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Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design

BACKGROUND: Adequate immunization coverage in rural communities remain a challenge in Nigeria. Traditional birth attendants (TBAs) form an integral part of the social, cultural and religious fabric in most rural communities in Nigeria. Despite their limitations in handling the complications of child...

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Autores principales: Iwu, Chinedu Anthony, Uwakwe, Kenechi, Oluoha, Uche, Duru, Chukwuma, Nwaigbo, Ernest
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863363/
https://www.ncbi.nlm.nih.gov/pubmed/33541305
http://dx.doi.org/10.1186/s12889-021-10311-z
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author Iwu, Chinedu Anthony
Uwakwe, Kenechi
Oluoha, Uche
Duru, Chukwuma
Nwaigbo, Ernest
author_facet Iwu, Chinedu Anthony
Uwakwe, Kenechi
Oluoha, Uche
Duru, Chukwuma
Nwaigbo, Ernest
author_sort Iwu, Chinedu Anthony
collection PubMed
description BACKGROUND: Adequate immunization coverage in rural communities remain a challenge in Nigeria. Traditional birth attendants (TBAs) form an integral part of the social, cultural and religious fabric in most rural communities in Nigeria. Despite their limitations in handling the complications of childbirth, TBAs are widely accepted and patronized, especially in rural areas. The objectives of the project were to empower TBAs and assess the use of a culturally adapted audio-visual workshop intervention to change their knowledge, attitude and willingness to promote immunization uptake. METHODS: A repeated-measures design that used a convenience sampling technique to select 90 TBAs from the three geopolitical zones of Imo State, Nigeria. The TBAs were engaged through a culturally adapted audio-visual workshop. Data were collected before and immediately after intervention using a pretested questionnaire. Chi square test was done to determine any significant association with the zone of practice and paired sample t-test analysis to determine any significant pre and post intervention change. Level of significance was set at p ≤ ·05. RESULTS: More than half of the TBAs had at most, a secondary level of education (54·4%). The average length of time they practiced as TBAs was 16 years with an average of ten birth deliveries per month. After the intervention, all the respondents (100%) reported a willingness to always promote immunization uptake and also, there was a statistically significant increase in Knowledge (p < ·000). Similarly, the level of knowledge in the post intervention period appeared to be significantly associated with the zone of practice (p = ·027). CONCLUSION: The workshop intervention empowered the TBAs irrespective of their zones of residence by successfully improving their knowledge, though at varying levels; and consequently, their willingness to always promote immunization uptake. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10311-z.
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spelling pubmed-78633632021-02-05 Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design Iwu, Chinedu Anthony Uwakwe, Kenechi Oluoha, Uche Duru, Chukwuma Nwaigbo, Ernest BMC Public Health Research Article BACKGROUND: Adequate immunization coverage in rural communities remain a challenge in Nigeria. Traditional birth attendants (TBAs) form an integral part of the social, cultural and religious fabric in most rural communities in Nigeria. Despite their limitations in handling the complications of childbirth, TBAs are widely accepted and patronized, especially in rural areas. The objectives of the project were to empower TBAs and assess the use of a culturally adapted audio-visual workshop intervention to change their knowledge, attitude and willingness to promote immunization uptake. METHODS: A repeated-measures design that used a convenience sampling technique to select 90 TBAs from the three geopolitical zones of Imo State, Nigeria. The TBAs were engaged through a culturally adapted audio-visual workshop. Data were collected before and immediately after intervention using a pretested questionnaire. Chi square test was done to determine any significant association with the zone of practice and paired sample t-test analysis to determine any significant pre and post intervention change. Level of significance was set at p ≤ ·05. RESULTS: More than half of the TBAs had at most, a secondary level of education (54·4%). The average length of time they practiced as TBAs was 16 years with an average of ten birth deliveries per month. After the intervention, all the respondents (100%) reported a willingness to always promote immunization uptake and also, there was a statistically significant increase in Knowledge (p < ·000). Similarly, the level of knowledge in the post intervention period appeared to be significantly associated with the zone of practice (p = ·027). CONCLUSION: The workshop intervention empowered the TBAs irrespective of their zones of residence by successfully improving their knowledge, though at varying levels; and consequently, their willingness to always promote immunization uptake. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10311-z. BioMed Central 2021-02-04 /pmc/articles/PMC7863363/ /pubmed/33541305 http://dx.doi.org/10.1186/s12889-021-10311-z Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data.
spellingShingle Research Article
Iwu, Chinedu Anthony
Uwakwe, Kenechi
Oluoha, Uche
Duru, Chukwuma
Nwaigbo, Ernest
Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design
title Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design
title_full Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design
title_fullStr Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design
title_full_unstemmed Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design
title_short Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design
title_sort empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in nigeria: a repeated measures design
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863363/
https://www.ncbi.nlm.nih.gov/pubmed/33541305
http://dx.doi.org/10.1186/s12889-021-10311-z
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