ArticleThe Pan African medical journal2021
A rapid qualitative assessment of barriers associated with demand and uptake of health facility-based childhood immunizations and recommendations to improve immunization service delivery in Sokoto State, Northwest Nigeria, 2017.
Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Review
- Religious leaders' perspectives on childhood immunization in Bauchi State, Nigeria: A Qualitative Study.medRxiv : the preprint server for health sciences · 2026Article
- Caregivers´ qualitative insights on trust, resilience and vaccination attitudes shaping child health in conflict-affected Northeast Nigeria.Conflict and health · 2026Article
- Caregiver and healthcare professional perspectives on drivers of routine immunisation uptake in East New Britain, Papua New Guinea: a qualitative study.BMJ public health · 2026Article
- Gender-Associated Factors on the Occurrence and Prevalence of Zero-Dose Children in Sub-Saharan Africa: A Critical Literature Review.Tropical medicine and infectious disease · 2025Review
- Incentives in immunisation campaigns in low- and middle-income countries: a scoping review mapping evidence on effectiveness and unintended consequences.BMJ global health · 2025Article
- Understanding caregivers' and community influencers' perspectives on the barriers to childhood immunisation in Northern Nigerian States with public-private partnerships in routine immunisation programme.BMC public health · 2025Article
- Community pharmacy workforce willingness, readiness, and infrastructural capacity to deliver vaccination services: a cross-sectional survey in Nigeria.BMC health services research · 2025Article
- "I went to the primary health centre close to my workplace, but their capacity cannot deliver the baby": exploring why women choose different providers for maternal health services in Nigeria.BMC pregnancy and childbirth · 2025Article
- Understanding the Challenges of Advocacy Communication, Social Mobilization, and Operationalization for COVID-19 and Routine Immunization in Nigeria.The American journal of tropical medicine and hygiene · 2025Article
- Evaluation of immunization service delivery in primary healthcare centers in Akinyele and Lagelu local government areas, Oyo State, Nigeria.SAGE open medicine · 2025Article
- Strengthening Capacity for Tailored Immunization Programs Using Adult Learning Principles: A Case Study from Nigeria.Global health, science and practice · 2024Article
- Provider and community perceptions of integrated COVID-19 and routine childhood immunisation programmes in Nigeria: a qualitative exploratory study.BMC health services research · 2024Article
- Exploring the landscape of routine immunization in Nigeria: A scoping review of barriers and facilitators.Vaccine: X · 2024Article
- An evaluation of a multi-partner approach to increase routine immunization coverage in six northern Nigerian States.BMC health services research · 2024Article
- Of Money and Men: A Scoping Review to Map Gender Barriers to Immunization Coverage in Low- and Middle-Income Countries.Vaccines · 2024Article
- 'Let him die in peace': understanding caregiver's refusal of medical oxygen treatment for children in Nigeria.BMJ global health · 2024Article
- The Re-emergence of Diphtheria Amidst Multiple Outbreaks in Nigeria.Infectious disorders drug targets · 2024Review
- Barriers to optimal AEFI surveillance and documentation in Nigeria: Findings from a qualitative survey.PLOS global public health · 2023Article
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Authors and funding
10 authors.
Funding
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Abstract
Introduction: This rapid qualitative assessment aimed to understand factors associated with persistent low vaccination demand and uptake, and recommendations to improve health facility-based childhood immunization services in Sokoto State, Nigeria. Methods: In 2017, 20 focus group discussions and 16 in-depth interviews were conducted with administrative personnel, healthcare workers, caregivers, and community influencers across three local government areas in Sokoto state, Northwest Nigeria. Participants were purposefully selected to capture a range of perspectives regarding access to health services, campaign- and facility-based immunizations, confidence in immunizations, and recommendations to improve childhood immunization uptake. Results: One hundred and ninety-three individuals participated in the assessment. Commonly reported barriers to receiving childhood immunizations include: inadequacy of health services to meet community needs, preference for campaign vs. facility-based immunizations, the negative influence of rumors and misinformation, and opposition to vaccines among male heads of households. Recommendations to improve uptake of childhood immunizations include: improving immunization service delivery in health facilities, involving community leaders in building demand for immunization, and providing access to free health services and non-cash incentives. Conclusion: Rapid assessment results highlight community, facility, and administrative barriers associated with low demand for and uptake of health facility-based childhood immunizations and offer recommendations to improve immunization services in Sokoto state, Nigeria. Findings demonstrate the persistence of service and supply side barriers such as infrastructure and personnel issues, but also highlight the influence of behavioral factors such as low prioritization of receiving childhood immunizations, misinformation, and gender dynamics on whether communities accept or seek out immunization services.
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