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Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019

BACKGROUND: Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determi...

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Autores principales: Fatiregun, Akinola Ayoola, Lochlainn, Laura Nic, Kaboré, Lassané, Dosumu, Modupeola, Isere, Elvis, Olaoye, Itse, Akanbiemu, Francis Adegoke, Olagbuji, Yetunde, Onyibe, Rosemary, Boateng, Kofi, Banda, Richard, Braka, Fiona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396738/
https://www.ncbi.nlm.nih.gov/pubmed/34449777
http://dx.doi.org/10.1371/journal.pone.0252798
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author Fatiregun, Akinola Ayoola
Lochlainn, Laura Nic
Kaboré, Lassané
Dosumu, Modupeola
Isere, Elvis
Olaoye, Itse
Akanbiemu, Francis Adegoke
Olagbuji, Yetunde
Onyibe, Rosemary
Boateng, Kofi
Banda, Richard
Braka, Fiona
author_facet Fatiregun, Akinola Ayoola
Lochlainn, Laura Nic
Kaboré, Lassané
Dosumu, Modupeola
Isere, Elvis
Olaoye, Itse
Akanbiemu, Francis Adegoke
Olagbuji, Yetunde
Onyibe, Rosemary
Boateng, Kofi
Banda, Richard
Braka, Fiona
author_sort Fatiregun, Akinola Ayoola
collection PubMed
description BACKGROUND: Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State. METHODS: This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0–23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out. RESULTS: 984 caregivers with children aged 0–23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV. CONCLUSIONS: One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers’ engagement and screening of vaccination documentation by health workers during every health service encounter.
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spelling pubmed-83967382021-08-28 Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019 Fatiregun, Akinola Ayoola Lochlainn, Laura Nic Kaboré, Lassané Dosumu, Modupeola Isere, Elvis Olaoye, Itse Akanbiemu, Francis Adegoke Olagbuji, Yetunde Onyibe, Rosemary Boateng, Kofi Banda, Richard Braka, Fiona PLoS One Research Article BACKGROUND: Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State. METHODS: This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0–23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out. RESULTS: 984 caregivers with children aged 0–23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV. CONCLUSIONS: One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers’ engagement and screening of vaccination documentation by health workers during every health service encounter. Public Library of Science 2021-08-27 /pmc/articles/PMC8396738/ /pubmed/34449777 http://dx.doi.org/10.1371/journal.pone.0252798 Text en © 2021 Fatiregun et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Fatiregun, Akinola Ayoola
Lochlainn, Laura Nic
Kaboré, Lassané
Dosumu, Modupeola
Isere, Elvis
Olaoye, Itse
Akanbiemu, Francis Adegoke
Olagbuji, Yetunde
Onyibe, Rosemary
Boateng, Kofi
Banda, Richard
Braka, Fiona
Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019
title Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019
title_full Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019
title_fullStr Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019
title_full_unstemmed Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019
title_short Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019
title_sort missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest state of nigeria, december 2019
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396738/
https://www.ncbi.nlm.nih.gov/pubmed/34449777
http://dx.doi.org/10.1371/journal.pone.0252798
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