地域医療と健康教育

抽象的な

Factors Influencing Infant Immunization Uptake in the Yoruba Community of Southwestern Nigeria

Jegede AS and Owumi BE

Background: The recurrent incidence of immunizable diseases is an indication that the current immunization campaign is failing. This paper, therefore, examined the factors affecting the use of immunization and how Yoruba parents perceive immunization in the relation to beliefs and practices about child protection.
Methods: A variety of qualitative methods of data collection were used to obtain information in two Yoruba communities (Moniya and Onidudu). Eight (8) Focus Group Discussions (FGDs) and 10 Key Informants Interviews (KIIs) were conducted, while special cases were observed during the study using unstructured observation technique. Content analytical approach was adopted to explain the data.
Results: Data showed that though there was high patronage of immunization services, some mothers still defaulted because of delay in vaccine supply, clashes of immunization days with the economic activities of mothers, especially the market days, and the negative attitude of some clinic staff members. Perceived side effect of vaccine did not have strong negative influence on the patronage of immunization. Mothers reported that delay occurred as a result of time it takes to receive immunization supplies from the central store in Ibadan and lack of assurance of getting supply at all.
Conclusion: It is, therefore, concluded that attitude towards immunization uptake has improved tremendously with high demand for it over the years when data were compared with the earlier findings in the same study location a decade ago. However, this enthusiasm was still being discouraged by supply-related factors. Hence, it is recommended that sustainable cold chain system should be maintained in the local communities, using freezers powered by solar energy. Also, public engagement is necessary to address the need of the mothers. Finally, there is need to train the clinic staff in clinical ethics to be able to relate well with patients.