Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.

<h4>Background</h4>Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objecti...

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Autores principales:	Akinola Ayoola Fatiregun, Laura Nic Lochlainn, Lassané Kaboré, Modupeola Dosumu, Elvis Isere, Itse Olaoye, Francis Adegoke Akanbiemu, Yetunde Olagbuji, Rosemary Onyibe, Kofi Boateng, Richard Banda, Fiona Braka
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e17955ab597543ce8cb8e292d2bd6921
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spelling	oai:doaj.org-article:e17955ab597543ce8cb8e292d2bd69212021-12-02T20:17:32ZMissed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.1932-620310.1371/journal.pone.0252798https://doaj.org/article/e17955ab597543ce8cb8e292d2bd69212021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252798https://doaj.org/toc/1932-6203<h4>Background</h4>Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State.<h4>Methods</h4>This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0-23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out.<h4>Results</h4>984 caregivers with children aged 0-23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV.<h4>Conclusions</h4>One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers' engagement and screening of vaccination documentation by health workers during every health service encounter.Akinola Ayoola FatiregunLaura Nic LochlainnLassané KaboréModupeola DosumuElvis IsereItse OlaoyeFrancis Adegoke AkanbiemuYetunde OlagbujiRosemary OnyibeKofi BoatengRichard BandaFiona BrakaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0252798 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Akinola Ayoola Fatiregun Laura Nic Lochlainn Lassané Kaboré Modupeola Dosumu Elvis Isere Itse Olaoye Francis Adegoke Akanbiemu Yetunde Olagbuji Rosemary Onyibe Kofi Boateng Richard Banda Fiona Braka Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.
description	<h4>Background</h4>Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State.<h4>Methods</h4>This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0-23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out.<h4>Results</h4>984 caregivers with children aged 0-23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV.<h4>Conclusions</h4>One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers' engagement and screening of vaccination documentation by health workers during every health service encounter.
format	article
author	Akinola Ayoola Fatiregun Laura Nic Lochlainn Lassané Kaboré Modupeola Dosumu Elvis Isere Itse Olaoye Francis Adegoke Akanbiemu Yetunde Olagbuji Rosemary Onyibe Kofi Boateng Richard Banda Fiona Braka
author_facet	Akinola Ayoola Fatiregun Laura Nic Lochlainn Lassané Kaboré Modupeola Dosumu Elvis Isere Itse Olaoye Francis Adegoke Akanbiemu Yetunde Olagbuji Rosemary Onyibe Kofi Boateng Richard Banda Fiona Braka
author_sort	Akinola Ayoola Fatiregun
title	Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.
title_short	Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.
title_full	Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.
title_fullStr	Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.
title_full_unstemmed	Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.
title_sort	missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest state of nigeria, december 2019.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e17955ab597543ce8cb8e292d2bd6921
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Missed opportunities for vaccination among children aged 0-23 months visiting health facilities in a southwest State of Nigeria, December 2019.

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