Compliance With Regimens of Existing Vaccines in Orumba North Local Government Area of Anambra State,Nigeria

Abstract

The factors associated with third dose of diphtheria, pertussis and tetanus (DPT3) uptake, a true indicator of compliance with required regimen of vaccines, in Anambra state, Nigeria, were investigated in a cross-sectional survey of 600 mothers (15–49). Being an older mother showed a positive association with compliance. Compliance was more among those who used the government health facilities for their health needs (χ²= 12.286, p < .001). Satisfactory experiences with health service influenced compliance (χ²= 8.542, p = .002). Those with good perception (30.1%) complied more (χ²= 42.572, p < .001). Those who were aware that immunization protects the children against vaccine preventable diseases complied more (χ²= 8.735, p = .002). In conclusion, the action-hesitancy model strengthens the Health Belief Model in explaining parents’ attitude to childhood immunization, as experience and perception of the health service influenced uptake more. Health education and campaigns should be directed at factors that would encourage mothers to adopt required behaviours.

Keywords

child compliance diseases immunization vaccines Nigeria

Get full access to this article

View all access options for this article.

References

Roush

Murphy

. Vaccine-Preventable Disease Table Working Group. Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States. JAMA 2007; 298: 2155–2163.

Vannice KS, Salmon DA, Shui I, et al. Attitudes and beliefs of parents concerned about vaccines: Impact of timing of immunization information. Pediatrics 2011; 127: S120–S126.

Chen

DeStefano

Pless

. Challenges and controversiesin immunization safety. Infect Dis Clin N Am 2001; 15: 21–39.

Gellin

Maibach

Marcuse

. Do parentsunderstand immunizations? A nationaltelephone survey. Pediatrics 2000; 106: 1097–1102.

Gust

Strine

Maurice

. Under-immunization among children: Effects of vaccine safety concerns on immunization status. Pediatrics 2004; 114: e16–e22.

Gust

Kennedy

Wolfe

. Developing tailored immunization materials for concerned mothers. Health Educ Res 2008; 23: 499–511.

Gust

Kennedy

Shui

. Parent attitudes toward immunizations and healthcare providers the role of information. Am J Prev Med 2005; 29: 105–112.

Kennedy

Gust

. Parental vaccine beliefs and child’s school type. J Sch Health 2005; 75: 276–280.

Ball

Evans

Bostrom

. Risky business: challenges in vaccine risk communication. Pediatrics 1998; 101(3 pt 1): 453–458.

10.

Merrill

Hollister

Gibbens

. Attitudes of Californians toward poliomyelitis vaccination. Am J Public Health Nations Health 1958; 48: 146–152.

11.

Rosenstock

Derryberry

Carriger

. Why people fail to seek poliomyelitis vaccination. Public Health Rep 1959; 74: 98–103.

12.

Belcher

. Acceptance of the Salk polio vaccine. Rural Sociol 1958; 23: 158–170.

13.

Clausen

Seidenfeld

Deasy

. Parent attitudes toward participation of their children in polio vaccine trials. Am J Public Health Nations Health 1954; 44: 1526–1536.

14.

Deasy

. Socio-economic status and participation in the poliomyelitis vaccine trial. Am Sociol Rev 1956; 21: 185–191.

15.

Glasser

. A study of the public’s acceptance of the Salk vaccine program. Am J Public Health Nations Health 1958; 48: 141–146.

16.

Smith

Humiston

Marcuse

. Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model. Public Health Rep 2011; 126(Suppl 2): 135–146.

17.

Rosenstock

. Why people use health services. Milbank Mem Fund Q 1966; 44(Suppl): 94–127.

18.

Becker

. The Health Belief Model and personal health behavior. Health Educ Monogr 1974; 2: 324–473.

19.

Maiman

Becker

Kirscht

. Scales for measuring Health Belief Model dimensions: a test of predictive value, internal consistency, and relationships among beliefs. Health Educ Monogr 1977; 5: 215–230.

20.

Janz

Becker

. The Health Belief Model: a decade later. Health Educ Q 1984; 11: 1–47.

21.

Mullen

Hersey

Iverson

. Health behavior models compared. Soc Sci Med 1987; 24: 973–981.

22.

Harrison

Mullen

Green

. A meta-analysis of studies of the Health Belief Model with adults. Health Educ Res 1992; 7: 107–116.

23.

Glanz

Lewis

Rimer

Linking theory, research, and practice. In: Glanz

Lewis

Rimer

(eds). Health behavior and health education: theory, research, and practice, San Francisco, CA: Jossey-Bass, 1997.

24.

Strecher

Rosenstock

The Health Belief Model. In: Glanz

Lewis

Rimer

(eds). Health behavior and health education: theory, research, and practice, San Francisco, CA: Jossey-Bass, 1997.

25.

Buturovic-Bradaric Z. Action-hesitancy model: a theoretical proposal and preliminary evidence. Proquest UMI Dissertation Publishing, 2011.

26.

WHO and UNICEF. Estimates of national immunization coverage, Dakar, Senegal: UNICEF, 2013.

27.

National Population Commission. National and state population and housing tables: priority table 1&43, Abuja, Nigeria: NPC, 2006.

28.

Rashid

Hadi

Afsana

. Acute respiratory infections in rural Bangladesh: cultural understandings, practice and the role of mothers and community health volunteers. Trop Med Int Health 2001; 6: 249–255.

29.

NPC & ICF Macro. Final report of Nigerian Demographic and health survey, Abuja, Nigeria: NPC, 2009.

30.

Raithatha

Holland

Gerrard

. A qualitative investigation of vaccine risk perception amongst parents who immunize their children: a matter of public health concern. J Public Health Med 2003; 25: 161–164.

31.

Offit

Quarles

Gerber

. Addressing parents’ concerns: do multiple vaccines overwhelm or weaken the infant’s immune system? Pediatrics 2002; 109: 124–129.

32.

Levi

. Addressing parents’ concerns about childhood immunizations: a tutorial for primary care providers. Pediatrics 2007; 120: 18–26.

33.

Larson

Cooper

Eskola

. Addressing the vaccine confidence gap. Lancet 2011; 378: 526–535.

34.

Frank

. The demand for fertility control in Sub-Saharan Africa. Stud Family Plan 1987; 18: 181–201.

35.

Okeibunor

Onyeneho

Chukwu

. Barriers to care seeking in directly observed therapy short-course (DOTS) clinics and tuberculosis control in Southern Nigeria: a qualitative analysis. Int Q Commun Health Educ 2007; 27: 23–37.

36.

Austin

Ahmad

McNally

. Breast and cervical cancer screening in Hispanic women: a literature review using the Health Belief Model. Womens Health Issues 2002; 12: 122–128.

37.

Russell

Perkins

Zollinger

. Sociocultural context of mammography screening use. Oncol Nurs Forum 2006; 33: 105–112.

38.

Finney Rutten

Iannotti

. Health beliefs, salience of breast cancer family history, and involvement with breast cancer issues: adherence to annual mammography screening recommendations. Cancer Detect Prev 2003; 27: 353–359.

39.

Farquharson

Noble

Barker

. Health beliefs and communication in the travel clinic consultation as predictors of adherence to malaria chemoprophylaxis. Br J Health Psychol 2004; 9(Pt 2): 201–217.

40.

Orensky

Holdford

. Predictors of noncompliance with warfarin therapy in an outpatient anticoagulation clinic. Pharmacotherapy 2005; 25: 1801–1808.