Ngozi Akwataghibe|Elijah Ogunsola|Jacqueline E. W. Broerse|Oluwafemi Popoola|Adanna I. Agbo|Marjolein Dieleman
Exploring Factors Influencing Immunization Utilization in Nigeria—A Mixed Methods Study
Royal Tropical Institute|Vrije Universiteit Amsterdam|Ondo State Primary Health Care Development Board|Vrije Universiteit Amsterdam|University of Ibadan|Morgan State University|Royal Tropical Institute|Vrije Universiteit Amsterdam
background 2005 nigeria adopted reach every ward strategy improve vaccination coverage children 023 months 2015 ogun state full coverage 12 20 local government areas eight pockets unimmunized children highest burden 37 remonorth study aimed identify factors remonorth influencing use immunization services order inform intervention approaches tackle barriers immunization utilization methods carried crosssectional study using mixed methods including survey caregivers 215 children 25 semistructured interviews stakeholders involved immunization service delivery 16 focus group discussions community men women n98 two wards ilara ipara purposively chosen study data analysed using sage working group vaccine hesitancy model results 56 children 326 172 children 9 months age immunization cards available inspection 23 596 fully immunized noticeably higher ipara ilara however immunization status assessed card recall 849 children assessed fully immunized caregivers rural ilara less knowledge vaccine schedules importance doses recognized ipara respondents 955 ilara 753 p005 community links immunization household decisionmaking patterns influenced immunization use wards migrants living hardtoreach areas disadvantaged wards health service factors like absence delivery services shortage health workers unavailability vaccines scheduled times indirect costs immunization contributed low utilization conclusion immunization utilization influenced interlinked community health services issues intervention approaches ensure communities priorities addressed actors levels involved strategies adjusted suit contexts