密集培训对改善尼日利亚城市贫民窟老年妇女对婴儿疫苗接种的知识和支持的效果：一项前后干预研究。
Effect of intensive training in improving older women's knowledge and support for infant vaccination in Nigerian urban slums: a before-and-after intervention study.
机构信息
Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
University College Hospital, Ibadan, Nigeria.
出版信息
BMC Public Health. 2021 Feb 2;21(1):266. doi: 10.1186/s12889-021-10310-0.
BACKGROUND
One of the strategies for improving vaccination uptake is to make communities understand the importance of immunization and this is expected to drive the demand for vaccines. Building the capacity of older women who supervise child care in Africa may improve infant vaccination in underserved communities. This study determined the impact of training of older women on their knowledge and support for infant vaccination in selected urban slum communities in Ibadan, Nigeria.
METHODS
This was a before-and-after study that enrolled women aged ≥35 years. They were trained with a manual and short video using participatory learning methods over an 8 month period. The content of their training includes importance of immunization timeliness and completion, how vaccines work and how to be advocates and supporters of infant vaccination. Their knowledge and support for infant vaccination at baseline were compared with post training values using Student's t test and Chi square test with the level of significance set at 5%.
RESULTS
There were 109 women with mean age 55.8 ± 11.6. they had a mean of 5.7 ± 2.1 training sessions. At the end of the training, their knowledge about infant vaccination and the support they give to it increased from 4.8 ± 3.8 to 10.7 ± 0.6, and 3.1 ± 3.5 to 8.1 ± 1.7 respectively. Those with good knowledge about infant vaccination increased significantly from 37(33.9%) to 82(82.8%), while those with good support for the same increased from 31(28.4%) to 85(85.9%). Women who were ≤ 64 years significantly had improved knowledge after the training compared to the older ones. Those with post secondary education had better knowledge and greater support for infant vaccination at baseline. However, there was no difference in the knowledge and support for infant vaccination among the women across the different educational levels after the training.
CONCLUSIONS
Participatory learning improved the knowledge about, and support for infant vaccination among older women supervising child care in these urban slum communities. Similar training may be extended to comparable settings in order to improve demand for infant vaccination.
背景
提高疫苗接种率的策略之一是让社区了解免疫接种的重要性，这有望推动对疫苗的需求。在非洲，培养照顾儿童的老年妇女的能力可能会改善服务不足社区的婴儿疫苗接种率。本研究旨在确定培训老年妇女对尼日利亚伊巴丹选定城市贫民窟社区婴儿疫苗接种的知识和支持的影响。
方法
这是一项前后对照研究，纳入了年龄≥35 岁的妇女。他们接受了为期 8 个月的使用参与式学习方法的手册和短视频培训。培训内容包括免疫接种及时性和完成的重要性、疫苗如何发挥作用以及如何成为婴儿疫苗接种的倡导者和支持者。使用学生 t 检验和卡方检验比较基线时的知识和对婴儿疫苗接种的支持与培训后的价值，显著性水平设为 5%。
结果
共有 109 名平均年龄 55.8±11.6 岁的妇女参加了培训。她们平均接受了 5.7±2.1 次培训。培训结束时，她们对婴儿疫苗接种的知识和对其的支持从 4.8±3.8 增加到 10.7±0.6 和 3.1±3.5 增加到 8.1±1.7。对婴儿疫苗接种有良好认识的人数从 37 人（33.9%）显著增加到 82 人（82.8%），而对婴儿疫苗接种有良好支持的人数从 31 人（28.4%）增加到 85 人（85.9%）。≤64 岁的妇女在培训后知识显著提高，而年龄较大的妇女则不然。接受过中学后教育的妇女在基线时对婴儿疫苗接种的知识和支持更好。然而，培训后，不同教育水平的妇女在婴儿疫苗接种的知识和支持方面没有差异。
结论
参与式学习提高了这些城市贫民窟社区照顾儿童的老年妇女对婴儿疫苗接种的知识和支持。类似的培训可以扩展到类似的环境中，以提高婴儿疫苗接种的需求。
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