Iwu Chinedu Anthony, Uwakwe Kenechi, Oluoha Uche, Duru Chukwuma, Nwaigbo Ernest
Department of Community Medicine, Imo State University, Teaching Hospital Umuna, Orlu, Nigeria.
BMC Public Health. 2021 Feb 4;21(1):287. doi: 10.1186/s12889-021-10311-z.
Adequate immunization coverage in rural communities remain a challenge in Nigeria. Traditional birth attendants (TBAs) form an integral part of the social, cultural and religious fabric in most rural communities in Nigeria. Despite their limitations in handling the complications of childbirth, TBAs are widely accepted and patronized, especially in rural areas. The objectives of the project were to empower TBAs and assess the use of a culturally adapted audio-visual workshop intervention to change their knowledge, attitude and willingness to promote immunization uptake.
A repeated-measures design that used a convenience sampling technique to select 90 TBAs from the three geopolitical zones of Imo State, Nigeria. The TBAs were engaged through a culturally adapted audio-visual workshop. Data were collected before and immediately after intervention using a pretested questionnaire. Chi square test was done to determine any significant association with the zone of practice and paired sample t-test analysis to determine any significant pre and post intervention change. Level of significance was set at p ≤ ·05.
More than half of the TBAs had at most, a secondary level of education (54·4%). The average length of time they practiced as TBAs was 16 years with an average of ten birth deliveries per month. After the intervention, all the respondents (100%) reported a willingness to always promote immunization uptake and also, there was a statistically significant increase in Knowledge (p < ·000). Similarly, the level of knowledge in the post intervention period appeared to be significantly associated with the zone of practice (p = ·027).
The workshop intervention empowered the TBAs irrespective of their zones of residence by successfully improving their knowledge, though at varying levels; and consequently, their willingness to always promote immunization uptake.
在尼日利亚，农村社区实现充分的免疫接种覆盖率仍是一项挑战。传统接生员是尼日利亚大多数农村社区社会、文化和宗教结构中不可或缺的一部分。尽管传统接生员在处理分娩并发症方面存在局限性，但他们在农村地区广泛被接受和光顾。该项目的目标是增强传统接生员的能力，并评估采用文化适应性视听工作坊干预措施来改变他们关于促进免疫接种的知识、态度和意愿。
采用重复测量设计，使用便利抽样技术从尼日利亚伊莫州的三个地缘政治区中选取90名传统接生员。通过文化适应性视听工作坊让传统接生员参与进来。在干预前和干预后立即使用预先测试的问卷收集数据。进行卡方检验以确定与执业地区是否存在任何显著关联，并进行配对样本t检验分析以确定干预前后是否有任何显著变化。显著性水平设定为p≤0.05。
超过一半的传统接生员最高只有中学学历（54.4%）。他们作为传统接生员的平均从业时间为16年，平均每月接生10次。干预后，所有受访者（100%）都表示愿意始终促进免疫接种，而且，知识水平有统计学上的显著提高（p<0.000）。同样，干预后时期的知识水平似乎与执业地区显著相关（p=0.027）。
工作坊干预通过成功提高传统接生员的知识水平（尽管程度不同），从而增强了他们始终促进免疫接种的意愿，无论他们居住在哪个地区。
