Evidence map›Paper›PMID 28202001›Full record

ArticleBMC public health2017

Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study.

Afiong Oku, Angela Oyo-Ita, Claire Glenton, Atle Fretheim, Glory Eteng, Heather Ames, Artur Muloliwa, Jessica Kaufman, Sophie Hill, Julie Cliff and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 2% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 140 citations in OpenAlex.

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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

14 authors at 9 institutions in 8 countries.

Afiong OkuCommunity Medicine Department, University of Calabar, P.M.B 1115, Calabar Municipality, Cross River State, Nigeria.
Angela Oyo-ItaCommunity Medicine Department, University of Calabar, P.M.B 1115, Calabar Municipality, Cross River State, Nigeria.
Claire GlentonNorwegian Institute of Public Health, Postboks 4404 Nydalen, 0403, Oslo, Norway.
Atle FretheimNorwegian Institute of Public Health, Postboks 4404 Nydalen, 0403, Oslo, Norway.
Glory EtengSociology Department, University of Calabar, P.M.B 1115, Calabar Municipality, Cross River State, Nigeria.
Heather AmesNorwegian Institute of Public Health, Postboks 4404 Nydalen, 0403, Oslo, Norway.
Artur MuloliwaDepartamento de Saúde, Direcção Provincial de Saúde de Nampula, Av. SamoraMachel n° 1016 R/C, C.P. N° 14, Nampula, Mozambique.
Jessica KaufmanCentre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Health Sciences 2, Victoria, 3086, Australia.
Sophie HillCentre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Health Sciences 2, Victoria, 3086, Australia.
Julie CliffFaculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique.
Yuri CartierInternational Union for Health Promotion and Education, 42 Blvd. de la Libération, 95203, St. Denis, Cedex, France.
Xavier Bosch-CapblanchSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland.
Gabriel RadaEvidence-based Healthcare Program, Pontificia Universidad Católica de Chile, Avda. Libertador Bernardo O'Higgins 340, Santiago, Chile.
Simon LewinNorwegian Institute of Public Health, Postboks 4404 Nydalen, 0403, Oslo, Norway. simon.lewin@fhi.no.ORCID 0000-0001-7521-9515
Norwegian Institute of Public Health · NOUniversity of Calabar · NGLa Trobe University · AUEduardo Mondlane University · MZInstituto Nacional de Saúde · MZInternational Union Against Tuberculosis and Lung Disease · FRPontificia Universidad Católica de Chile · CLSouth African Medical Research Council · ZASwiss Tropical and Public Health Institute · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of health communication in vaccination programmes cannot be overemphasized: it has contributed significantly to creating and sustaining demand for vaccination services and improving vaccination coverage. In Nigeria, numerous communication approaches have been deployed but these interventions are not without challenges. We therefore aimed to explore factors affecting the delivery of vaccination communication in Nigeria.

methodsWe used a qualitative approach and conducted the study in two states: Bauchi and Cross River States in northern and southern Nigeria respectively. We identified factors affecting the implementation of communication interventions through interviews with relevant stakeholders involved in vaccination communication in the health services. We also reviewed relevant documents. Data generated were transcribed verbatim and analysed using thematic analysis.

resultsWe used the SURE framework to organise the identified factors (barriers and facilitators) affecting vaccination communication delivery. We then grouped these into health systems and community level factors. Some of the commonly reported health system barriers amongst stakeholders interviewed included: funding constraints, human resource factors (health worker shortages, training deficiencies, poor attitude of health workers and vaccination teams), inadequate infrastructure and equipment and weak political will. Community level factors included the attitudes of community stakeholders and of parents and caregivers. We also identified factors that appeared to facilitate communication activities. These included political support, engagement of traditional and religious institutions and the use of organised communication committees.

conclusionsCommunication activities are a crucial element of immunization programmes. It is therefore important for policy makers and programme managers to understand the barriers and facilitators affecting the delivery of vaccination communication so as to be able to implement communication interventions more effectively.

Indexed as

VaccinationAttitude of Health PersonnelCaregiversHealth CommunicationHealth WorkforceHumansNigeriaParentsPoliticsQualitative ResearchBarriersCommunication strategiesFacilitatorsNigeriaQualitative studyVaccination

Identifiers

PMID28202001
PMCPMC5311723
OpenAlexW2588601573

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.