College of Public Health, Chulalongkorn University, Bangkok, Thailand.
College of Public Health, Chulalongkorn University, Bangkok, Thailand and Health Services Academy, Islamabad, Pakistan.
J Ayub Med Coll Abbottabad. 2021 Jan-Mar;33(1):139-144.
Sharing of information through health education training of mothers on child vaccination has proved an effective intervention for better outcome and increased immunization coverage. This study aimed to examine the effect of interpersonal communication (IPC) training program on mothers' knowledge of child's vaccination and routine childhood immunization uptake in local government areas (LGAs) of Kebbi State, Nigeria.
A quasi-experimental study was conducted in two local government areas in Kebbi State, from October 2016 to March 2017. Four hundred twenty mothers participated in the study and were allocated equally (210) in both intervention and control group (n=210) and data were collected on vaccination status of the children after intervention from children's vaccination cards and mother's verbal reports. Independent t test and Chi-square were used to test the effect of intervention on mother's knowledge of child's vaccination and routine childhood immunization uptake between intervention and control group. Study was ethically approved from the review board of Ministry of Health, Nigeria.
Mean knowledge scores has improved in the intervention group (M = 5.42, SD = 3.35) and control group (M=1.96, SD=2.37) after intervention with p<0.001. Routine childhood immunization uptake fully immunized (53.8% vs. 9.5%), partially immunized (16.6% vs. 32.8%) and un-immunized (29.5% vs. 57.6%) in both group after intervention with p<0.001. Approximately fifty-four percentages of children in the intervention group were fully immunized after intervention. However, there was minimal change of 2% has been observed in control group. Percentage of unimmunized children was high in both groups at pre-intervention (66%) but this decreased to 29.5% in the intervention group and 57.6% in the control group.
This study concludes that, IPC skill is an effective intervention and a sustainable service for improving the knowledge and uptake of mother's face-to-face education, social mobilization and reminder services about routine childhood immunization within entire population.
通过对母亲进行健康教育培训来分享信息，已被证明是改善儿童疫苗接种结果和提高免疫覆盖率的有效干预措施。本研究旨在评估人际沟通（IPC）培训方案对尼日利亚凯比州地方政府区域（LGA）母亲儿童疫苗接种知识和常规儿童免疫接种率的影响。
本研究于 2016 年 10 月至 2017 年 3 月在凯比州的两个地方政府区域进行了一项准实验研究。共有 420 名母亲参与了研究，随机平均分配到干预组（n=210）和对照组（n=210）。干预后，从儿童免疫接种卡和母亲口头报告中收集儿童的疫苗接种状况数据。采用独立 t 检验和卡方检验比较干预组和对照组母亲的儿童疫苗接种知识和常规儿童免疫接种率。本研究经尼日利亚卫生部审查委员会伦理批准。
干预后，干预组（M=5.42，SD=3.35）和对照组（M=1.96，SD=2.37）的平均知识得分均有所提高（p<0.001）。两组完全免疫（53.8% vs. 9.5%）、部分免疫（16.6% vs. 32.8%）和未免疫（29.5% vs. 57.6%）的常规儿童免疫接种率均有所提高（p<0.001）。干预后，干预组约 54%的儿童完全免疫。然而，对照组仅观察到 2%的微小变化。两组在干预前未免疫儿童的比例均较高（66%），但在干预组中下降到 29.5%，在对照组中下降到 57.6%。
本研究表明，IPC 技能是一种有效的干预措施，也是一种可持续的服务，可以改善母亲面对面教育、社会动员和常规儿童免疫接种提醒服务的知识和接受程度，惠及整个人口。
