The Role of Mothers and Health Care Workers Practices at Injection Sites and Their Effect Among Children Attending Misungwi District Hospital, Mwanza Tanzania
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TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz :www.bugando.ac.tzLanguage: English Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] : 2018Description: xiv; 57 Pages; Includes References and AppendicesSubject(s): Summary: ABSTRACT:
Background: Practices conducted by mothers and health care workers at injection site of children pre and during vaccination have been reported to have effect on vaccination. In Mwanza-Tanzania, there are limited data on the practices done by mothers and health care workers on injection site. Additionally, the adverse effects of the practices to the vaccinated child have not been documented.
Objectives: This study aimed to determine the role of mothers and health care workers’ practices at injection site and their adverse effects on children attending Misungwi District Hospital Mwanza-Tanzania.
Methodology: An analytical cross sectional study was conducted to children below two years of age, their mothers and health care workers at the reproductive and child health clinic of Misungwi District Hospital Mwanza. Pre-tested questionnaire was used to collect important information’s and was analysis was done using STATA Version 13.
Results: A total of 592 mothers with median age of 24 [IQR 16 – 41] years and the median parity of 3 [IQR 1 -10] were recruited. The median age children was 11 [IQR 4 – 7] weeks with median birth weight of 3.3 [IQR 2 – 4.5] kg, and 16 (2.7%) were exposed to HIV. Malnutrition was observed in 31 (5.2%) children, more than half of mothers 355 (59.9%) administered paracetamol while 28 (4.7%) rub at the injection site by using bottle after vaccination. Out of 46 health workers interviewed, 25 (54.4%) reported to swab the injection site using dry swab while 19 (41.3%) positioned the child properly before administering vaccination. A total of 171 (28.8%) children developed mild hematoma and 121 (20.4%) presented with moderate hematoma.
Conclusion: Study observed high proportion of mothers gave paracetamol post vaccination while more than half of health care workers performed swabbing by using dry swabs. In this study site about half of children developed hematoma post vaccination. Factors associated with hematoma among vaccinated children were age above six weeks, parent being a peasant, doing small business and secondary education and above Health education on care post vaccination to mothers and proper handling of children during and post vaccination to health care workers are of paramount.
ABSTRACT:
Background: Practices conducted by mothers and health care workers at injection site of children pre and during vaccination have been reported to have effect on vaccination. In Mwanza-Tanzania, there are limited data on the practices done by mothers and health care workers on injection site. Additionally, the adverse effects of the practices to the vaccinated child have not been documented.
Objectives: This study aimed to determine the role of mothers and health care workers’ practices at injection site and their adverse effects on children attending Misungwi District Hospital Mwanza-Tanzania.
Methodology: An analytical cross sectional study was conducted to children below two years of age, their mothers and health care workers at the reproductive and child health clinic of Misungwi District Hospital Mwanza. Pre-tested questionnaire was used to collect important information’s and was analysis was done using STATA Version 13.
Results: A total of 592 mothers with median age of 24 [IQR 16 – 41] years and the median parity of 3 [IQR 1 -10] were recruited. The median age children was 11 [IQR 4 – 7] weeks with median birth weight of 3.3 [IQR 2 – 4.5] kg, and 16 (2.7%) were exposed to HIV. Malnutrition was observed in 31 (5.2%) children, more than half of mothers 355 (59.9%) administered paracetamol while 28 (4.7%) rub at the injection site by using bottle after vaccination. Out of 46 health workers interviewed, 25 (54.4%) reported to swab the injection site using dry swab while 19 (41.3%) positioned the child properly before administering vaccination. A total of 171 (28.8%) children developed mild hematoma and 121 (20.4%) presented with moderate hematoma.
Conclusion: Study observed high proportion of mothers gave paracetamol post vaccination while more than half of health care workers performed swabbing by using dry swabs. In this study site about half of children developed hematoma post vaccination. Factors associated with hematoma among vaccinated children were age above six weeks, parent being a peasant, doing small business and secondary education and above Health education on care post vaccination to mothers and proper handling of children during and post vaccination to health care workers are of paramount.
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