Evidence map›Paper›PMID 33541305›Full record

ArticleBMC public health2021

Empowering traditional birth attendants as agents of maternal and neonatal immunization uptake in Nigeria: a repeated measures design.

Chinedu Anthony Iwu, Kenechi Uwakwe, Uche Oluoha, Chukwuma Duru, Ernest Nwaigbo

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 17 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

5 authors at 1 institution in 1 country.

Chinedu Anthony IwuDepartment of Community Medicine, Imo State University, Teaching Hospital Umuna, Orlu, Nigeria. iwuchinedu@yahoo.com.ORCID 0000-0002-8139-283X
Kenechi UwakweDepartment of Community Medicine, Imo State University, Teaching Hospital Umuna, Orlu, Nigeria.
Uche OluohaDepartment of Community Medicine, Imo State University, Teaching Hospital Umuna, Orlu, Nigeria.
Chukwuma DuruDepartment of Community Medicine, Imo State University, Teaching Hospital Umuna, Orlu, Nigeria.
Ernest NwaigboDepartment of Community Medicine, Imo State University, Teaching Hospital Umuna, Orlu, Nigeria.
Imo State University Teaching Hospital · NG

Funding

Biotechnology and Biological Sciences Research CouncilMedical Research Council MC_PC_17221Medical Research Council MR/R005990/1Medical Research Council MR/R005990/2
6 · The paper itself

Abstract

backgroundAdequate immunization coverage in rural communities remain a challenge in Nigeria. Traditional birth attendants (TBAs) form an integral part of the social, cultural and religious fabric in most rural communities in Nigeria. Despite their limitations in handling the complications of childbirth, TBAs are widely accepted and patronized, especially in rural areas. The objectives of the project were to empower TBAs and assess the use of a culturally adapted audio-visual workshop intervention to change their knowledge, attitude and willingness to promote immunization uptake.

methodsA repeated-measures design that used a convenience sampling technique to select 90 TBAs from the three geopolitical zones of Imo State, Nigeria. The TBAs were engaged through a culturally adapted audio-visual workshop. Data were collected before and immediately after intervention using a pretested questionnaire. Chi square test was done to determine any significant association with the zone of practice and paired sample t-test analysis to determine any significant pre and post intervention change. Level of significance was set at p ≤ ·05.

resultsMore than half of the TBAs had at most, a secondary level of education (54·4%). The average length of time they practiced as TBAs was 16 years with an average of ten birth deliveries per month. After the intervention, all the respondents (100%) reported a willingness to always promote immunization uptake and also, there was a statistically significant increase in Knowledge (p < ·000). Similarly, the level of knowledge in the post intervention period appeared to be significantly associated with the zone of practice (p = ·027).

conclusionThe workshop intervention empowered the TBAs irrespective of their zones of residence by successfully improving their knowledge, though at varying levels; and consequently, their willingness to always promote immunization uptake.

Indexed as

MidwiferyFemaleHealth Knowledge, Attitudes, PracticeHumansImmunizationInfant, NewbornNigeriaPower, PsychologicalPregnancyImmunization uptakeInterventionNigeriaTraditional birth attendants

Identifiers

PMID33541305
PMCPMC7863363
OpenAlexW3115246942

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Registered trials

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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.