Effects of parental short message service reminders on infant immunisation coverage, timeliness and barriers in Nigeria: A quasi-experimental study.

Q3 Nursing

Malaysian Family Physician Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI:10.51866/oa.744

Hamina Dathini, Siti Khuzaimah Ahmad Sharoni, Kever Robert

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引用次数: 0

Abstract

Introduction: This study aimed to determine the effects of parental short message service (SMS) reminders on infant immunisation coverage, timeliness and barriers and evaluate the effects of sex on immunisation outcomes in Maiduguri, Borno State, Nigeria.

Methods: This two-arm quasi-experimental study was conducted in two primary healthcare facilities selected using simple random sampling with opaque envelopes. A total of 524 participants were enrolled using purposive sampling. Data were statistically analysed using the Statistical Package for the Social Sciences version 28 with repeated-measures logistic regression analysis, the Z test for Poisson rates and the Wilcoxon signed-rank test.

Results: The parental SMS reminders significantly improved the immunisation coverage, as reported by 69 (26.3%) (P=0.001, 95% confidence interval [CI] = 12.2-40.5), 117 (44.7%) (P=0.001, 95% CI=32.6-56.9) and 116 (44.3%) participants (P=0.001, 95% CI=34.2-54.4) for the 6th-, 10th- and 14th-week schedules, respectively. Compared to mothers' involvement, fathers' involvement did not significantly affect the immunisation coverage (B=0.158, P=0.311, 95% CI=-0.148-0.464). With regard to the immunisation timeliness, the parental SMS reminders yielded a significant effect for the 6th-, 10th- and 14th-week schedules (P=0.001, 95% CI=25.9-46.7; P=0.001, 95% CI=24.2-43.0; and P=0.001, 95% CI=21.1-36.9, respectively). Compared to mothers' involvement, fathers' involvement significantly influenced the immunisation timeliness (B=0.298, P=0.038, 95% CI=0.016-0.579). Lastly, the parental SMS reminders significantly reduced the barriers to immunisation, with a P-value of 0.001.

Conclusion: Parental SMS reminders can significantly improve immunisation outcomes in Nigeria.

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父母短信服务提醒对尼日利亚婴儿免疫接种覆盖率、及时性和障碍的影响：一项准实验研究

本研究旨在确定父母短信服务（SMS）提醒对婴儿免疫接种覆盖率、及时性和障碍的影响，并评估性别对尼日利亚博尔诺州迈杜古里免疫接种结果的影响。方法：采用不透明信封随机抽样的方法，在两家初级卫生保健机构进行双臂准实验研究。采用有目的抽样法，共纳入524名参与者。使用社会科学28版统计软件包对数据进行统计分析，采用重复测量逻辑回归分析、泊松率的Z检验和Wilcoxon符号秩检验。结果：父母短信提醒显著提高了免疫接种覆盖率，分别有69名（26.3%）（P=0.001, 95%可信区间[CI] = 12.2-40.5）、117名（44.7%）（P=0.001, 95% CI=32.6-56.9）和116名（44.3%）参与者（P=0.001, 95% CI=34.2-54.4）报告了第6周、第10周和第14周的免疫接种计划。与母亲的参与相比，父亲的参与对免疫覆盖率没有显著影响（B=0.158， P=0.311, 95% CI=-0.148-0.464）。在免疫及时性方面，父母短信提醒在第6周、第10周和第14周产生了显著影响(P=0.001, 95% CI=25.9-46.7；P=0.001, 95% ci =24.2-43.0；P=0.001, 95% CI=21.1-36.9)。与母亲参与相比，父亲参与显著影响免疫及时性（B=0.298， P=0.038, 95% CI=0.016-0.579）。最后，父母短信提醒显著降低了免疫障碍，p值为0.001。结论：家长短信提醒可显著改善尼日利亚的免疫接种结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malaysian Family Physician Medicine-Family Practice

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： The Malaysian Family Physician is the official journal of the Academy of Family Physicians of Malaysia. It is published three times a year. Circulation: The journal is distributed free of charge to all members of the Academy of Family Physicians of Malaysia. Complimentary copies are also sent to other organizations that are members of the World Organization of Family Doctors (WONCA).