Evidence map›Paper›PMID 25320582›Full record

ArticleAfrican health sciences2014

Rural-urban disparities in maternal immunization knowledge and childhood health-seeking behavior in Nigeria: a mixed method study.

Ifeoma P Okafor, Duro C Dolapo, Modupe O Onigbogi, Iruoma G Iloabuchi

Abstract readComparative Study
In one paragraph

Article in African health sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ifeoma P OkaforDepartment of Community Health & Primary Care, College of Medicine, Idi-Araba, P.M.B. 12003, Lagos, Nigeria.
Duro C DolapoLeverage Consulting Ltd, Road 425, Zone 6, Abuja, Nigeria.
Modupe O OnigbogiDepartment of Community Health & Primary Care, Lagos University Teaching Hospital, Idi-Araba, P.M.B. 12003, Lagos, Nigeria.
Iruoma G IloabuchiDepartment of Community Health & Primary Care, Lagos University Teaching Hospital, Idi-Araba, P.M.B. 12003, Lagos, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunization and appropriate health-seeking behavior are effective strategies to reduce child deaths.

objectivesTo compare maternal knowledge about immunization, use of growth chart and childhood health-seeking behavior in rural and urban areas.

methodsA cross-sectional comparative study done in Lagos, Nigeria. Questionnaire survey and focus group discussions were done. 300 respondents were selected by multi-stage sampling while discussants were purposively selected.

resultsAwareness of immunization was high but knowledge of vaccine preventable diseases (VPDs) was poor in both areas. Urban women utilized preventive services more; growth monitoring (p<0.001) and immunization (p<0.001) while higher proportions of rural women utilized nutritional counseling (p=0.005) and treatment of illness (p<0.001). Growth chart utilization was better in the urban areas (p<0.001). Increasing maternal education increased use of growth chart in both areas. Both groups of women use multiple treatment sources for children (more in urban), determined by cost, time, perceived severity of illness and type of ailment (urban) and peculiarity of illness (rural). There is a preference for orthodox care in the rural area.

conclusionsKnowledge of VPDs was poor and multiple treatment sources were common among rural and urban women. Education is vital to improve immunization knowledge and health-seeking behavior in both areas.

Indexed as

Health Knowledge, Attitudes, PracticeImmunizationAdultChildChild Health ServicesCommunicable Disease ControlCross-Sectional StudiesFemaleFocus GroupsHealth BehaviorHumansInterviews as TopicMaleNigeriaPreventive Health ServicesRural Populationchild healthgrowth charthealth-seeking behaviorImmunizationNigeria

Identifiers

PMID25320582
PMCPMC4196403

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.