DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20220447

Mothers’ preference for routine immunization appointment reminders in Gombe, Gombe State, Nigeria

Aliu Rasaki, Ibrahim Olayinka Rasheed, Mohammed Amina, Girbo Ahmad Adamu, Hassan Kamiliudeen Shina, Ibraheem Mobolaji Rasheedah

Abstract


Background: Globally, under-5 children account for three-quarter of the two million annual deaths caused by vaccine preventable diseases (VPD). The VPD is comparatively higher in developing countries, and in particular, Nigeria where 1 in 5 childhood deaths is VPD-related. This higher mortality has been attributed to inequitable uptake of immunization variably caused by low education, confusion and forgetfulness among others. The millennium mobile phone proliferation has made it a useful reminder tool. We therefore explore access to mobile phone, willingness and predictors of willingness to receive reminder by mothers. 

Methods: Semi-structured questionnaire was deployed in this cross-sectional study to obtain relevant information from 384 mother-child pairs at the immunization clinic (cluster) over 9 months.

Results: A total of 372 (96.9%) and 379 (98.7%) mothers had access to personal and husbands’ phone respectively while 339 (88.3%) mothers showed willingness for a reminder. The factors significantly associated with willingness for immunization reminder were mother’s tertiary education (p=0.008), mother’s unemployment (p=0.011), father’s occupation as senior public servant (p=0.001) and mother’s access to personal phone (p=0.015). Adjusting for confounders, the factors predictive of willingness for immunization reminder were access to personal phone (aOR 11.1, 95% CI 3.160-390.08) and mother’s tertiary education (aOR 2.9, 95% CI 1.822-5, 302).

Conclusions: Access to personal phone and improved education are significant tools in enhancing immunization coverage.


Keywords


Immunization appointment, Mobile phone, Willingness for reminder

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