Browsing by Author "Augustine Adenola BANKOLE"

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    Factors Influencing and Significance of Health Promotion on Immunization Programme Uptake among the Caregivers in South-West, Nigeria
    (Lead City University, Ibadan, 2024-12) Augustine Adenola BANKOLE
    Despite the availability of immunization services, many children in Nigeria remain unprotected against vaccine-preventable diseases, and immunization coverage remains low. The study investigated the social determinants and significance of Health Promotion on childhood immunization programme uptake among the care-givers in South-West, Nigeria. A mixed-method study was conducted, incorporating both qualitative and quantitative data collection and analysis methods. Qualitative data was collected through focus group discussion with caregivers, while quantitative data was collected through a structured survey questionnaire. Quantitative data was collected from 786 caregivers in randomly selected communities in Nigeria and 37 persons comprising of caregivers, health care providers and community leaders participated in the focus group discussion. Most caregivers received antenatal care, yet a small percentage did not, suggesting a potential gap in access or awareness. Primary locations for antenatal care were health centers and general hospitals and diverse birthing practices were observed, with varied locations for childbirth. Child immunization status indicates that 483 respondents (61.5%) reported that their child's immunization is complete. The study identified caregiver’s age (P=0.014), religion (P=0.001), monthly income (P=0.011), marital status (P=0.001), occupation (P=0.002), number of children (P=0.023), educational level (P=0.001), knowledge about immunization (P=0.014) and attitude towards immunization (P=0.020) as socio determinants associated with immunization uptake. High awareness of childhood immunization was noted also indicating a high positive attitude towards vaccination, although there were misconceptions. Healthcare providers were identified as influential in promoting vaccination. The multifaceted motivations for completing child immunization were highlighted, along with barriers to be addressed. All participants (100%) reported having received health promotion messages or campaigns related to childhood immunization and the channels through which these messages were received varied. Participants express significant concerns about childhood diseases, emphasizing the perceived severity and potential risks associated with vaccine-preventable illnesses. Additionally, social determinants of health, such as poverty, education, and healthcare access, play a role in shaping perceptions of disease severity, as these factors can impact the ability to seek timely and adequate medical care in case of an illness. Financial constraints and the cost of immunization, albeit relatively low, are also acknowledged as potential barriers. Caregivers universally acknowledge the crucial protection provided by childhood immunization against a spectrum of severe and potentially life-threatening diseases. Caregivers exhibit varying levels of confidence in their ability to ensure timely vaccination for their children. Caregivers employ various prompts and reminders to ensure timely vaccination for their children, including setting alarms, relying on healthcare providers' notifications, and marking dates on calendars. The study provides valuable insights into caregiver perceptions and behaviors regarding childhood immunization, emphasizing the importance of comprehensive health promotion strategies. Keywords: Immunization, Social Determinants, Coverage, Status, Caregivers Wordcount: 427