Engaging traditional barbers to identify and refer newborns for routine immunization services in Sokoto, Nigeria: a mixed methods evaluation
| Autor: | Masduk Abdulkarim, Aliyu Ahmed, Yakubu Cherima, Sani Garr, Leanne Dougherty, Bello Kilgori, Sale Abdu, Folake Olayinka, Kate E. Gilroy, Aliyu Ladan |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Adolescent Referral media_common.quotation_subject 030231 tropical medicine Nigeria Mothers Health Promotion Interpersonal communication Trust Beauty Culture Literacy Young Adult 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine Referral and Consultation media_common business.industry Public health Vaccination Infant Newborn Public Health Environmental and Occupational Health Infant Focus Groups Middle Aged Continuous training Focus group Family medicine Original Article Immunization Female business |
| Zdroj: | International Journal of Public Health |
| ISSN: | 1661-8564 1661-8556 |
| DOI: | 10.1007/s00038-020-01518-9 |
| Popis: | Objectives This study evaluates the effectiveness of an intervention that engaged traditional barbers to inform parents about the importance of vaccination and then refer newborns for vaccination services. Methods We conducted a pre-post quasi-experimental study (n = 2639) to evaluate changes in the coverage of three birth antigens among children aged 0–5 months in response to the intervention. We also conducted in-depth interviews and focus group discussions to assess the enabling factors and challenges associated with implementation. Results We found mothers who received a yellow referral card from a traditional barber were two to three times more likely to vaccinate their children with the three birth antigens. Qualitative findings indicated that the intervention influenced parent’s decision to vaccinate their newborn because the barbers were considered a trusted community advisor. Challenges stemmed from the low levels of literacy among community leaders and barbers that resulted in the need for continuous training, low-literacy training materials and supervision. Conclusions Efforts to increase vaccine coverage rates in northern Nigeria should consider expanding the role of traditional barbers to encourage parents to accept vaccines. |
| Databáze: | OpenAIRE |
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