Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
Identifieur interne : 000C34 ( Main/Exploration ); précédent : 000C33; suivant : 000C35Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study
Auteurs : Afiong Oku ; Angela Oyo-Ita ; Claire Glenton [Norvège] ; Atle Fretheim [Norvège] ; Glory Eteng ; Heather Ames [Norvège] ; Artur Muloliwa [Mozambique] ; Jessica Kaufman [Australie] ; Sophie Hill [Australie] ; Julie Cliff [Mozambique] ; Yuri Cartier ; Xavier Bosch-Capblanch [Suisse] ; Gabriel Rada [Chili] ; Simon Lewin [Norvège, Afrique du Sud]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
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Abstract
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.
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.
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.
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.
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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DOI: 10.1186/s12889-017-4020-6
PubMed: 28202001
PubMed Central: 5311723
Affiliations:
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Libertador Bernardo O’Higgins 340, Santiago, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Avda. Libertador Bernardo O’Higgins 340, Santiago</wicri:regionArea><wicri:noRegion>Santiago</wicri:noRegion></affiliation></author><author><name sortKey="Lewin, Simon" sort="Lewin, Simon" uniqKey="Lewin S" first="Simon" last="Lewin">Simon Lewin</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 1541 4204</institution-id><institution-id institution-id-type="GRID">grid.418193.6</institution-id><institution></institution><institution>Norwegian Institute of Public Health,</institution></institution-wrap>Postboks 4404 Nydalen, 0403 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Postboks 4404 Nydalen, 0403 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff12"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9155 0024</institution-id><institution-id institution-id-type="GRID">grid.415021.3</institution-id><institution>Health Systems Research Unit,</institution><institution>South African Medical Research Council,</institution></institution-wrap>Francie van Zijl Drive, Parowvallei, PO Box 19070, 7505 Tygerberg, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Francie van Zijl Drive, Parowvallei, PO Box 19070, 7505 Tygerberg</wicri:regionArea><wicri:noRegion>7505 Tygerberg</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel</term><term>Caregivers</term><term>Health Communication (methods)</term><term>Health Manpower</term><term>Humans</term><term>Nigeria</term><term>Parents</term><term>Politics</term><term>Qualitative Research</term><term>Vaccination</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aidants</term><term>Attitude du personnel soignant</term><term>Communication sur la santé ()</term><term>Humains</term><term>Main-d'oeuvre en santé</term><term>Nigeria</term><term>Parents</term><term>Politique</term><term>Recherche qualitative</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Health Communication</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Caregivers</term><term>Health Manpower</term><term>Humans</term><term>Nigeria</term><term>Parents</term><term>Politics</term><term>Qualitative Research</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aidants</term><term>Attitude du personnel soignant</term><term>Communication sur la santé</term><term>Humains</term><term>Main-d'oeuvre en santé</term><term>Nigeria</term><term>Parents</term><term>Politique</term><term>Recherche qualitative</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>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.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12889-017-4020-6) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hinman, A" uniqKey="Hinman A">A Hinman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldstein, S" uniqKey="Goldstein S">S Goldstein</name></author><author><name sortKey="Macdonald, Ne" uniqKey="Macdonald N">NE MacDonald</name></author><author><name sortKey="Guirguis, S" uniqKey="Guirguis S">S Guirguis</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Sud</li><li>Australie</li><li>Chili</li><li>Mozambique</li><li>Norvège</li><li>Suisse</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><noCountry><name sortKey="Cartier, Yuri" sort="Cartier, Yuri" uniqKey="Cartier Y" first="Yuri" last="Cartier">Yuri Cartier</name><name sortKey="Eteng, Glory" sort="Eteng, Glory" uniqKey="Eteng G" first="Glory" last="Eteng">Glory Eteng</name><name sortKey="Oku, Afiong" sort="Oku, Afiong" uniqKey="Oku A" first="Afiong" last="Oku">Afiong Oku</name><name sortKey="Oyo Ita, Angela" sort="Oyo Ita, Angela" uniqKey="Oyo Ita A" first="Angela" last="Oyo-Ita">Angela Oyo-Ita</name></noCountry><country name="Norvège"><region name="Østlandet"><name sortKey="Glenton, Claire" sort="Glenton, Claire" uniqKey="Glenton C" first="Claire" last="Glenton">Claire Glenton</name></region><name sortKey="Ames, Heather" sort="Ames, Heather" uniqKey="Ames H" first="Heather" last="Ames">Heather Ames</name><name sortKey="Fretheim, Atle" sort="Fretheim, Atle" uniqKey="Fretheim A" first="Atle" last="Fretheim">Atle Fretheim</name><name sortKey="Lewin, Simon" sort="Lewin, Simon" uniqKey="Lewin S" first="Simon" last="Lewin">Simon Lewin</name></country><country name="Mozambique"><noRegion><name sortKey="Muloliwa, Artur" sort="Muloliwa, Artur" uniqKey="Muloliwa A" first="Artur" last="Muloliwa">Artur Muloliwa</name></noRegion><name sortKey="Cliff, Julie" sort="Cliff, Julie" uniqKey="Cliff J" first="Julie" last="Cliff">Julie Cliff</name></country><country name="Australie"><noRegion><name sortKey="Kaufman, Jessica" sort="Kaufman, Jessica" uniqKey="Kaufman J" first="Jessica" last="Kaufman">Jessica Kaufman</name></noRegion><name sortKey="Hill, Sophie" sort="Hill, Sophie" uniqKey="Hill S" first="Sophie" last="Hill">Sophie Hill</name></country><country name="Suisse"><noRegion><name sortKey="Bosch Capblanch, Xavier" sort="Bosch Capblanch, Xavier" uniqKey="Bosch Capblanch X" first="Xavier" last="Bosch-Capblanch">Xavier Bosch-Capblanch</name></noRegion><name sortKey="Bosch Capblanch, Xavier" sort="Bosch Capblanch, Xavier" uniqKey="Bosch Capblanch X" first="Xavier" last="Bosch-Capblanch">Xavier Bosch-Capblanch</name></country><country name="Chili"><noRegion><name sortKey="Rada, Gabriel" sort="Rada, Gabriel" uniqKey="Rada G" first="Gabriel" last="Rada">Gabriel Rada</name></noRegion></country><country name="Afrique du Sud"><noRegion><name sortKey="Lewin, Simon" sort="Lewin, Simon" uniqKey="Lewin S" first="Simon" last="Lewin">Simon Lewin</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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