尼日利亚奥约州伊巴丹北部地方政府地区母亲对非常规儿童免疫接种的了解和利用情况

A. Ese, V. Brown, O. Oluwatosin
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摘要

背景:疫苗可预防的疾病是非洲儿童死亡的主要原因。在尼日利亚,除了由政府免费提供的常规儿童疫苗外,还有其他挽救生命的非常规疫苗,如轮状病毒、肺炎球菌结合疫苗、水痘、脑脊髓膜炎和麻疹、腮腺炎、风疹(MMR)疫苗。直到2015年,当PCV被纳入常规儿童免疫接种时,这五种疫苗是可选的,父母付钱给他们的孩子接种它们。目的:了解母亲对非常规免疫接种的知识和利用情况。方法:在尼日利亚奥约州伊巴丹北部地方政府区有意选择的三个婴儿福利诊所进行描述性横断面研究。参与者是110名6-24个月大孩子的母亲。采用结构化问卷进行数据收集和分析,使用SPSS 20.0版本。进行描述性统计,采用卡方检验在0.05显著水平下对分类变量进行相关性分析。结果:110名母亲中有62人(56.4%)了解非常规免疫接种,其中23人(20.9%)了解非常规免疫接种。只有23名(20.9%)儿童接种了所有非常规疫苗。母亲收入高、受教育程度高、非常规免疫知识水平高与子女使用所有非常规免疫相关(p<0.01)。结论:母亲对非常规免疫的认识较差,其子女对疫苗的接种率较低。建议开展健康教育,以提高母亲对儿童非常规免疫接种的认识和利用。关键词:疫苗可预防疾病,儿童,可选,免疫接种,意识,吸收,伊巴丹,尼日利亚
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Mothers’ knowledge and utilization of non-routine childhood immunisation in Ibadan North Local Government Area, Oyo state, Nigeria
Background: Vaccinepreventable- diseases are major contributors to child mortality in Africa. In Nigeria, apart from the routine childhood vaccines  that are provided free by the government, there are additional lifesaving non-routine vaccines like Rotavirus, Pneumococcal Conjugate (PCV),  Varicella, Cerebrospinal meningitis, and Measles, Mumps, Rubella (MMR) vaccines. Until 2015 when PCV was included in the routine childhood  immunisation, these five vaccines were optional and parents paid to immunize their children with them.Objective: To assess the level of knowledge and utilization of nonroutine immunisations among mothers.Methodology: A descriptive, cross -sectional study conducted in three infant welfare clinics purposively selected in Ibadan North Local Government Area, Oyo State, Nigeria. Participants were 110 mothers of children aged 6-24 months. A structured questionnaire was used for data collection and analysis done using SPSS version 20.0. Descriptive statistics were computed and Chi-square test was used for investigating association between  categorical variables at 0.05 level of significance.Results: The findings revealed that 62 (56.4%) of the 110 mothers were aware of non-routine immunisation of which 23 (20.9%) had good knowledge about it. Only 23 (20.9%) of their children were immunized with all the nonroutine vaccines. High income, higher level of education and good knowledge level about non-routine immunisation of mothers were associated with the utilization of all non-routine immunisation among their children (p<0.01).Conclusion: Knowledge of mothers about non-routine immunisation was poor and uptake of the vaccines among their children low. Health  education to improve mothers’ knowledge and utilization of non-routine immunisation by their children is recommended. Keywords: Vaccine-preventablediseases, Children, Optional, Immunisation, Awareness, Uptake, Ibadan, Nigeria 
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