Nursing mothers: Adverse events following immunization and its implication for counselling
Kikelomo O. Adubi | Bolanle M. Oyundoyin | Adijat M. Ariyo | R. A. Adekunbi | Abolanle O. Lasode
Discipline: counselling, psychotherapy and occupational therapy
Abstract:
Vaccines approved for routine childhood immunization are safe and
effective but sometimes there are Adverse Events Following Immunization
(AEFI) which often result in ill health, various forms of deformities when
it is wrongly administered and eventually forfeiture of public trust in
immunization programmes. This study examined Nursing Mothers:
Adverse Events Following Immunization and its Implication for
Counselling. A multistage sampling procedure was used to choose 300
nursing mothers. Data were collected with the aid of a questionnaire and
analyzed using means, frequency counts, percentages, Chi-square, and
Pearson Product Moment Correlation (PPMC). Results revealed that the
mean age of the respondents was 30 years. Pain or swelling at the injection
site (85.7%) was the major existing AEFI. The majority (80.7%) of the
respondents were highly knowledgeable about AEFI, while 74.0% had a
negative attitude to the incidence of AEFI. The majority (68.7%) had
unfavourable perception on the continuation of immunization for their
children after an AEFI. The major counselling services available for
nursing mothers were adherence to immunization schedules as advised by
health counsellors (Mean= 2.67) and pre-counselling for nursing mothers
on AEFI before child immunization (Mean =2.63). Correlation results
showed that order of birth (r= 0.12), counselling services (r =0.15);
awareness of nursing mothers on immunization (r=0.29) had significant
relationships (p<0.05) with knowledge of nursing mothers on the AEFI.
Also, respondents had high knowledge, negative attitude, and unfavorable
perception to the incidence and continuation of immunization for Children
after AEFI. In conclusion, order of birth, counselling services, and
awareness of nursing mothers on immunization are crucial in shaping
nursing mothers’ knowledge on the AEFI. Hence, it was recommended that
the Ministry of Health both should facilitate frequent counselling and
immunization refresher courses for health counsellors on vaccine safety
and how to control AEFI among nursing mothers.
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