scholarly journals Influence of Message Content in Persuasive Communication on Adoption of Routine Immunisation of Children Aged 0-5 years in Bomet County, Kenya

2021 ◽  
Vol 8 (1) ◽  
pp. 185-201
Author(s):  
Mary Amatu ◽  
Hellen Mberia ◽  
Kaylo Wa Ngula
Keyword(s):  
Health Workers ◽  
Good Practice ◽  
Medical Officer ◽  
Positive Influence ◽  
Persuasive Communication ◽  
Mixed Method Research ◽  
Message Content ◽  
Routine Immunisation ◽  
Vaccine Preventable Diseases ◽  
Client Communication

An estimated two to three million annual deaths from vaccine preventable diseases (VPDs) are prevented through immunisation. Currently about 19.5 million infants miss out on routine immunisation globally. We carried out a study on the role of message content in persuasive communication on adoption of routine immunisation services. The study employed a mixed method research design. A sample of 384 caregivers was used. Data was collected using interviewer administered questionnaires and Key Informant Interviews. The key informants interviewed were taken with sub-county medical officer of health, health promotion officer and EPI coordinator. Both descriptive and inferential statistics were applied in the analysis. The study findings were that message content had positive influence on adoption of routine immunisation. The study recommended that routine immunisation messages be made frequently available, targeted and tailored to the caregivers. Secondly, the community should be involved in advocacy towards adoption of routine immunisation, to create ownership and adoption sustainability. Additionally, health workers should be motivated towards good practice in health worker-client communication, specifically, persuasive communication to build trust from the caregivers. The researcher recommends comparative studies should be conducted, comparing the well performing counties with Bomet County, Kenya.An estimated two to three million annual deaths from vaccine preventable diseases (VPDs) are prevented through immunisation. Currently about 19.5 million infants miss out on routine immunisation globally. We carried out a study on the role of message content in persuasive communication on adoption of routine immunisation services. The study employed a mixed method research design. A sample of 384 caregivers was used. Data was collected using interviewer administered questionnaires and Key Informant Interviews. The key informants interviewed were taken with sub-county medical officer of health, health promotion officer and EPI coordinator. Both descriptive and inferential statistics were applied in the analysis. The study findings were that message content had positive influence on adoption of routine immunisation. The study recommended that routine immunisation messages be made frequently available, targeted and tailored to the caregivers. Secondly, the community should be involved in advocacy towards adoption of routine immunisation, to create ownership and adoption sustainability. Additionally, health workers should be motivated towards good practice in health worker-client communication, specifically, persuasive communication to build trust from the caregivers. The researcher recommends comparative studies should be conducted, comparing the well performing counties with Bomet County, Kenya.

scholarly journals PERSUASIVE COMMUNICATION: THE ROLE OF CAREGIVER CHARACTERISTICS ON ADOPTION OF ROUTINE IMMUNIZATION SERVICES OF CHILDREN AGED 0-5 YEARS IN BOMET COUNTY

2021 ◽  
Vol 6 (1) ◽  
pp. 45-60
Author(s):  
Mary Amatu ◽  
Professor Hellen Mberia ◽  
Dr. Kyalo Wa Ngula
Keyword(s):  
Health Workers ◽  
Routine Immunization ◽  
Persuasive Communication ◽  
Unique Contribution ◽  
Mixed Method Research ◽  
Cross Sectional ◽  
Level Of Education ◽  
Primary Level ◽  
Vaccine Preventable Diseases

Purpose: An estimated two to three million annual deaths from Vaccine preventable diseases (VPDs) are preventable through immunization. Currently about 19.5 million infants miss out on routine immunization globally. The study examined the role of caregiver characteristics in persuasive communication on adoption of routine immunization of children aged 0-5 years in Bomet County – Kenya. Methodology: This study self-funded, was a cross-sectional hospital based study, employing a mixed method research design. A sample of 384 caregivers participated in the study.Cronbach's alpha and confirmatory factor analysis tests was conducted to ascertain the reliability and validity of study instruments. Chi-square test was done to establish the relationship between caregiver characteristics and adoption of routine immunization. Data was collected using interviewer administered questionnaires and KII guide. Findings: The response rate was 95.1% with majority of the respondents in the age bracket of 19-25 at 42.2% and 61.4% were married with 36.9 % of the respondents reporting to be housewives. Majority of the respondent had primary level of education at 53.7 %, followed by secondary level those had attained only primary level of education with only 8.8% having attained tertiary level of education and those who had no level of education were 1.9%. On caregiver knowledge, 93.4% did not know any vaccines given to children. However, out of those that had knowledge on the vaccines, 66.3% agreed vaccines have side effects, though majorly they were mythical. Caregiver attitude on routine immunization was found to be negative. Unique contribution to theory, practice, and policy: The optimal model indicated that for every unit of Caregiver characteristic, the value of adoption changed by 0.386. The study concluded that caregiver characteristics had positive influence on adoption of routine immunization. The study recommended that routine immunization messages be made frequently available, targeted and tailored to the caregivers. Secondly, the community should be involved in advocacy towards adoption of routine immunization, to create ownership and adoption sustainability. Additionally, health workers should be motivated towards good practices in Healthworker-client communication specifically, persuasive communication to build trust from the caregivers. Contribution to practice and policy: Adoption of the study findings by the policy makers, will contribute to achieving the recommended 90%, fully immunized coverage. This in turn will reduce vaccine preventable diseases both in the study area and can be generalizing to settings with similar challenges in adoption of routine immunization.

scholarly journals Midwives’ experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Veronica Millicent Dzomeku ◽  
Adwoa Bemah Boamah Mensah ◽  
Emmanuel Kweku Nakua ◽  
Pascal Agbadi ◽  
Jody R. Lori ◽  
...  
Keyword(s):  
Maternity Care ◽  
Positive Impact ◽  
Good Practice ◽  
Healthcare Facility ◽  
Positive Influence ◽  
Respectful Maternity Care ◽  
Training Workshop ◽  
Care Practices ◽  
The Impact ◽  
Childbearing Women

Abstract Background In Ghana, studies documenting the effectiveness of evidence-based specialized training programs to promote respectful maternity care (RMC) practices in healthcare facilities are few. Thus, we designed a four-day RMC training workshop and piloted it with selected midwives of a tertiary healthcare facility in Kumasi, Ghana. The present paper evaluated the impact of the training by exploring midwives’ experiences of implementing RMC knowledge in their daily maternity care practices 4 months after the training workshop. Methods Through a descriptive qualitative research design, we followed-up and conducted 14 in-depth interviews with participants of the RMC training, exploring their experiences of applying the acquired RMC knowledge in their daily maternity care practices. Data were managed and analysed using NVivo 12. Codes were collapsed into subthemes and assigned to three major predetermined themes. Results The findings have been broadly categorized into three themes: experiences of practising RMC in daily maternity care, health facility barriers to practising RMC, and recommendations for improving RMC practices. The midwives mentioned that applying the newly acquired RMC knowledge has positively improved their relationship with childbearing women, assisted them to effectively communicate with the women, and position them to recognize the autonomy of childbearing women. Despite the positive influence of the training on clinical practice, the midwives said the policy and the built environment in the hospital does not support the exploration of alternative birthing positions. Also, the hospital lacked the required logistics to ensure privacy for multiple childbearing women in the open labour ward. The midwives recommended that logistics for alternative birthing positions and privacy in the ward should be provided. Also, all midwives and staff of the hospital should be taken through the RMC training program to encourage good practice. Conclusion Despite the report of some RMC implementation challenges, the midwives noted that the 4-day RMC training has had a positive impact on their maternity caregiving practice in the hospital. Policies and programs aimed at addressing the issue of disrespect and abusive practices during maternity care should advocate and include the building of facilities that support alternative birthing positions and privacy of childbearing women during childbirth.

scholarly journals Midwives’ experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training

2020 ◽  
Author(s):  
Veronica Millicent Dzomeku ◽  
Boamah Mensah Adwoa Bemah ◽  
Nakua Kweku Emmanuel ◽  
Agbadi Pascal ◽  
Lori R. Jody ◽  
...  
Keyword(s):  
Maternity Care ◽  
Positive Impact ◽  
Good Practice ◽  
Healthcare Facility ◽  
Positive Influence ◽  
Respectful Maternity Care ◽  
Training Workshop ◽  
Care Practices ◽  
The Impact ◽  
Childbearing Women

Abstract Background: In Ghana, studies documenting the effectiveness of evidence-based specialized training programs to promote respectful maternity care (RMC) practices in healthcare facilities are few. Thus, we designed a four-day RMC training workshop and piloted it with selected midwives of a tertiary healthcare facility in Kumasi, Ghana. The present paper evaluated the impact of the training by exploring midwives’ experiences of implementing RMC knowledge in their daily maternity care practices four months after the training workshop.Methods: Through a descriptive qualitative research design, we followed-up and conducted 14 in-depth interviews with participants of the RMC training, exploring their experiences of applying the acquired RMC knowledge in their daily maternity care practices. Data were managed and analysed using NVivo 12. Codes were collapsed into subthemes and assigned to three major predetermined themes.Results: The findings have been broadly categorized into three themes: experiences of practising RMC in daily maternity care, health facility barriers to practising RMC, and recommendations for improving RMC practices. The midwives mentioned that applying the newly acquired RMC knowledge has positively improved their relationship with childbearing women, assisted them to effectively communicate with the women, and position them to recognize the autonomy of childbearing women. Despite the positive influence of the training on clinical practice, the midwives said the policy and the built environment in the hospital does not support the exploration of alternative birthing positions. Also, the hospital lacked the required logistics to ensure privacy for multiple childbearing women in the open labour ward. The midwives recommended that logistics for alternative birthing positions and for privacy in the ward should be provided. Also, all midwives and staff of the hospital should be taken through the RMC training program to encourage good practice.Conclusion: Despite the report of some RMC implementation challenges, the midwives noted that the 4-day RMC training has had a positive impact on their maternity caregiving practice in the hospital. Policies and programs aimed at addressing the issue of disrespect and abusive practices during maternity care should advocate and include the building of facilities that support alternative birthing positions and privacy of childbearing women during childbirth.

scholarly journals Faktor-Faktor Komunikasi Persuasif Dinas Pariwisata Dan Kebudayaan Provinsi DKI Jakarta Dalam Jakarta Museum On Social Media Competition

2019 ◽  
Vol 1 (1) ◽  
pp. 51-84
Author(s):  
Elvio Tamara ◽  
Dini Safitri
Keyword(s):  
Social Media ◽  
Source Credibility ◽  
Environmental Influences ◽  
Quantitative Approach ◽  
Persuasive Communication ◽  
Young Generation ◽  
Message Content ◽  
Four Dimensions ◽  
Descriptive Research

DKI Jakarta Tourism and Culture Office utilizes social media to invite millennial generations to love museums. This was done, because of the lack of interest of the young generation to visit Mueseum. In addition, the Office of Tourism and Culture (Disparbud) of DKI Jakarta Province makes the Jakarta Museum On Social Media Competition. The purpose of this study was to determine the Persuasive Communication Factors of DKI Jakarta Tourism and Culture Office in inviting millennial love museums through the Jakarta Museum On Social Media Competition. Research uses variable factors - persuasive communication, which has four dimensions, namely source credibility, environmental influences, messages, and continuity of understanding of a message. The approach in this study is a quantitative approach, with a type of descriptive research. The population and sample were 38 people, who were participants in the vlog category competition. The results of the study show that there are some things that are lacking in the factors of persuasive communication carried out by the Department of Tourism and Culture of DKI Jakarta Province. This can be seen in the lowest mean, namely the influence of the environment with time setting indicators and message content settings. Respondent Mayortias considered the DKI Jakarta Tourism and Culture Office to be less than optimal in utilizing the time in the Jakarta Museum On Social Media Competition, which resulted in a minimal number of participants.

scholarly journals Assessment of national vector borne disease control programme in state of Karnataka

2019 ◽  
Vol 6 (2) ◽  
pp. 525
Author(s):  
Puneet Kumar Arali ◽  
Deepthi N. Shanbhag
Keyword(s):  
Disease Control ◽  
Lymphatic Filariasis ◽  
Health Workers ◽  
Medical Officer ◽  
Control Programme ◽  
Family Welfare ◽  
Vector Borne Diseases ◽  
Vector Borne Disease ◽  
Vector Borne ◽  
Disease Control Programme

ABSTRACTBackground:National vector borne disease control programme(NVBDCP) was launched to control the prevalence of vector borne diseases like malaria, filaria, Japanese encephalitis (JE), Dengue/DHF, chikungunya, lymphatic filariasis and Kala Azar. The present study was done to assess the activities of NVBDCP in state of Karnatakaand to analyze selective qualitative and quantitative indicators related to the activities.Methods:Quantitatively retrospective data was collected from Directorate office Department of Health and Family Welfare, NVBDCP section from April 2016 to March 2017. Qualitatively questionnaire based protocol was made and interviews were conducted with District programme officer, PHC medical officer and  grass root level health workers like ANM, ASHA with reference to one each of selected least performing districts and good performing districts in the state. The collected data was analysed by using Microsoft Excel 2010 version.Results:The highest prevalent districts in Karnataka areDakshina Kannada for malaria, Udupi for dengue, Tumakurufor chikungunya andBidar for lymphatic filariasis. Major factors related to poor outcome in some districts were rigid attitude of the community, poor support of local panchayats and less human resources.Conclusion:The result of this investigation revealed that Dakshina Kannada has got highest number of cases with greater proposition and high prevalence rate of vector borne diseases due to lack of sufficient human resources and geographical factors. Strengthening the surveillance activities along with integrated vector control programmes will improves the outcome of the programme.

scholarly journals A systematic review of the knowledge, attitudes, and practices of physicians, health workers, and the general population about Coronavirus disease 2019 (COVID-19)

2020 ◽  
Author(s):  
Saeede Saadatjoo ◽  
Maryam Miri ◽  
Soheil Hassanipour ◽  
Hosein Ameri ◽  
Morteza Arab-Zozani
Keyword(s):  
Systematic Review ◽  
Positive Attitude ◽  
Health Workers ◽  
International System ◽  
Good Practice ◽  
Negative Attitude ◽  
Current Evidence ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Good Level

AbstractBackgroundUnderstanding people, physicians, and healthcare workers’ knowledge, attitude, and practices (KAPs) can help to achieve the outcomes of planned behavior. The aim of this study was to investigate and synthesize the current evidence on KAPs regarding COVID-19.MethodsWe conducted a systematic search on PubMed/LitCovid, Scopus, and Web of Sciences databases for papers in the English language only, up to 1 Jul 2020. We used the Joanna Briggs Institute (JBI) checklist developed for cross-sectional studies to appraise the quality of the included studies. All stages of the review conducted by two independent reviewers and potential discrepancies solved with a consultation with a third reviewer. We reported the result as number and percentage. PROSPERO registration code: (CRD42020186755).ResultsFifty-two studies encompassing 49786 participants were included in this review. 45.76% of the participants were male. The mean age of the participants was 32.6 years. 44.2% of the included studies were scored as good quality, 46.2% as fair quality, and remaining (9.6%) as low quality. 30.76% examined all three components of the KAPs model. The knowledge component was reported as good, fair, and poor in 59%, 34%, and 7%, respectively. Of the studies that examined the attitude component, 82% reported a positive attitude, 11% a fairly positive attitude, and 7% a negative attitude. For the practice component, 52% reported good practice, 44% fair practice, and 4% poor practice.ConclusionThis systematic review showed that the overall KAP components in the included studies were at an acceptable level. In general, knowledge was at a good level, the attitude was positive and practice was at a fairly good level. Using an integrated international system can help better evaluate these components and compare them between countries.

scholarly journals Evaluation of the effect of an educational intervention on knowledge and adherence to HIV guidelines among frontline health workers in Alex-Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria

2020 ◽  
Vol 20 (3) ◽  
pp. 1080-1089
Author(s):  
Ifeyinwa Chizoba Akamike ◽  
Ijeoma Nkem Okedo-Alex ◽  
Chigozie Jesse Uneke ◽  
Henry Chukwuemeka Uro-Chukwu ◽  
Onyedikachi Echefu Chukwu ◽  
...  
Keyword(s):  
Health Worker ◽  
Educational Intervention ◽  
Health Workers ◽  
Guideline Implementation ◽  
Good Practice ◽  
University Teaching ◽  
Post Intervention ◽  
Laboratory Equipment ◽  
Keywords Hiv ◽  
Before And After

Background: The aim of this study was to appraise the implementation of the National HIV guidelines and determine the effect of an educational intervention on health worker knowledge and practice of the guidelines. Methods: A before and after study design without control was carried out using a self-administered questionnaire and key informant interviews. Data was also collected from client record cards. An educational intervention was carried out using pamphlets containing summarized information on the guideline. Data analysis was carried out using IBM-SPSS version 20. Result: Results showed that 54.5% of the respondents were males and 76% were medical doctors. Baseline knowledge level of respondents was high with 97% of respondents having good knowledge with a mean score of 3.9. This increased to 4.1 out of 5 post-intervention. All respondents had good practice of the guidelines before and after intervention with a mean score of 4.5 out of 5. Client records also showed good practice. Barriers to guideline implementation include: poor knowl- edge, inadequate training, guideline unavailability, poor functioning of the laboratory equipment, poor funding. Conclusion: HIV guidelines are being implemented in the clinic to a large extent; however, trainings, funding and provision of the guideline in the clinics are recommended. Keywords: HIV; guideline implementation; health worker.

scholarly journals COVID-19 Pandemic: A Speed Breaker for Routine Immunisation

2021 ◽  
Author(s):  
Sumit Singh Bhadoria ◽  
Durgesh Shukla ◽  
Ashutosh Joshi
Keyword(s):  
Vaccination Coverage ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Secondary Data ◽  
Study Data ◽  
P Value ◽  
Care Hospital ◽  
Routine Immunisation ◽  
Vaccine Preventable Diseases ◽  
The Difference

Introduction: Immunisation services are affected by Coronavirus Disease 2019 (COVID-19) pandemic due to lockdown and fear of COVID among public along with problems of workforce management and vaccine supply. All these factors have led to decrease in vaccination coverage. It may further lead to increase in risk of vaccine preventable diseases. Aim: To assess the overall trend and evaluate the vaccination coverage during COVID-19 pandemic in a tertiary care hospital in Gwalior district. Materials and Methods: Record based secondary data from the immunisation OPD of the tertiary care hospital Gwalior, Madhya Pradesh, India, for the period of 01 February 2020 to 31 August 2020 was utilised in current study. Data were entered into Microsoft Excel version-2007 and analysed. Frequency, percentage, mean, and standard deviation were calculated as a descriptive measures and graphical presentation to show time trends. The p-value was calculated at 5% level of significance. Results: In the study, 817 children were included, with mean age of 7.46 ±13.59 months. Total 61.1% (499) children were male and 38.9% (318) were female. During the study period, all the children were vaccinated for Bacille Calmette-Guerin (BCG) (10.6%) Pentavalent-1 series (36.4%), Pentavalent-2 series (17.4%), Pentavalent-3 series (12.2%), Measles-Rubella (MR-1) (6.5%), Booster-I (11.8%) and Booster-II (5.1%). Delayed vaccination was seen in 51(6.20%) children. The delay was observed for Pentavalent-2 series (43.1%), pentavalent-3 series (51.0%) and MR-1 (5.9%) and the difference is significant at p-value <0.05. Conclusion: Immunisation services were severely interrupted and completely suspended in April 2020. Certain amount of delay in various doses was also observed. Maintaining routine immunisation is essential in preventing an outbreak of vaccine preventable diseases.

Acceptability, Appropriateness, and Preliminary Effects of the PrEP Diffusion Training for Lay HIV Workers: Increased PrEP Knowledge, Decreased Stigma, and Diffusion of Innovation

2020 ◽  
Author(s):  
Yumeng Wu ◽  
Gang Yang ◽  
Kathrine Meyers
Keyword(s):  
Diffusion Of Innovation ◽  
Health Workers ◽  
Knowledge Score ◽  
Positive Influence ◽  
Sustained Effects ◽  
Prep Implementation ◽  
Participatory Training ◽  
Exposure Prophylaxis ◽  
And Diffusion ◽  
Determinants Of Implementation

Abstract Background Training lay health workers is a critical strategy for HIV pre-exposure prophylaxis (PrEP) implementation, but little is known about effective approaches to conducting and evaluating such trainings. We evaluated the effect of the PrEP Diffusion Training, a one-day participatory training informed by the Diffusion of Innovation theory, on knowledge, PrEP stigma, implementation behavior, and diffusion of PrEP innovation among lay HIV workers in China.Methods Nine PrEP Diffusion Trainings were delivered to 220 lay HIV workers. We conducted multi-time-point surveys to assess acceptability, appropriateness, and preliminary effects of the training on participants’ knowledge, PrEP stigma, determinants of implementation behavior, and diffusion of PrEP information. We used an observation-based checklist to evaluate implementation fidelity.Results All trainings were delivered with high fidelity to the standardized manual, with little variability across sites. Acceptability and appropriateness of training were high. PrEP knowledge score significantly increased by 65% from pre-training to post-training, and remained high one month after the training. We observed a significant decrease in PrEP stigma and a positive influence on determinants of implementation behaviors. All participants surveyed one-month after the training reported having shared PrEP information in their social networks, and 43% reported integrating PrEP education into their routine HIV prevention work on a regular basis.Conclusions The PrEP Diffusion Training is a practical and effective strategy to build lay HIV workers’ capacity to participate in PrEP implementation. Longer-term follow up post training would be ideal to further assess actual PrEP uptake and sustained effects of intervention on PrEP implementation.

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