaccination coverage. In Nigeria, numerous communication approaches have been deployed but these interventions are not without challenges. We therefore aimed to explore factors affecting the delivery of vaccination communication in Nigeria. METHODS: We used a qualitative approach and conducted the study in two states: Bauchi and Cross River States in northern and southern Nigeria respectively. We identified factors affecting the implementation of communication interventions through interviews with relevant stakeholders involved in vaccination communication in the health services. We also reviewed relevant documents. Data generated were transcribed verbatim and analysed using thematic analysis. RESULTS: We used the SURE framework to organise the identified factors (barriers and facilitators) affecting vaccination communication delivery. We then grouped these into health systems and community level factors. Some of the commonly reported health system barriers amongst stakeholders interviewed included: funding constraints, human resource factors (health worker shortages, training deficiencies, poor attitude of health workers and vaccination teams), inadequate infrastructure and equipment and weak political will. Community level factors included the attitudes of community stakeholders and of parents and caregivers. We also identified factors that appeared to facilitate communication activities. These included political support, engagement of traditional and religious institutions and the use of organised communication committees. CONCLUSIONS: Communication activities are a crucial element of immunization programmes. It is therefore important for policy makers and programme managers to understand the barriers and facilitators affecting the delivery of vaccination communication so as to be able to implement communication interventions more effectively. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-017-4020-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-53117232017-02-22 Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study Oku, Afiong Oyo-Ita, Angela Glenton, Claire Fretheim, Atle Eteng, Glory Ames, Heather Muloliwa, Artur Kaufman, Jessica Hill, Sophie Cliff, Julie Cartier, Yuri Bosch-Capblanch, Xavier Rada, Gabriel Lewin, Simon BMC Public Health Research Article BACKGROUND: The role of health communication in vaccination programmes cannot be overemphasized: it has contributed significantly to creating and sustaining demand for vaccination services and improving vaccination coverage. In Nigeria, numerous communication approaches have been deployed but these interventions are not without challenges. We therefore aimed to explore factors affecting the delivery of vaccination communication in Nigeria. METHODS: We used a qualitative approach and conducted the study in two states: Bauchi and Cross River States in northern and southern Nigeria respectively. We identified factors affecting the implementation of communication interventions through interviews with relevant stakeholders involved in vaccination communication in the health services. We also reviewed relevant documents. Data generated were transcribed verbatim and analysed using thematic analysis. RESULTS: We used the SURE framework to organise the identified factors (barriers and facilitators) affecting vaccination communication delivery. We then grouped these into health systems and community level factors. Some of the commonly reported health system barriers amongst stakeholders interviewed included: funding constraints, human resource factors (health worker shortages, training deficiencies, poor attitude of health workers and vaccination teams), inadequate infrastructure and equipment and weak political will. Community level factors included the attitudes of community stakeholders and of parents and caregivers. We also identified factors that appeared to facilitate communication activities. These included political support, engagement of traditional and religious institutions and the use of organised communication committees. CONCLUSIONS: Communication activities are a crucial element of immunization programmes. It is therefore important for policy makers and programme managers to understand the barriers and facilitators affecting the delivery of vaccination communication so as to be able to implement communication interventions more effectively. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-017-4020-6) contains supplementary material, which is available to authorized users. BioMed Central 2017-02-15 /pmc/articles/PMC5311723/ /pubmed/28202001 http://dx.doi.org/10.1186/s12889-017-4020-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Oku, Afiong
Oyo-Ita, Angela
Glenton, Claire
Fretheim, Atle
Eteng, Glory
Ames, Heather
Muloliwa, Artur
Kaufman, Jessica
Hill, Sophie
Cliff, Julie
Cartier, Yuri
Bosch-Capblanch, Xavier
Rada, Gabriel
Lewin, Simon
Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
title Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
title_full Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
title_fullStr Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
title_full_unstemmed Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
title_short Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
title_sort factors affecting the implementation of childhood vaccination communication strategies in nigeria: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5311723/
https://www.ncbi.nlm.nih.gov/pubmed/28202001
http://dx.doi.org/10.1186/s12889-017-4020-6
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