Maternal Satisfaction with Routine Immunization Services at a Tertiary Healthcare Facility in Ekiti State, South Western Nigeria: A Cross-Sectional Study
DOI:
https://doi.org/10.71637/tnhj.v25i3.1164Keywords:
Maternal satisfaction, routine immunization, servicesAbstract
Background: Maternal satisfaction is critical for the uptake routine immunization services globally. Routine immunization services uptake is suboptimal in many developing countries. The objective of this study is to assess maternal satisfaction with routine immunization services at a tertiary healthcare facility in Ekiti State, Southwestern Nigeria.
Methods: A cross-sectional study among 333 mothers with children less than 24 months selected through a systematic sampling technique from the immunization age sex register of the baby. Data was collected using a pre-tested semi-structured questionnaire. Descriptive, inferential, and logistic regression analyses were performed using SPSS version 25, and a p-value less than 0.05 was considered statistically significant.
Result: Most respondents (327, 98.2%) were satisfied with the quality of immunization services received. Short waiting time (189, 57.8%), affordable services (177, 54.4%), and the expertise of the health provider (173, 52.9%) were the most common reasons for their satisfaction. Age was found to be significantly associated with maternal satisfaction (p-value 0.002). Similarly, occupation, number of children, and income were found to be significantly associated with maternal satisfaction (p-values 0.049, 0.013, and 0.046, respectively). Only age 30 to 39, and having two children were the predictors of maternal satisfaction with routine immunization services.
Conclusion: The maternal satisfaction with routine immunization services is very high among the respondents. Policy makers should pay attention to the waiting time, affordable of services and the expertise of the service provide.
Downloads
References
1.World Health Organization. Immunization. Geneva: WHO. http://www.who.int/topics/immunization/en/. Accessed 7 June 2020.
2.Udonwa N, Gyuse A, Etokidem A, Ogaji D. Client views, perception and satisfaction with immunisation services at primary health care facilities in Calabar, South-South Nigeria. Asian Pacific Journal of Tropical Medicine. 2010; 3(4): 298–298. https://doi.org/10.1016/S1995-7645(10)60073-9
3.National Population Commission (NPC) [Nigeria] and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF, 2019. Available from: https://dhsprogram.com/pubs/pdf/FR359/FR359.pdf
4.Matsumura T, Nakayama T, Okamoto S, Ito H. Measles vaccine coverage and factors related to uncompleted vaccination among 18-month-old and 36-month-old children in Kyoto, Japan. BMC Public Health. 2005; 5:59. doi:10.1186/1471-2458-5-59
5.Torun SD, Bakirci N. Vaccination coverage and reasons for non-vaccination in a district of Istanbul. BMC Public Health. 2006; 6:125. doi:10.1186/1471-2458-6-125
6.Anand S, Bärnighausen T. Health workers and vaccination coverage in developing countries: an econometric analysis. Lancet. 2007; 369(9569): 1277‐1285. doi:10.1016/S0140-6736(07)60599-6
7.Whitworth J, Pickering H, Mulwanyi F, Ruberantwari A, Dolin P, Johnson G. Determinants of attendance and patient satisfaction at eye clinics in south-western Uganda. Health Policy Plan. 1999; 14(1):77‐81. doi:10.1093/heapol/14.1.77
8.Donabedian A. The quality of care. How can it be assessed? JAMA. 1988; 260(12): 1743‐1748. doi:10.1001/jama.260.12.1743
9.Epstein AM. The outcomes movement--will it get us where we want to go? N Engl J Med. 1990; 323(4): 266‐270. doi:10.1056/NEJM199007263230410
10.Fisher AW. Patient's evaluation of outpatient medical care. J. Med. Educ. 1971; 46: 238-244.
11.Bruce J. Fundamental elements of the quality of care: a simple framework. Stud Fam Plann. 1990; 21(2): 61‐91.
12.Oluwadare CT. Client’s perception of quality hospital service in Ekiti State, Nigeria. Global research Journal of Medical Science. 2012; 2(3): 43-47.
13.Jekel JF, Katz DL, Elmore JG, Wild D. Sample size, randomization and probability theory. Epidemiology, Biostatistics and preventive medicine. Philadelphia Saunders. 2014; 194-199.
14.Abodunrin OL, Adeomi AA, Adeoye OA. Clients’ satisfaction with quality of healthcare received: Study among mothers attending infant welfare clinics in a semi-urban community in South-western Nigeria. Sky Journal of Medicine and Medical Sciences. 2014; 2(7): 45-49
15.Luman ET, McCauley MM, Shefer A, Chu SY. Maternal characteristics associated with vaccination of young children. Pediatrics. 2003; 111: 1215-1218.
16.El Gammal HA. Maternal satisfaction about childhood immunization in primary health care center, Egypt. Pan Afr Med J. 2014; 18:157. doi: 10.11604/pamj.2014.18.157.1773. PMID: 25419295; PMCID: PMC4236845.
17.Ofili AN, Ofovwe CE. Patients’ assessment of efficiency of services at a teaching hospital in a developing country. Annals of African Medicine. 2005; 4(4): 150-153
18.Fisha AG, Nega TA, Netsanet TG, Bisrat ZS. Maternal Satisfaction towards Childhood Immunization Service and Its Associated Factors in Wadla District, North Wollo, Ethiopia. Hindawi. International Journal of Pediatrics. 2019; 2020: 1-13. Doi: 10.1155/2020/3715414
19. Udonwa NE, Gyuse AN, Etokidem AJ, Ogaji D. Client views, perception and satisfaction with immunisation services at
Primary Health Care Facilities in Calabar, South-South Nigeria. Asian Pacific Journal of Tropical Medicine 2010; 3(4): 298-301.
20.Uwaibi NE, Omozuwa SE. Maternal satisfaction with childhood immunization services in primary health care centres in Edo State, Nigeria. Afr J Reprod Health. 2021; 25(2): 86-93. Doi: 10.29063/ajrh2021/v25i2.8. PMID: 37585756.
21.Fikadu T, Gebru Z, Abebe G, Tesfaye S, Zeleke EA. Assessment of mothers’ satisfaction towards child vaccination service in South Omo zone, South Ethiopia region: a survey on clients’ perspective. BMC Women's Health. 2024; 24: 272 https://doi.org/10.1186/s12905-024-03120-0
Published
Issue
Section
License
Copyright (c) 2025 Abdulfattah Isa, Adeniyi Makinde Adebayo, Adewoye Kayode Rasaq, Tope Ipinnimo, Olusegun Omotayo Adebisi, Ayotunde Sherif Azees
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
