Omobowale Mofeyisara O, Amodu Folakemi A, Falase Olugbenga S, Olajide Taiwo H, Amodu Olukemi K
Institute of Child Health, University of Ibadan, Ibadan, Oyo, Nigeria.
Department of Sociology, Lead City University, Ibadan, Oyo, Nigeria.
Gates Open Res. 2025 May 27;8:48. doi: 10.12688/gatesopenres.15135.2. eCollection 2024.
Contextualizing childhood immunization in the context of children of working mothers can boost coverage and completion interventions. This study examines how informal working mothers perceive post-day-one routine immunization, and vaccines not covered under the National Program on Immunization (NPI), immunization schedules, timing, and duration.
The study utilized a mixed methods approach, including in-depth interviews and semi-structured questionnaire to capture immunization experiences and assess the context of post-day one. The study was conducted in Ibadan, Nigeria and involved 1,044 quantitative and 73 qualitative samples of working nursing mothers. Data were analyzed using descriptive statistics, chi-square test for proportions, and t-test for means (p<0.05), while qualitative data were subjected to content and thematic analysis.
The average age of mothers participating in this study was 31.39±6.52 years. The mean age of children of mothers recruited into this study is 19.26 ±16.14 months. Majority of these mothers (95%) are married. Around three-quarters of women in this population ensured immediate immunization for their infants after birth, but less than a third achieved the complete age-specific vaccination series due to livelihood related causes, long waiting time spent in conventional immunization clinic. Around 40% of interviewed mothers vaccinated their children up to the third DPT dose, and just over 30% achieved full vaccination. Many informal working mothers, have practice of adding 'supplements' to their children's immunization, driven by a lack of sufficient information about the vaccines. Some mothers also seemed unaware of these specialized vaccines.
Promoting complete immunization requires more than just raising awareness about childhood vaccinations but close and quick immunization service delivery is required. It is crucial for mothers to possess comprehensive knowledge about the mechanics and operation of immunization. Achieving this understanding could involve translating vaccine names and functions into indigenous terms, enhancing clarity and comprehension. Furthermore, a firm grasp of the immunization schedule significantly contributes to successful immunization completion.
在职业母亲的孩子这一背景下考量儿童免疫接种，可提高疫苗接种覆盖率并完善相关干预措施。本研究探讨了从事非正规工作的母亲对出生后第一天后的常规免疫接种、国家免疫规划（NPI）未涵盖的疫苗、免疫接种时间表、时间安排和时长的看法。
本研究采用混合方法，包括深入访谈和半结构化问卷，以了解免疫接种经历并评估出生后第一天后的情况。研究在尼日利亚伊巴丹进行，涉及1044名从事护理工作的职业母亲的定量样本和73名定性样本。数据采用描述性统计、比例的卡方检验和均值的t检验进行分析（p<0.05），而定性数据则进行内容和主题分析。
参与本研究的母亲的平均年龄为31.39±6.52岁。纳入本研究的母亲的孩子的平均年龄为19.26±16.14个月。这些母亲中的大多数（95%）已婚。该群体中约四分之三的女性在婴儿出生后确保立即为其接种疫苗，但由于生计相关原因、在传统免疫接种诊所等待时间过长，不到三分之一的女性完成了特定年龄的完整疫苗接种系列。约40%接受访谈的母亲为孩子接种疫苗至第三剂白百破疫苗，略多于30%的母亲完成了全程接种。许多从事非正规工作的母亲由于缺乏关于疫苗的充分信息，有在孩子免疫接种中添加“补充剂”的做法。一些母亲似乎也不了解这些特殊疫苗。
促进全面免疫接种不仅需要提高对儿童疫苗接种的认识，还需要提供密切和快速的免疫接种服务。母亲掌握关于免疫接种机制和操作的全面知识至关重要。实现这种理解可能需要将疫苗名称和功能翻译成当地语言，以提高清晰度和理解度。此外，牢牢掌握免疫接种时间表对成功完成免疫接种有很大帮助。
