利用社区剧场提高尼日利亚尼日尔三角洲地区对疫苗接种服务的需求。

Q2 Biochemistry, Genetics and Molecular Biology
Chijioke Chikere Kaduru, Geraldine Chinonso Mbagwu, Dumale Koko Aadum, Ganiyat Eshikhena, Godwin Anusa Idim, Uche Francis Ibe, Timiebiere Sabenus, Fofah Gawain Jenson, Edmund Egbe, Neni Aworabhi-Oki, Happiness Masa, Martins Bekesu, Abisoye Sunday Oyeyemi
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引用次数: 0

摘要

导言:尽管有大量证据表明免疫接种是一项挽救生命的公共卫生措施,但尼日利亚仍有很大一部分儿童没有接种或没有完全接种疫苗。护理人员对免疫接种过程缺乏认识和不信任是免疫接种覆盖率低的部分原因,需要加以解决。本研究旨在通过以人为本的信任建设、教育和社会支持过程,提高尼日利亚尼日尔三角洲地区(NDR)巴耶尔萨州和河流州的疫苗接种需求、接受度和接种率:方法:2019 年 11 月至 2021 年 5 月期间,在这两个州的 18 个选定社区部署了一项名为 "社区免疫剧场"(CT4I)的准实验性干预措施。在干预地区,包括卫生系统领导、社区领袖、卫生工作者和社区成员在内的相关利益攸关方参与并积极参与了剧场的设计和演出。剧场的内容展示了真实的故事,采用了以人为本的设计(HCD),包括构思、共同创作、快速原型设计、反馈收集和迭代。采用混合方法收集了关于疫苗接种服务需求和利用情况的干预前和干预后数据:结果:在这两个州,56 名免疫接种管理人员和 59 名传统和宗教领袖参与其中。在 18 次焦点小组讨论中,有四个主题涉及用户和提供者的因素,这些因素是造成社区免疫接种率低的原因。在接受常规免疫接种和戏剧表演培训的 217 名护理人员中,72% 的人在后期测试中表现出知识增长。共有 2 258 名妇女观看了 29 场演出,84.2% 的观众表示满意。在演出中,270 名儿童接种了疫苗(23% 为零剂量)。与基线相比,社区中完全接种疫苗的儿童比例增加了 38%,零剂量儿童比例下降了 9%:结论:需求方和供应方因素都是造成干预社区疫苗接种率低的原因。我们的干预措施表明,如果采用以人为本的设计(HCD),通过社区剧场让护理人员参与进来,他们就会要求获得免疫接种服务。我们建议扩大人本设计的规模,以应对疫苗接种犹豫不决的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Using community theater to improve demand for vaccination services in the Niger Delta Region of Nigeria.

Using community theater to improve demand for vaccination services in the Niger Delta Region of Nigeria.

Introduction: Despite abundant evidence showing immunization as a lifesaving public health measure, a large proportion of Nigerian children are still not or fully vaccinated. Lack of awareness and distrust of the immunization process by caregivers are some of the reasons for poor immunization coverage which need to be addressed. This study aimed at improving vaccination demand, acceptance and uptake in Bayelsa and Rivers State, both in the Niger Delta Region (NDR) of Nigeria through a human-centered process of trust building, education and social support.

Methods: A quasi-experimental intervention christened Community Theater for Immunization (CT4I) was deployed in 18 selected communities between November 2019 and May 2021 in the two states. In the intervention localities, relevant stakeholders including the leadership of the health system, community leaders, health workers and community members were engaged and actively involved in the design and performance of the theaters. The content for the theater showcased real stories, using a human-centered design (HCD) of ideation, co-creation, rapid prototyping, feedback collection and iteration. Pre- and post-intervention data on the demand and utilization of vaccination services were collected using a mixed method.

Results: In the two states, 56 immunization managers and 59 traditional and religious leaders were engaged. Four broad themes implicating user and provider factors emerged from the 18 focus group discussions as responsible for low immunization uptake in the communities. Of the 217 caregivers trained on routine immunization and theater performances, 72% demonstrated a knowledge increase at the post-test. A total of 29 performances attended by 2,258 women were staged with 84.2% of the attendees feeling satisfied. At the performances, 270 children received vaccine shots (23% were zero-dose). There was a 38% increase in the proportion of fully immunized children in the communities and 9% decline in the proportion of zero-dose children from baseline.

Conclusion: Both demand- and supply-side factors were identified as responsible for poor vaccination in the intervention communities. Our intervention demonstrates that caregivers will demand immunization services if they are engaged through community theater using a human-centered design (HCD). We recommend a scaling up of HCD to address the challenge of vaccine hesitancy.

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来源期刊
BMC Proceedings
BMC Proceedings Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)
CiteScore
3.50
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0.00%
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6
审稿时长
10 weeks
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