Looped Audiovisual Health Education Talk Reduces Vaccine Clinic Wait Time in Nigeria

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-08-04 DOI:10.1111/cch.70152

Rosena O. Oluwafemi, Bukola Ajayi, Eneida A. Mendonca, Paul Biondich, Osayame A. Ekhaguere

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Abstract

Background

Wait time at vaccine clinics is a barrier to routine childhood vaccinations in low- and middle-income countries (LMICs). Waiting for a critical mass of clients to accrue before conducting the vaccine health education talk prolongs clinic time.

Methods

We implemented a workflow change, including a looped audiovisual vaccine education talk on a solar-powered television. We compared clients' average clinic time using a before-and-after study, time-motion design, and surveyed providers and clients on their perspectives on the workflow change.

Results

In the post-implementation phase, compared to the pre-implementation phase, the average clinic time for all clients and the subgroup who presented before 9:00 AM was significantly reduced by 13 and 31 min, respectively (p = 0.006 and < 0.000). Providers and clients were positive about the workflow change.

Conclusion

A looped audiovisual vaccine education talk significantly reduces client vaccine clinic wait time and is acceptable to providers. Research on the impact of workflow change with alternate vaccine health talk delivery mode on vaccine uptake and completion is required.

Abstract Image

查看原文本刊更多论文

循环视听健康教育讲座减少了尼日利亚疫苗诊所的等待时间

在低收入和中等收入国家，疫苗诊所的等待时间是常规儿童疫苗接种的一个障碍。在进行疫苗健康教育讲座之前，等待客户达到临界数量会延长诊所的时间。方法我们改变工作流程，包括在太阳能电视上循环播放疫苗教育视频。我们使用前后研究、时间运动设计比较了客户的平均就诊时间，并调查了供应商和客户对工作流程变化的看法。结果在实施后阶段，与实施前阶段相比，所有客户和上午9:00前就诊的亚组的平均就诊时间分别显著减少13分钟和31分钟（p = 0.006和<； 0.000）。供应商和客户对工作流程的改变持积极态度。结论循环式疫苗视像宣讲可显著缩短患者疫苗门诊等待时间，为服务人员所接受。需要研究工作流程变化与替代疫苗健康谈话交付模式对疫苗摄取和完成的影响。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.