Childhood Vaccination Communication in Nigeria: A qualitative study
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Abstract
Good communication about vaccination is key to increasing children’s vaccine uptake. However, governments rarely give communication strategies sufficient attention or design them systematically. Using qualitative approaches, this thesis provides insight into how vaccination information is being communicated in Nigeria and identifies factors affecting the implementation of communication strategies. The thesis shows that most vaccination communication strategies aimed to inform and educate parents and to remind and recall them about appointments. However, common health system barriers to implementation included funding and human resources constraints, inadequate equipment and weak political will. Political support, engagement of traditional and religious institutions and the use of organized communication committees appeared to facilitate communication activities. Barriers identified by parents were clinic-related while health workers reported poor interpersonal communication skills, poor motivation, and the attitudes of community members. Effective vaccination communication will require addressing the barriers that currently hamper the implementation of evidence informed strategies.List of papers
Paper I: Afiong Oku, Angela Oyo-Ita, Claire Glenton, Atle Fretheim, Heather Ames, Artur Muloliwa, Jessica Kaufman, Sophie Hill, Julie Cliff, Yuri Cartier, Xavier Bosch-Capblanch, Gabriel Rada & Simon Lewin (2016) Communication strategies to promote the uptake of childhood vaccination in Nigeria: a systematic map, Global Health Action, 9:1, DOI: 10.3402/gha.v9.30337. The article is included in the thesis. Also available at: https://doi.org/10.3402/gha.v9.30337 |
Paper II: Oku, A., Oyo-Ita, A., Glenton, C. et al. Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study. BMC Public Health 17, 200 (2017). DOI: 10.1186/s12889-017-4020-6. The article is included in the thesis. Also available in DUO: http://urn.nb.no/URN:NBN:no-65809 |
Paper III: Oku A, Oyo-Ita A, Glenton C, Fretheim A, Ames H, Muloliwa A, et al. (2017) Perceptions and experiences of childhood vaccination communication strategies among caregivers and health workers in Nigeria: A qualitative study. PLoS ONE 12(11): e0186733. DOI: 10.1371/journal.pone.0186733. The article is included in the thesis. Also available in DUO: http://urn.nb.no/URN:NBN:no-66335 |