Prevalence and patterns of adverse events following childhood immunization and the responses of mothers in Ile-Ife, South West Nigeria: a facility-based crosssectional survey
10.24171/j.phrp.2023.0071
- Author:
Olorunfemi Akinbode OGUNDELE
1
;
Funmito Omolola FEHINTOLA
;
Mubarak SALAMI
;
Rahmat USIDEBHOFOH
;
Mary Aderemi ABAEKERE
Author Information
1. Department of Community Medicine, University of Medical Sciences, Ondo City, Nigeria
- Publication Type:Original Article
- From:
Osong Public Health and Research Perspectives
2023;14(4):291-299
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objectives:This study aimed to examine the prevalence and pattern of adverse events following childhood immunization and the responses of mothers in Ile-Ife, South West Nigeria.
Methods:This descriptive cross-sectional study was conducted among 422 mothers of children aged 0 to 24 months attending any of the 3 leading immunization clinics in Ile-Ife, Nigeria.The respondents were selected using the multi-stage sampling technique. Data were collected using a pretested structured interviewer-administered questionnaire and analyzed using IBM SPSS ver. 26.0. The chi-square test was used to test associations, while binary logistic regression was used to determine the predictors of mothers’ responses to adverse events following immunization (AEFIs). A p-value of < 0.05 was considered statistically significant.
Results:The mean age of the respondents was 29.99 ± 5.74 years. About 38% of the children had experienced an AEFI. Most mothers believed that the pentavalent vaccine was the most common cause of AEFIs (67.5%). Fever (88.0%) and pain and swelling (76.0%) were the most common AEFIs. More than half of the mothers (53.7%) administered home treatment followingan AEFI. Younger mothers (odds ratio [OR], 2.43; 95% confidence interval [CI], 1.20–5.01), mothers who delivered their children at a healthcare facility (OR, 3.24; 95% CI, 1.08–9.69), and mothers who were knowledgeable about reporting AEFIs (OR, 2.53; 95% CI, 1.04–7.70) weremost likely to respond appropriately to AEFIs.
Conclusion:The proportion of mothers who responded poorly to AEFIs experienced by theirchildren was significant. Therefore, strategies should be implemented to improve mothers’knowledge about AEFIs to improve their responses.