ASSESSMENT OF POLIOMYELITIS IMMUNIZATION IN KADUNA STATE


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TABLE OF CONTENTS

Title Page
Abstract
Table of Contents
Acronyms

CHAPTER ONE: INTRODUCTION
1.1       Background of the Study
1.2       Statement of the Research Problem
1.3       Research Questions
1.4       Aim and Objectives of the Study
1.5       Significance of the Study
1.6       Scope of the Study
1.7       Definition of Terms

CHAPTER TWO: REVIEW OF RELATED LITERATURE AND THEORETICAL FRAMEWORK
2.1       Introduction
2.2       An Overview of Polio Immunization
2.3       Acceptability of Immunization
2.4       Factors Influencing Acceptability and Non Acceptability of Polio Immunization
2.4.1    Education
2.4.2    Maternal Age
2.4.3    Occupation of Parents
2.4.4    Sex of Child
2.5       Socio economic attributes of Parents of children affected by Polio
2.6       Theoretical Framework
2.6.1    Symbolic Interactionism
2.6.2.   Conspiracy Theory

CHAPTER THREE: RESEARCH  METHODOLOGY
3.1       Location of the Study
3.2       Types and Sources of Data
3.3       Study population
3.4       Sampling Techniques
3.5       Methods of Data Collection
3.6       Location of Study/Questionnaires Distribution
3.7       Data Analysis
3.8       Ethical Considerations
3.9       Research Variables
3.10     Limitation of the Study

CHAPTER FOUR: ANALYSIS AND INTERPRETATION OF DATA
4.0       Introduction
4.1       Socio-Demographic Characteristics of Respondents
4.2       Level of Acceptance of Polio Immunization
4.2.1:   Awareness of polio immunization
4.3       Factors associated with acceptance and non-acceptance of polio immunization
4.3.1: Respondents‟ reasons for not taking polio immunization for their children
4.3.2: Preference for mobile vaccination to Hospital / clinic
4.3.3: Gift as a factor for acceptance of polio immunization
4.3.4: Manpower as a social factor for polio immunization
4.3.5: Funding of polio immunization as a factor
4.3.6:  The Role of Health workers, Political leaders, Community and Religious Leaders in Polio immunization
4.4: Socio–Economic Status of Parents of Children with Poliomyelitis

CHAPTER FIVE: SUMMARY AND DISCUSSION OF FINDINGS, CONCLUSION AND RECOMMENDATIONS
5.0       Introduction
5.1       Summary of the Major Findings
5.2       Discussion of Findings
5.3       Conclusions
5.4       Recommendations
5.5       Suggestions for further studies
References
Appendices



ABSTRACT

Poliomyelitis immunization is a public health measure which prevents the death of children under 5years of age. Despite the benefits of this immunization, it has been reported that there is still resistance to polio immunization. It is based on this, that this study was undertaken to assess the level of acceptance of polio immunization in Kaduna State being one of the endemic States in Nigeria, This study was premised on Symbolic Interactionism and Conspiracy Theory. Survey and in-depth interviews were the techniques used for data collection. Four hundred respondents were selected and the collected data were analysed using statistical package for the social sciences (SPSS) version 16.0. The findings revealed that acceptance is generally high in the study area and is greatly influenced by many factors such as religion, income, educational attainment of the respondents, birth position of the children, gift as motivating factor, as well as the role of religious, community and health workers. The non-acceptance was found to be more common among the Muslims of low income status. This study recommends that detailed sensitization programme through various media facilities should be carried out periodically to emphasize the reasons for the importance of paying more attention to polio immunization.




CHAPTER ONE

INTRODUCTION

1.1              Background of the Study

Poliomyelitis, is an infectious disease caused by poliovirus, a member of the genus Enterovirus. There are three serotypes of poliovirus: that is, 1, 2 and 3, these three serotypes are mainly different in their virulence. The serotype 1 is the most virulent of the three types, while serotype 2 and 3 are more sporadic (National Primary Health Care Development Agency, 2015). Human cells contain specific protein receptors to which poliovirus may attach and thereby enter susceptible cells. The virus infects cells of the oropharynx, the tonsils, the lymph nodes of the neck, and the small intestines. Infection progresses through cycles of virus replication, resulting in destruction of the infected cells. Once infection is established, poliovirus can enter the bloodstream and invade the central nervous system through the blood/brain barrier, by spreading along nerve fibers, or by both routes (WHO, 1999). When non-immune persons are exposed to wild poliovirus (Wild Polio Virus is caused naturally and not caused by vaccine containing live virus) the results may include inapparent infection without symptoms, mild illness, aseptic meningitis, or paralytic poliomyelitis

The Poliovirus can be spread to others by droplets from the upper respiratory tract during the early days of infection. More commonly, infected persons pass large numbers of virus particles through their faeces, from where they may be spread indirectly, or directly to infect others .

Poliomyelitis is a serious public health problem. It has persisted in a few countries from where it has spread to a large number of countries and posed threat to health as it did earlier between the 1950‟s and 1980‟s. In the developing world, the disease presents a constant threat to underfives, resulting paralysis with devastating....


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