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 st...

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Main Authors: Hamina Dathini, Siti Khuzaimah Ahmad Sharoni, Kever Robert
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2025-01-01
Series:Malaysian Family Physician
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Online Access:https://e-mfp.org/wp-content/uploads/20.2_21Jan2025.pdf
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author Hamina Dathini
Siti Khuzaimah Ahmad Sharoni
Kever Robert
author_facet Hamina Dathini
Siti Khuzaimah Ahmad Sharoni
Kever Robert
author_sort Hamina Dathini
collection DOAJ
description 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 4th-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.
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spelling doaj-art-3949daf2d20c486eac635fde5e8cb8da2025-08-20T02:13:55ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-22742025-01-0120210.51866/oa.744Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental studyHamina DathiniSiti Khuzaimah Ahmad SharoniKever RobertIntroduction: 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 4th-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.https://e-mfp.org/wp-content/uploads/20.2_21Jan2025.pdfinfanttext messagingparentsvaccination coveragenigeria
spellingShingle Hamina Dathini
Siti Khuzaimah Ahmad Sharoni
Kever Robert
Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental study
Malaysian Family Physician
infant
text messaging
parents
vaccination coverage
nigeria
title Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental study
title_full Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental study
title_fullStr Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental study
title_full_unstemmed Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental study
title_short Effects of parental short message service reminders on infant immunisation coverage,timeliness and barriers in Nigeria: A quasi-experimental study
title_sort effects of parental short message service reminders on infant immunisation coverage timeliness and barriers in nigeria a quasi experimental study
topic infant
text messaging
parents
vaccination coverage
nigeria
url https://e-mfp.org/wp-content/uploads/20.2_21Jan2025.pdf
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