Despite the poor childhood immunisation uptake in African countries, no current systematic review has been conducted that focuses on describing, in detail, the factors influencing childhood immunisation uptake in Africa. The findings of this study are however comparable to the 8.6% of children aged 623months meeting minimum adequate diet reported among children from a rural area in North West Ethiopia [13] and the 36.7 and 7.3% rates of minimum meal frequency and minimum adequate diet respectively reported among children from the Cross-River State of Nigeria [12]. Mothers who considered immunisation sites to be accessible were 5 times more likely to have their children fully immunised compared to mothers who did not consider it accessible [29]. Appropriate complementary feeding refers to the timely introduction of solid, semi-solid or soft foods, minimum meal frequency, minimum adequate diet and minimum dietary diversity [5,6,7]. Chiabi A, Nguefack F, Njapndounke F, Kobela M, Kenfack K, Nguefack S, et al. ), is the pioneer open access eHealth journal and is the flagship journal of JMIR Publications.It is a leading digital health journal globally in terms of quality/visibility (Journal Impact Factor 7.08 (Clarivate, 2022)) and is also the largest journal in the field. These assertions were confirmed by our finding in this study that high level of knowledge was significantly associated with children being fed a minimum adequate diet. The family with a higher income may have easier access to Immunisation Centres due to accessible effective transportation options and would have less financial challenges when compared with families with a lower income. Geneva: UNICEF; 2019. Sophie is committed to embedding co-production into health and social care research. Springer Nature offers agreements that enable institutions to cover open access publishing costs. Each question was scored 1 for a correct answer. Health and Quality of Life Outcomes is an open access, peer-reviewed, journal offering high quality articles, rapid publication and wide diffusion in the public domain.. Health and Quality of Life Outcomes considers original manuscripts on the Health-Related Quality of Life (HRQOL) assessment for evaluation of medical and psychosocial interventions. In Nigeria, the unavailability of vaccines when required was also found to be another reason for defaulting on childhood immunisation uptake [56, 60, 68]. BMC Public Health. This could be due to the circulation of false information obtained via religious networks. In: Development Initiatives. [12] found 31.5% of a sample of 330 children aged 623months from Cross River State meeting minimum diet diversity, 36.5% minimum meal frequency and 7.3% received an acceptable diet. Regarding the recommended age at which a baby should be given complementary foods, 72% rightly said after 6months. Factors associated with vaccination coverage in children < 5 years in Angola. *2021 Journal Impact Factor was established by dividing the number of articles published in 2019 and 2020 with the number of times they are cited in 2021 based on Google Scholar Citation Index database. Likewise, in Mozambique parents with no religious affiliation were found to be twice as likely not to complete their childhood immunisation uptake [44]. Technology's news site of record. Here are some useful resources to help: Open access publishing is not without costs. Public Health Nurses (PHN's) "integrate community involvement and knowledge about the entire population with personal, clinical understandings of the health and illness experiences of individuals and families within the population. This finding compares favourably with those of the 2017/2018 multiple cluster Survey report for Ghana in which minimum adequate diet and diet diversity were highest among the richest than among the poorest [22]. No external funding was received for this systematic review. Social desirability and recall bias may be present due to the use of a self-report instrument that required participants to recall. 1 From its probable origins in Canada to its current use in the literature (Kindig and Stoddart 2003; Arah and Westert 2005), population health calls up images of non-individual health, at least in its literal meaning. After screening 10,396 titles, 324 records remained and their abstracts were screened. Emerging criteria for quality in qualitative and interpretive research. Richard is a survivor of two cancers, a heart emergency and sundry other health challenges. Aims and scope. J Health Popul Nutr. The Framework Method provides clear steps to follow and produces highly structured outputs of summarised data. Richard is a survivor of two cancers, a heart emergency and sundry other health challenges. Most often a case is an individual interviewee, but this can be adapted to other units of analysis, such as predefined groups or organisations. Results from a cross-sectional study conducted in the Sinana District of Ethiopia, consisting of 591 children aged 1223months, has found maternal occupation to be statistically associated with child immunisation uptake. 2014;48(6):90615. Children belonging to mothers or caregivers who travelled a short distance to the health facility for immunisation were 18 times more likely to be fully vaccinated compared with children whose mothers or caregivers travelled further to a health facility for their childrens immunisations [26]. To identify factors associated with minimum adequate diet while adjusting for confounders, multivariate logistic regression (a priori selection) was conducted. Vaccination coverage and factors associated with adherence to the vaccination schedule in young children of a rural area in Burkina Faso. By using this website, you agree to our All published articles are peer-reviewed. In Nigeria, results obtained using NDHS data involving 5754 children aged between 12 and 23months, also revealed a statistical association between area of residence and child immunisation status. Those who agreed to participate were taken through the consent processes, explaining to them the benefits of participating in the study. Heath G, Cameron E, Cummins C, Greenfield S, Pattison H, Kelly D, Redwood S. Paediatric care closer to home: stake-holder views and barriers to implementation. In addition, published reports can serve an educational purpose in helping facilitate training and research into peer review. This can be attributed to educational sessions that mothers were exposed to during postnatal visits where the importance of timely immunisation of the baby may be emphasised [20]. Secondly, 28% did not also know when to start appropriate complementary feeding, although all the children were receiving complementary feeding. 2017;17(1):236. https://doi.org/10.1155/2019/1924941. Given the growth of preprint servers and alternative platforms, it is increasingly important to describe their disciplinary scope and compare and contrast policies including governance, licensing, archiving strategies and the nature of any screening checks.These practices are important to both researchers and policymakers. Suggested revisions were made and the final version approved for data collection. In: Aromataris E, Munn Z, editors. However, the service was not always available which resulted in them becoming discouraged and they failed to complete the immunisation uptake of their children [56]. Avec FamilyAlbum, partagez en priv et sauvegardez en illimit les photos et vidos des enfants. Galadima, A.N., Zulkefli, N.A.M., Said, S.M. Children with fathers who had a secondary or higher educational level, were three times more likely to be fully vaccinated compared with children whose fathers had no formal education [16, 48, 59]. Availability of datasetsWhere a widely established research community expectation for data archiving in public repositories exists, submission to a community-endorsed, public repository is mandatory. PubMed Central Please contact us if further information is needed. Part of Personalized recommendation. Its defining feature is the matrix output: rows (cases), columns (codes) and cells of summarised data, providing a structure into which the researcher can systematically reduce the data, in order to analyse it by case and by code [1]. Despite the benefits of childhood immunisation, routine vaccination coverage for all recommended Expanded Programme on Immunization vaccines has remained poor in some African countries, such as Nigeria (31%), Ethiopia (43%), Uganda (55%) and Ghana (57%). We also consider economic evaluations of health policies, interventions, pharmaceuticals,and services. The Journal of Medical Internet Research (JMIR) (founded in 1999, now in its 23rd year! 2010;13(2):1738. From a cross-sectional study conducted in Uganda using Uganda Demographic Health Survey data, childhood immunisation uptake was affected by religious affiliations. Fixers exact test was used for responses that were less than 10 participants. Pertet A, Kaseje D, Otieno-Odawa C, Kirika L, Wanjala C, Ochieng J, et al. No wonder the WHO recommends that nutritionally adequate and safe complementary feeding should start from age 6months with continued breastfeeding up to 2years of age or beyond [8, 9]. An official website of the United States government. Health Expect 2014, epub ahead of print.. Two forms of the 3-point Likert scale were used depending on whether the item was assessing perceived barriers or perceived benefits. These include various aspects of the biology of pathogens and vectors, diagnosis and detection, treatment and case management, epidemiology and modeling, zoonotic hosts and CAS PLoS Med. 2018;13(7):e0200235. Individual interviewees may, of course, have very different views or experiences in relation to each topic, which can then be compared and contrasted. statement and The Journal of Medical Internet Research (JMIR) (founded in 1999, now in its 23rd year! Further information about open access can be found here. It is worth noting that this stage often takes longer than anticipated and that any project plan should ensure that sufficient time is allocated to meetings and individual researcher time to conduct interpretation and writing up of findings (see Additional file 1, Section 7). In sum, the Framework Method can be adapted for use with deductive, inductive, or combined types of qualitative analysis. These approaches identify commonalities and differences in qualitative data, before focusing on relationships between different parts of the data, thereby seeking to draw descriptive and/or explanatory The full text of any article considered potentially relevant was also retrieved independently by the two reviewers. Complementary feeding practices: Current global and regional estimates. Springerplus. The Framework Method sits within a broad family of analysis methods often termed thematic analysis or qualitative content analysis. By using this website, you agree to our It is vital in inductive coding to look out for the unexpected and not to just code in a literal, descriptive way so the involvement of people from different perspectives can aid greatly in this. The participants of the study included mothers /care givers with children aged 623months who visited the CWCs of the ECG and Kpandai District Hospitals for growth monitoring and promotion (GMP) services. Social foundations of thought and action: a social cognitive theory: Englewood Cliffs Prentice-Hall; 1986. Kenya Demographic and Health Survey. We encourage authors to ensure that their datasets are either deposited in publicly available repositories (where available and appropriate) or presented in the main manuscript or additional supporting files whenever possible. In Nigeria, higher immunisation uptake was observed in children above 1year of age (84.4%) compared with children below 1year (63.6%) and this could be due to the fact that some mothers delay child immunisation until their children reach a certain age, due to negative beliefs that their children are too young to be immunised [56]. The data was handled anonymously and confidentially. Global strategy for infant and young child feeding. In particular, we explore how it can be used in multi-disciplinary health research teams. Uptake of minimum acceptable diet among children aged 623 months in orthodox religion followers during fasting season in rural area, DEMBECHA, north West Ethiopia. Cookies policy. It has been linked to optimal nutrition in infants and young children as it ensures their growth, health and development to attain their full potential. The current study thus aims to evaluate the knowledge and attitudes of mothers regarding infant and young child feeding recommendations, complementary feeding practices and the determinants of adequate diet among children aged 623months in the Kpandai District of the Northern Region of Ghana. Technical terms are included in the glossary (below). For quantitative researchers working with qualitative colleagues or when exploring qualitative research for the first time, the nature of the Framework Method is seductive because its methodical processes and spreadsheet approach seem more closely aligned to the quantitative paradigm [14]. Majority of the mothers/care givers were married (96%), 49.0% had no formal education and 77.0% were Christians. Replication studies BMC Health Services Research welcomes submission of replication studies that provide new insights into previously published results and will evaluate these submissions with the same editorial standards we apply to other submissions. [7] found 57.3, 35.6 and 24.9% of the children meeting minimum meal frequency, minimum diet diversity and minimum adequate diet respectively. Jegede A. particular behaviours, incidents or structures), values (e.g. The systematic procedure (described in this article) makes it easy to follow, even for multi-disciplinary teams and/or with large data sets. In this review, parental socio-demographic factors (maternal age, maternal education, paternal education, maternal marital status, area of residence, wealth index, number of siblings, religion, ethnicity and family income), child socio-demographic factors (gender, age) and environmental factors (distance to health facility, mode of transportation, accessibility of vaccination site, satisfaction with vaccine services, quality of vaccine provider clients relationship and availability of vaccine) are considered as non-modifiable factors. Evidence shows that appropriate complementary feeding rates in developing countries are less desirable and majority of infants and young children do not meet the minimum indicators for appropriate complementary feeding [10, 11]. The three bibliographic databases generally considered to be the most important sources to search for reports of trials are CENTRAL (Noel-Storr et al 2020), MEDLINE (Halladay et al 2015, Sampson et al 2016) and Embase (Woods and Trewheellar 1998, Sampson et al 2003, Bai et al 2007).These databases are described in more detail in Sections 4.3.1.2 and 4.3.1.3 and in the The questionnaire was completed within 1020min. Morse JM, Barrett M, Mayan M, Olson K, Spiers J. Verification strategies for establishing reliability and validity in qualitative research. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. CAS Authors wish to thank the authorities of the Kpandai District Hospital and the Evangelical Church of Ghana (ECG) Hospitals in Kpandai for granting them permission into the facilities to conduct the study. Given the growth of preprint servers and alternative platforms, it is increasingly important to describe their disciplinary scope and compare and contrast policies including governance, licensing, archiving strategies and the nature of any screening checks.These practices are important to both researchers and policymakers. The questionnaire was piloted on a sample of 20 mother-child pairs and the issues that were identified were used to revise the questionnaire to allow for easy understanding and comprehensibility among the participants. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Acceptance of the complexity of real life health systems and the existence of multiple perspectives on health issues is necessary to produce high quality qualitative research. Learn all about our author services here, including the Springer Nature Transfer Desk and our Research Data Services. We analysed the data using the Statistical Package for the Social Sciences (SPSS) software. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Trends in Immunization Completion and Disparities in the Context of Health Reforms: The case study of Tanzania. In this article we discuss when it is appropriate to use the Framework Method and how it compares to other qualitative analysis methods. Privacy Transcripts should have large margins and adequate line spacing for later coding and making notes. Some manuscripts provide information that could be directly misapplied to pose a significant threat to public health, safety or security, agricultural crops and other plants, animals, or the environment. Likewise, four studies documented fear of vaccine side effects (AOR= 1.92; 95% CI: 1.01, 3.70) [23, 57, 60, 62], negative beliefs towards childhood immunisation uptake [46], good perception of immunisation (AOR= 2.60; 95% CI: 1.50, 4.51) [49] and confidence towards vaccine safety (p<0.05) [46]. It is located at the South-Eastern Corner of the Northern Region of Ghana. An image of a cartoon face with an open mouth grin. She is also a member of the NIHR NETSCC PPI Reference Group. Thus, if the father earns enough income it is likely to result in the acquisition of foods to meet the complementary feeding needs of the child. ANG undertook the searches and titles for screening. As such, data citations are included in full in the formal reference list, exported to Crossref and are openly available. We also considerstudies focused on risk assessments, upholding healthcare standards, incident management and reporting, and auditing. Determinants of routine immunization coverage in Bungudu, Zamfara state, northern Nigeria, may 2010. Nigeria Demographic and Health Survey. e.g. It is therefore essential that studies using the Framework Method for analysis are overseen by an experienced qualitative researcher, though this does not preclude those new to qualitative research from contributing to the analysis as part of a wider research team. Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Acta Trop. 2009;9(1). Article PubMed PubMed Central Google Scholar Methley AM, Chew-Graham C, Campbell S, Cheraghi-Sohi S: Experiences of UK health care services for people with Multiple Sclerosis: a systematic narrative review. The factors that are considered modifiable in this review are obstetric factors, maternal knowledge, maternal outcome expectation, maternal attitude, maternal self-efficacy and environmental factors. Any abbreviations used should be agreed by the team. Received 2012 Dec 17; Accepted 2013 Sep 6. BMC Int Health Human Rights. Accra: GSS; 2018. Why not explore some of our related journals in theBMC Series: All articles published by BMC Health Services Research are made freely and permanently accessible online immediately upon publication, without subscription charges or registration barriers. 2018;11(1):656. In addition, a multidisciplinary team comprising a nutritionist, paediatrician, public health specialist and a behavioural scientist evaluated the final version of the questionnaire for content validity (i.e. A similar finding was also found in Nigeria [61]. Many of these approaches are associated with specific disciplines and are underpinned by philosophical ideas which shape the process of analysis [22]. Good charting requires an ability to strike a balance between reducing the data on the one hand and retaining the original meanings and feel of the interviewees words on the other. The study showed mothers who frequently attend ANC during their pregnancy were about four times more likely to have their children fully vaccinated compared with mothers who did not attend ANC regularly [16]. In Nigeria, cultural beliefs against immunisation are found to be destructive towards childhood immunisation uptake [56, 60]. California Privacy Statement, Therefore, the aim of this study is to collate evidence on the factors that influence childhood immunisation uptake in Africa as well as to provide evidence for future researchers in developing, implementing and evaluating intervention among African populations, which will improve childhood immunisation uptake. California Privacy Statement, Articles in BMC Health Services Research should be cited in the same way as articles in a traditional journal. . ANG synthesis ed the data and created a table with input from both NZ and SS. were also evaluated using the questionnaire. Transcript: A written verbatim (word-for-word) account of a verbal interaction, such as an interview or conversation. We are pleased to announce that Research Involvement and Engagement has been accepted for indexing with Scopus. relevance, completeness, clarity, and meaningfulness). Unsurprisingly, there is also individual health which is BMC Health Services Research offers a fast publication schedule whilst maintaining rigorous peer review; all articles must be submitted online, and peer review is managed fully electronically (articles are distributed in PDF form, which is automatically generated from the submitted files). It is helpful in multi-disciplinary teams to compare and contrast styles of summarizing in the early stages of the analysis process to ensure consistency within the team. 2017;10(1):191. towards the general rather than the specific or anecdotal). Additional information is available through thejournals submission guidelines. A list of data where deposition is required, can be found on the Editorial Policies Page. Part of 2011;11(1):6. It also considers https://doi.org/10.1371/journal.pone.0206086. The editors and staff of Research Involvement and Engagement would like to thank warmly the academic and patient reviewers whose comments have helped to shape the journal. Despite the benefits of childhood immunisation, routine vaccination coverage for all recommended EPI vaccines has remained poor in some African countries such as Nigeria (31%; 2018), Ethiopia (43%; 2019), Uganda (55%; 2016) and Ghana (57%; 2014). The authors gratefully acknowledge electronic database searches done using Sultan Abdul Samad Library, Universiti Putra Malaysia. However, a research question such as, How do people construct accounts of the onset of their cardiovascular disease? would require a more inductive approach that allows for the unexpected, and permits more socially-located responses [25] from interviewees that may include matters of cultural beliefs, habits of food preparation, concepts of fate, or links to other important events in their lives, such as grief, which cannot be predicted by the researcher in advance (e.g. Considerations in developing and delivering a nonpharmacological intervention for symptom management in lung cancer: the views of patients and informal caregivers. Int Organ Scientific Res J Pharm. Google Scholar. Professor Li was formerly the Assistant Director-General of the World Health Organization (WHO), WHO Representative of South Pacific (1998-2003), the Director-General of the Department of International Cooperation at the Ministry of Health, China (1992-1997) and the Vice Director of the Beijing Municipal Health Bureau (1987-1992). Community knowledge, attitude and practice of childhood immunization in Southwest Nigeria. All authors were funded by the National Institute for Health Research (NIHR) through the Collaborations for Leadership in Applied Health Research and Care for Birmingham and Black Country (CLAHRC-BBC) programme. Federal government websites often end in .gov or .mil. Article Regarding child socio-demographic factors, child age was reported in two studies (p<0.05) [25, 56] whilst one study reported gender (OR= 2.98; 95% CI: 1.21, 7.35) [46]. Retrieved from https://www.who.int/immunization/global_vaccine_action_plan/en/. BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research.The journal has a special focus on digital health, governance, health policy, health system quality and safety, healthcare delivery and access to healthcare, healthcare financing and economics, implementing reform, and the health workforce. Gyampoh S, Otoo GE, Aryeetey RN. There is thus the need to come out with interventions that will create nutrition awareness among fathers to enable them recognise the important role complementary feeding plays in the health and development of their children. Nor Afiah Mohd Zulkefli. Not sure if your article fits the scope of the journal? Please ensure that your manuscript meets the requirements above prior to submission. Table 3 shows the mothers attitudes towards infant and young child feeding recommendations. analytic generalisation and transferability, rather than statistical generalisation [41]) to help to interpret legitimately the meaning and significance of the data. With regards to maternal outcome expectation, three studies reported knowledge on benefit of childhood immunisation uptake (AOR= 5.51; 95% CI: 1.52, 19.94) [23, 35, 54] and one study documented severity of VPDs (p=0.045) [45]. Uganda: Uganda Bureau of Statistics Kampala; 2016. Vonasek B, Bajunirwe F, Jacobson L, Twesigye L, Dahm J, Grant M, et al. We also considerstudies looking at the various models forfinancinghealthcare, such as private insurance, out-of-pocket expenses, social health insurance schemes, and taxation. Following the WHO/UNICEF guidelines, a child was considered to have met the minimum meal frequency if in the last 24h he/she received the minimum frequency for appropriate complementary feeding (i.e. J Comm Med Health Educ. Before National Bureau of Statistics Dar Es Salaam. Kio O, Agbede O, Mkpuruoma J. Box TL 1883, Tamale, Ghana, Department of Health Policy Planning and Management, School of Public Health, University of Health and Allied Sciences, Ho, Ghana, Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, P. O. World Health Organization. Unsurprisingly, there is also individual health which is Murtagh J, Dixey R, Rudolf M. A qualitative investigation into the levers and barriers to weight loss in children: opinions of obese children.

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