Immunization for the Migrant Fulani: Identifying an Under-Served Population in Southwestern Nigeria

1994 ◽  
Vol 15 (1) ◽  
pp. 21-32 ◽  
Author(s):  
Manasseh Y. J. Dao ◽  
William R. Brieger
Keyword(s):  
Local Government ◽  
Minority Group ◽  
Immunization Coverage ◽  
Target Population ◽  
Rural Populations ◽  
Culturally Appropriate ◽  
Southwestern Nigeria ◽  
Child Bearing ◽  
Full Immunization ◽  
Tetanus Toxoid Immunization

Rural populations are often at a disadvantage for receiving health services. Although Nigeria launched its Expanded Programme of Immunization in 1978, and has revised it twice since then, rural immunization coverage is still low. These problems may be compounded when the population is nomadic; thus a study was designed to learn about immunization coverage among a minority group of nomadic Fulani cattle herders living in southwestern Nigeria. It was necessary to conduct a census of the target population first because local government maps and records did not reflect their presence in study area, Ifeloju Local Government Area (LGA) of Oyo State. Sixty Fulani settlements were located and contained 2197 residents, 22.1 percent of whom were below five years of age and 21.5 percent of whom were women of child bearing age. Only 2.6 percent of children below twenty-four months of age (the EPI target group in Nigeria) had received full immunization, compared to an estimated coverage of 48 percent among all target age children in the LGA. Only 2.1 percent of the women had at least two tetanus toxoid immunization contacts. Immunization coverage was associated with proximity to a town, length of residence in the LGA and awareness of the settlement's leader about EPI. The latter factor gave rise to suggestions that greater outreach efforts should be targeted at Fulani leaders, using staff of the local nomadic education center to help design culturally appropriate health education programs.

scholarly journals Comparison of Micro-Census Results for Magarya Ward, Wurno Local Government Area of Sokoto State, Nigeria, with Other Sources of Denominator Data

Data ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 20
Author(s):  
Margherita Ghiselli ◽  
Idongesit Wilson ◽  
Brian Kaplan ◽  
Ndadilnasiya Waziri ◽  
Adamu Sule ◽  
...  
Keyword(s):  
Local Government ◽  
Immunization Coverage ◽  
Target Population ◽  
Population Based ◽  
Local Government Area ◽  
Population Projections ◽  
Routine Immunization ◽  
Vaccine Preventable Diseases ◽  
Population Growth Rates ◽  
Independent Population

Routine immunization coverage in Nigeria is suboptimal. In the northwestern state of Sokoto, an independent population-based survey for 2016 found immunization coverage with the third dose of Pentavalent vaccine to be 3%, whereas administrative coverage in 2016 was reported to be 69%. One possibility driving this large discrepancy is that administrative coverage is calculated using an under-estimated target population. Official population projections from the 2006 Census are based on state-specific standard population growth rates. Immunization target population estimates from other sources have not been independently validated. We conducted a micro-census in Magarya ward, Wurno Local Government Area of Sokoto state to obtain an accurate count of the total population living in the ward, and to compare these results with other sources of denominator data. We developed a precise micro-plan using satellite imagery, and used the navigation tool EpiSample v1 in the field to guide teams to each building, without duplications or omissions. The particular characteristics of the selected ward underscore the importance of using standardized shape files to draw precise boundaries for enumeration micro-plans. While the use of this methodology did not resolve the discrepancy between independent and administrative vaccination coverage rates, a simplified application can better define the target population for routine immunization services and estimate the number of children still unprotected from vaccine-preventable diseases.

Developing Photo-Posters for Health Education on Perceived Teething Problems in Nigeria

2003 ◽  
Vol 21 (4) ◽  
pp. 369-375
Author(s):  
O. O. Bankole ◽  
O. O. Denloye ◽  
G. A. Aderinokun ◽  
C. O. Badejo R.N. Phn
Keyword(s):  
Weight Loss ◽  
Health Education ◽  
Health Professionals ◽  
Target Population ◽  
Participatory Approach ◽  
Culturally Appropriate ◽  
Market Women ◽  
Research Findings ◽  
Enugu State ◽  
Rural Dwellers

The development of photo-posters to educate the Nigerian community on the perceived problems of teething was prompted by research findings which revealed that misconceptions about teething were widespread within the populace and in particular among some health professionals. Studies have shown that 58% of ethnic Yoruba rural dwellers in Nigeria attributed ailments to the teething process, while 70% of market women in Enugu State perceived diarrhea in their children was due to teething. In a recent survey, 61.4% of nurses believed diarrhea should accompany the teething process. Furthermore 82.1%, 35.8%, and 27.9% of them implicated fever, weight loss, and boils respectively as signs of teething. Photo-posters adopt the use of visual representation of a problem and the goal of using photo-posters is to begin to create an understanding in the minds of people that babies can be healthy in spite of their erupting teeth. It is believed that using pictures of real babies who are seen to be healthy when their teeth first emerge should go a long way to reducing some of the misconceived ideas. In its development, the participatory approach was adopted involving selected members of the target population, thus making it a culturally appropriate tool. This article describes the rationale behind the choice of the photo-posters and the process of developing them.

Resilience revisited: AIDS and resilience among a Yi ethnic minority in Southwest China

2021 ◽  
pp. 095935432110011
Author(s):  
Rachel Sing-Kiat Ting ◽  
Louise Sundararajan ◽  
Yuanshan Luo ◽  
Junyi Wang ◽  
Kejia Zhang
Keyword(s):  
Ethnic Minority ◽  
Southwest China ◽  
Minority Group ◽  
Target Population ◽  
Conceptual Space ◽  
Resilience Scale ◽  
Aids Pandemic ◽  
Western Psychology ◽  
Semistructured Interviews ◽  
Practical Implications

This study attempts to widen the conceptual space of resilience in (Western) psychology in order to better capture the resilience landscape of an ethnic minority group ravaged by the HIV/AIDS pandemic—the Nuosu-Yi in Southwest China. Without decolonizing the construct of resilience, non-Western versions of coping with adversities cannot be properly understood. Our process of decolonization of resilience involved two steps: First, we conducted semistructured interviews with the target population ( N = 21) to take inventory of their Indigenous notions of resilience. Second, for conceptual comparison, we mapped the themes and categories, derived from thematic analysis, of the interview data onto the conceptual space of the Resilience Scale for Adults (RSA), which we used as proxy for mainstream conceptualizations of resilience. This mapping revealed multiple lacunae in the theoretical framework of RSA, and unique properties in the Indigenous approach to adversities in contrast. Far reaching theoretical and practical implications of this investigation are discussed.

scholarly journals Tetanus Toxoid Vaccination Coverage and Associated Factors among Childbearing Women in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jemberu Nigussie ◽  
Bekahegn Girma ◽  
Alemayehu Molla ◽  
Moges Mareg
Keyword(s):  
Systematic Review ◽  
Health Facility ◽  
Tetanus Toxoid ◽  
Associated Factors ◽  
Meta Analysis ◽  
Immunization Coverage ◽  
Educational Status ◽  
Maternal Health Service ◽  
Childbearing Women ◽  
Tetanus Toxoid Immunization

Background. Tetanus is a bacterial disease caused by the Clostridium tetani, which is a highly fatal, noncommunicable, and toxin-mediated disease. Globally, maternal and neonatal tetanus is a public health problem due to low maternal tetanus toxoid immunization. Ethiopia has the highest neonatal mortality and morbidity related to tetanus due to low tetanus toxoid immunization and the high number of home deliveries. The main objective of this systematic review and meta-analysis was to estimate the pooled coverage of at least two doses of tetanus toxoid immunization, and the pooled effect sizes of associated factors in Ethiopia. Methods. Primary studies for this review were searched from the PubMed/MEDLINE online, ScienceDirect, Hinari, Google, and Google Scholar databases. Primary articles published from 2010 up to August 30, 2020, were included in this meta-analysis. Data were extracted in Microsoft Excel format and exported to STATA Version 14.0. A random-effects meta-analysis model was used to estimate the pooled coverage of two or more tetanus toxoid immunizations and its associated factors. Heterogeneity was evaluated by the I 2 test. Egger’s weighted regression test was used to assess publication bias. Results. We retrieved 212 records; of these, 199 articles were excluded for reasons. Finally, 14 studies were included in this meta-analysis. The pooled estimate of receiving at least two doses of tetanus toxoid immunization coverage in Ethiopia was 52.2% (95% CI: 42.47-61.93, I 2 = 98.4 % ). Antenatal care ( OR = 7.8 (95% CI: 3.2, 19.2), I 2 = 96.3 % ), media exposure ( OR = 8.3 (95% CI: 2.1, 33.3), I 2 = 98.1 % ), distance from the health facility ( OR = 2.64 (95% CI: 1.1, 6.6), I 2 = 94.1 % ), educational status of women ( OR = 4.7 (95% CI: 2.07, 9.56), I 2 = 94.2 % ), and educational status of husbands ( OR = 2.995 (95% CI: 1.194, 7.512), I 2 = 92.5 % ) were factors significantly associated with receiving at least two doses of tetanus toxoid immunization coverage in Ethiopia. Conclusions. The coverage of tetanus toxoid immunization among childbearing women was low in Ethiopia. Strengthening maternal health service utilization (antinatal care and institutional delivery) to the nearest health facility even in health posts and empowering education for both women and their husbands is recommended to increase tetanus toxoid immunization coverage in Ethiopia.

scholarly journals KNOWLEDGE AND ATTITUDE TOWARDS PREMARITAL GENOTYPE SCREENING AMONG WOMEN OF CHILD-BEARING AGE IN KUMO AKKO LOCAL GOVERNMENT AREA OF GOMBE STATE

2020 ◽  
Vol 1 (1) ◽  
pp. 10-19
Author(s):  
O. Agofure ◽  
M. A. Danzaria
Keyword(s):  
Family History ◽  
Local Government ◽  
Sickle Cell ◽  
Sickle Cell Anaemia ◽  
Health Workers ◽  
Local Government Area ◽  
Child Bearing ◽  
History Of ◽  
Knowledge And Attitude ◽  
Genotype Screening

The prevalence of sickle cell anaemia has been shown to be on the increase in Nigeria. Therefore, preventive measures such as premarital genotype screening have been proposed as one of the ways of reducing the scourge of the disease. Therefore, this study was designed to assess the knowledge and attitude of women of child bearing age in Kuma Akko Local Government Area of Gombe State towards premarital genotype screening. The study adopted a descriptive cross-sectional design. A total of 296 respondents were sampled through simple random sampling technique and the collected data were analyzed using Statistical Package for the Social Sciences (SPSS) version 20.0. Majority of the respondents 200(71.40%) were between the ages of 15-34 years old and 64(22.90%) of the respondents affirmed that they had a family history of sickle cell disease. In addition, 58.60% of the respondents demonstrated poor knowledge of premarital genotype screening while 57.10% exhibited negative perception towards premarital genotype screening and 63.20% exhibited poor attitude towards premarital genotype screening. There was a significant relationship between respondents with family history of sickle cell anaemia and their knowledge of premarital genotype screening. The study therefore recommends that efforts should be intensified by the governments and health workers in primary, secondary and tertiary level of healthcare deliveries, to raise awareness on the importance of premarital genotype screening in order to reduce the prevalence of Sickle cell anaemia in the locality. Agofure, O. | Department of Public and Community Health, Novena University, Ogume, Delta State, Nigeria.

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