Version 1
: Received: 4 September 2023 / Approved: 5 September 2023 / Online: 6 September 2023 (02:41:06 CEST)
How to cite:
Adeyanju, G.C.; Betsch, C. Vaccination Decision-Making among Mothers of Children Under-5 in Nigeria: A qualitative study. Preprints2023, 2023090325. https://doi.org/10.20944/preprints202309.0325.v1
Adeyanju, G.C.; Betsch, C. Vaccination Decision-Making among Mothers of Children Under-5 in Nigeria: A qualitative study. Preprints 2023, 2023090325. https://doi.org/10.20944/preprints202309.0325.v1
Adeyanju, G.C.; Betsch, C. Vaccination Decision-Making among Mothers of Children Under-5 in Nigeria: A qualitative study. Preprints2023, 2023090325. https://doi.org/10.20944/preprints202309.0325.v1
APA Style
Adeyanju, G.C., & Betsch, C. (2023). Vaccination Decision-Making among Mothers of Children Under-5 in Nigeria: A qualitative study. Preprints. https://doi.org/10.20944/preprints202309.0325.v1
Chicago/Turabian Style
Adeyanju, G.C. and Cornelia Betsch. 2023 "Vaccination Decision-Making among Mothers of Children Under-5 in Nigeria: A qualitative study" Preprints. https://doi.org/10.20944/preprints202309.0325.v1
Abstract
Background: Since 2000, vaccine coverage in Sub-Saharan Africa (SSA) has surpassed multiple milestones. Its contribution to global health, especially in low-middle-income countries is one of the achievements in global governance of modern medicine, averting 2-3 million child deaths every year. However, in Nigeria, vaccine-preventable-diseases still account for one in eight child deaths before their fifth-year birthday and remains one of the ten countries where 4.3 million children under five are without complete immunization. The reasons for declining childhood vaccine demand are unclear. Therefore, the goal of this contribution is to shed light on the reasons to set a foundation for future interventions.
Methods: Four focus group discussions were conducted. The primary targets were mothers of children 0 – 12 months old in Nigeria. A simplified quota sampling approach was used to select mothers in four geographical clusters of Nigeria’s Federal Capital Territory. At least six mothers from each cluster were randomly included, giving a total of 24 participants. An interview guide developed from the 5C psychological antecedence model was used (assessing confidence, complacency, calculation, constraints, collective responsibility); two additional variables were included that had proved meaningful in previous work (religion and masculinity). The data were analyzed using meta-aggregation approach such as framework synthesis, which summarized data in a stepwise fashion.
Results: The sample was generally relatively positive towards vaccination. Still, mothers reported low trust in vaccine safety and the healthcare system (confidence). Yet, they had great interest in seeking additional information during antenatal visits (calculation), difficulties in prioritizing vaccination over other equally competing priorities (constraints) and were aware that vaccination translates into overall community health and wellbeing (collective responsibility). They had a bias towards God as ultimate giver of good health (religion) and reported that their husbands played a dominant role in vaccination decision-making (masculinity). Mothers perceived their children vulnerable to disease outbreaks, which motivated them to get them vaccinated (complacency).
Conclusion: The 5C model and the added determinants provided a useful qualitative tool for understanding mothers’ vaccination decision-making in low resources settings.
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
