• Saudat Abdullahi Basheer College of Public Health, Chulalongkorn University, Bangkok, Thailand
  • Ramesh Kumar Health Services Academy Islamabad Pakistan
  • Pramon Viwattanakulvanid College of Public Health, Chulalongkorn University, Bangkok, Thailand
  • Muhammad Basheer Yaha Faculty of Pharmaceutical Sciences, Gombe State University, Gombe-Nigeria
  • Ratana Somrongthong College of Public Health, Chulalongkorn University, Bangkok, Thailand


Background: Sharing of information through health education training of mothers on child vaccination has proved an effective intervention for better outcome and increased immunization coverage. This study aimed to examine the effect of interpersonal communication (IPC) training program on mothers’ knowledge of child’s vaccination and routine childhood immunization uptake in local government areas (LGAs) of Kebbi State, Nigeria. Methods: A quasi-experimental study was conducted in two local government areas in Kebbi State, from October 2016 to March 2017. Four hundred twenty mothers participated in the study and were allocated equally (210) in both intervention and control group (n=210) and data were collected on vaccination status of the children after intervention from children’s vaccination cards and mother’s verbal reports. Independent t test and Chi-square were used to test the effect of intervention on mother’s knowledge of child’s vaccination and routine childhood immunization uptake between intervention and control group. Study was ethically approved from the review board of Ministry of Health, Nigeria. Results: Mean knowledge scores has improved in the intervention group (M = 5.42, SD = 3.35) and control group (M=1.96, SD=2.37) after intervention with p<0.001. Routine childhood immunization uptake fully immunized (53.8% vs. 9.5%), partially immunized (16.6% vs. 32.8%) and un-immunized (29.5% vs. 57.6%) in both group after intervention with p<0.001. Approximately fifty-four percentages of children in the intervention group were fully immunized after intervention. However, there was minimal change of 2% has been observed in control group. Percentage of unimmunized children was high in both groups at pre-intervention (66%) but this decreased to 29.5% in the intervention group and 57.6% in the control group. Conclusion: This study concludes that, IPC skill is an effective intervention and a sustainable service for improving the knowledge and uptake of mother’s face-to-face education, social mobilization and reminder services about routine childhood immunization within entire population. Keywords: Immunization; Effectiveness; Knowledge; interpersonal communication skills and training


Bland J, Clements CJ. Protecting the world's children: the story of WHO's immunization programme. InWorld health forum 1998; 19 (2): 162-173 1998.

UNICEF C. Fact Sheet viewed at http://childfriendlycities. org/wp-content/uploads/2013/04/pdf. CFCI-fact-sheet-14-sept-final. pdf January. 2014.

Rainey JJ, Watkins M, Ryman TK, Sandhu P, Bo A, Banerjee K. Reasons related to non-vaccination and under-vaccination of children in low and middle income countries: findings from a systematic review of the published literature, 1999–2009. Vaccine. 2011 Oct 26;29(46):8215-21.

Wiysonge CS, Uthman OA, Ndumbe PM, Hussey GD. Individual and contextual factors associated with low childhood immunisation coverage in sub-Saharan Africa: a multilevel analysis. PLoS One. 2012;7(5).

Abdulraheem IS, Onajole AT, Jimoh AA, Oladipo AR. Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. J Public Health Epidemiol. 2011 Apr;3(4):194-203.

Debie A, Taye B. Assessment of fully vaccination coverage and associated factors among children aged 12-23 months in Mecha district, North West Ethiopia: a cross-sectional study. Sci J Public Health. 2014;2(4):342-8.

Saeterdal I, Lewin S, Austvoll‐Dahlgren A, Glenton C, Munabi‐Babigumira S. Interventions aimed at communities to inform and/or educate about early childhood vaccination. Cochrane Database of Systematic Reviews. 2014(11).

Kaufman J, Ryan R, Walsh L, Horey D, Leask J, Robinson P, Hill S. Face‐to‐face interventions for informing or educating parents about early childhood vaccination. Cochrane Database of Systematic Reviews. 2018(5).

Donaldson L, El Sayed N, Koplan J, Nduati R, Toole M, de Quadros C, Mogedal S, Singhal A. Independent Monitoring Board of the Global Polio Eradication Initiative. Report. October. 2011 Oct.

Demographic N. Health Survey (NDHS) (2013) National Population Commission Federal Republic of Nigeria Abuja, Nigeria. NPC and ICF Macro, Maryland.

Oku A, Oyo-Ita A, Glenton C, Fretheim A, Ames H, Muloliwa A, Kaufman J, Hill S, Cliff J, Cartier Y, Bosch-Capblanch X. Communication strategies to promote the uptake of childhood vaccination in Nigeria: a systematic map. Global health action. 2016 Dec 1;9(1):30337.

World Health Organization. (‎2005)‎. Immunization coverage cluster survey : reference manual. World Health Organization. https://apps.who.int/iris/handle/10665/69087

C‐Change. 2012. Social and Behavior Change Communication (SBCC) for Frontline Health Care Workers. Washington DC: C‐Change/FHI 360.

Feldt LS. The approximate sampling distribution of Kuder-Richardson reliability coefficient twenty. Psychometrika. 1965 Sep 1;30(3):357-70.

Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai VI. Determinants of vaccination coverage in rural Nigeria. BMC Public health. 2008 Dec;8(1):381.

Awodele O, Oreagba IA, Akinyede A, Awodele DF, Dolapo DC. The knowledge and attitude towards childhood immunization amongst mothers attending antenatal clinic in Lagos University Teaching Hospital. Tanzania journal of Health research. 2010;12(3):172-7.

Al-Zahrani J. Knowledge, attitude and practice of parents towards childhood vaccination. Majmaah Journal of Health Sciences. 2013 Apr;216(1216):1-20.

Awosan KJ, Ibrahim MT, Yunusa EU, Isah BA, Raji MO, Abubakar N. Knowledge, Attitude and Compliance with Full Immunization of Children Against Vaccine Preventable Diseases among Pregnant Mothers in Sokoto, Nigeria. 2018

Legesse E, Dechasa W. An assessment of child immunization coverage and its determinants in Sinana District, Southeast Ethiopia. BMC pediatrics. 2015 Dec;15(1):31.

Usman HR, Akhtar S, Habib F, Jehan I. Redesigned immunization card and center-based education to reduce childhood immunization dropouts in urban Pakistan: a randomized controlled trial. Vaccine. 2009 Jan 14;27(3):467-72.

Siddiqi N, Siddiqi AA, Nisar N, Khan A. Mothers' knowledge about EPI and its relation with age-appropriate vaccination of infants in peri-urban Karachi. JPMA-Journal of the Pakistan Medical Association. 2010 Nov 1;60(11):940.

Bernsen RM, Al-Zahmi FR, Al-Ali NA, Hamoudi RO, Ali NA, Schneider J, Al-Mutawa J, Grivna M. Knowledge, attitude and practice towards immunizations among mothers in a traditional city in the United Arab Emirates. J Med Sci. 2011 Jan 9;4(3):114-21.S.

Kroger AT, Atkinson WL, Marcuse EK, Pickering LK. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recommendations and reports : Morbidity and mortality weekly report Recommendations and reports. 2006;55(Rr-15):1-48.

Mathew JL. Inequity in childhood immunization in India: a systematic review. Indian pediatrics. 2012 Mar 1;49(3):203-23.

Gidado S, Nguku P, Biya O, Waziri NE, Mohammed A, Nsubuga P, Akpan H, Oyemakinde A, Nasidi A, Suleman I, Abanida E. Determinants of routine immunization coverage in Bungudu, Zamfara state, northern Nigeria, may 2010. The Pan African Medical Journal. 2014;18(1).




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