Effects of parental short message service reminders on infant immunisation coverage, timeliness and barriers in Nigeria: A quasi-experimental study

Introduction: This study aimed to determine the effects of parental short message service (SMS) reminders on infant immunisation coverage, timeliness and barriers and evaluate the effects of sex on immunisation outcomes in Maiduguri, Borno State, Nigeria. Methods: This two-arm quasi-experimental stu...

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發表在:Malaysian Family Physician
主要作者: Dathini H.; Sharoni S.K.A.; Robert K.
格式: Article
語言:English
出版: Academy of Family Physicians of Malaysia 2025
在線閱讀:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85216871039&doi=10.51866%2foa.744&partnerID=40&md5=edebdd44b243e6789e3b72b12665410f
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總結:Introduction: This study aimed to determine the effects of parental short message service (SMS) reminders on infant immunisation coverage, timeliness and barriers and evaluate the effects of sex on immunisation outcomes in Maiduguri, Borno State, Nigeria. Methods: This two-arm quasi-experimental study was conducted in two primary healthcare facilities selected using simple random sampling with opaque envelopes. A total of 524 participants were enrolled using purposive sampling. Data were statistically analysed using the Statistical Package for the Social Sciences version 28 with repeated-measures logistic regression analysis, the Z test for Poisson rates and the Wilcoxon signed-rank test. Results: The parental SMS reminders significantly improved the immunisation coverage, as reported by 69 (26.3%) (P=0.001, 95% confidence interval [CI]=12.2–40.5), 117 (44.7%) (P=0.001, 95% CI=32.6–56.9) and 116 (44.3%) participants (P=0.001, 95% CI=34.2–54.4) for the 6th-, 10th-and 14th-week schedules, respectively. Compared to mothers’ involvement, fathers’ involvement did not significantly affect the immunisation coverage (B=0.158, P=0.311, 95% CI=−0.148–−0.464). With regard to the immunisation timeliness, the parental SMS reminders yielded a significant effect for the 6th-, 10th-and 14th-week schedules (P=0.001, 95% CI=25.9–46.7; P=0.001, 95% CI=24.2–43.0; and P=0.001, 95% CI=21.1–36.9, respectively). Compared to mothers’ involvement, fathers’ involvement significantly influenced the immunisation timeliness (B=0.298, P=0.038, 95% CI=0.016–0.579). Lastly, the parental SMS reminders significantly reduced the barriers to immunisation, with a P-value of 0.001. Conclusion: Parental SMS reminders can significantly improve immunisation outcomes in Nigeria. © 2025, Academy of Family Physicians of Malaysia. All rights reserved.
ISSN:1985207X
DOI:10.51866/oa.744