Oladokun R E, Adedokun B O, Lawoyin T O
Department of Paediatrics, College of Medicine, University of Ibadan.
Niger J Clin Pract. 2010 Jun;13(2):173-8.
Immunization coverage in most areas in Nigeria has remained low with continued high morbidity and mortality from vaccine preventable diseases.
To identify the reasons and beliefs about immunization among mothers whose children have not received adequate immunization or not at all.
The study was a descriptive cross sectional survey that involved mothers trading in a large market in Ibadan who had children between the ages of 12 and 23 months. Data were collected by means of a semi-structured questionnaire. Mothers who did not immunize or failed to completely immunize their children were selected for analysis.
A total of 248 mothers were interviewed, their mean age was 27.3 5.5 years (range 16 42 yrs). The commonest reasons for incomplete immunization included: non availability of vaccines (26.2%), not being aware of need for additional doses (16.5%) and inconvenient time/venue (13.7%). Logistic regression analysis showed that Mothers with no formal education were about six times more likely than those with secondary education and higher to give reasons related to lack of motivation (95% CI OR = 1.88 17.93). Analysis of the mothers' beliefs on immunization were as follows; 186 (75.0%) believed it was beneficial, 161 (64.9%) believed that immunization will save the life of the child and 129 (52.0%) believed that taking the child to the clinic for immunization wasted a lot oftime.
Most mothers in this study agreed that immunization is beneficial. It is therefore recommended that routine immunization be strengthened, vaccines made readily available and mothers educated on the immunization schedule.
尼日利亚大部分地区的免疫接种覆盖率仍然很低，疫苗可预防疾病导致的发病率和死亡率持续居高不下。
确定其子女未获得充分免疫接种或根本未接种的母亲对免疫接种的看法及原因。
本研究为描述性横断面调查，涉及在伊巴丹一个大市场做生意且子女年龄在12至23个月之间的母亲。通过半结构化问卷收集数据。选择未给子女接种疫苗或未完全接种疫苗的母亲进行分析。
共访谈了248位母亲，她们的平均年龄为27.3±5.5岁（范围16 - 42岁）。免疫接种不完全的最常见原因包括：疫苗供应不足（26.2%）、不知道需要额外接种剂量（16.5%）以及时间/地点不方便（13.7%）。逻辑回归分析显示，未受过正规教育的母亲给出与缺乏动力相关原因的可能性比受过中等及以上教育的母亲高约6倍（95%置信区间比值比=1.88 - 17.93）。对母亲们关于免疫接种的看法分析如下：186位（75.0%）认为免疫接种有益，161位（64.9%）认为免疫接种能挽救孩子生命，129位（52.0%）认为带孩子去诊所接种疫苗浪费很多时间。
本研究中的大多数母亲都认为免疫接种有益。因此，建议加强常规免疫接种，确保疫苗随时可得，并对母亲进行免疫接种时间表方面的教育。
