Association between Fathers' Knowledge, Attitude, and Practice with Routine Immunization Status of Their under Five (5) Years Old Children in Gusau, Zamfara State Nigeria
General Material Designation
[Thesis]
First Statement of Responsibility
Abubakar, Audu
Subsequent Statement of Responsibility
Lawrence, Brown
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
Morgan State University
Date of Publication, Distribution, etc.
2019
GENERAL NOTES
Text of Note
107 p.
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Dr.P.H.
Body granting the degree
Morgan State University
Text preceding or following the note
2019
SUMMARY OR ABSTRACT
Text of Note
Background. According to WHO, Nigeria has a high coverage of childhood immunizations, except for Northern Nigeria. Most studies on coverage examined the knowledge, attitude, and practice of mothers, but few examined that of fathers. We examined the relationship of fathers' knowledge, attitude, and practice on routine immunization (RI) uptake in Gusau local government area (LGA), Zamafara State, Nigeria. Methods. A cross-sectional study was conducted in 2017-2018. Fathers of children aged 1 month to 5 years, representing households in five different wards were systematically sampled. A total of 375 correctly responded to the survey used to understand the beliefs, practices, and influences fathers encountered before and during immunization. The participation rate was 75%. Logistic regression was conducted to examine the association between immunization status and variables such as the child's gender, fathers' age, and tribe. Results. Fathers' knowledge of vaccine-preventable diseases (VPDs) was significantly related to their children's immunization status (p < 0.05). Even with the availability of immunization services, fathers were 80% significantly less likely to complete their child's immunization without using more health workers (p < 0.00). Availability of more health workers and sensitization revealed a significant relationship (p < 0.00) with increased uptake. Conclusion. While fathers had adequate knowledge and attitudes, and good practices related to childhood vaccination, there were gaps in knowledge. Educational interventions are required to improve parents' knowledge on immunization, and more health workers are the key to increasing RI uptake.