Environmental, economic and socio-cultural risk factors of recurrent seasonal epidemics of cerebrospinal meningitis in Kebbi state, northwestern Nigeria: a qualitative approach
العنوان: | Environmental, economic and socio-cultural risk factors of recurrent seasonal epidemics of cerebrospinal meningitis in Kebbi state, northwestern Nigeria: a qualitative approach |
---|---|
المؤلفون: | Sisay G. Tegegne, Kabiru Mohammed, Usman Adamu, Faisal Shuaib, Olatunji Alabi, Anthony Onimisin, Fiona Braka, Gregory Umeh, Johnson Ticha, Wondimagegnehu Alemu, Semeeh Akinwale Omoleke, Peter Nsubuga, Chima Onoka |
المصدر: | BMC Public Health, Vol 18, Iss S4, Pp 127-136 (2018) BMC Public Health |
بيانات النشر: | BMC, 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, 030231 tropical medicine, Psychological intervention, Nigeria, Environment, Meningitis, Meningococcal, Environmental, 03 medical and health sciences, 0302 clinical medicine, Socio-cultural and economic factors, Recurrence, Risk Factors, Recurrent meningitis, Medicine, Humans, 030212 general & internal medicine, Socioeconomics, Epidemics, Neighbourhood (mathematics), Built environment, Qualitative Research, Aged, Epidemic meningitis, business.industry, Public health, Research, lcsh:Public aspects of medicine, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Focus Groups, Middle Aged, Focus group, Socioeconomic Factors, Local government, Female, Seasons, Biostatistics, business |
الوصف: | Background Kebbi State remains the epicentre of the seasonal epidemic meningitis in northwestern Nigeria despite interventions. In this setting, no previous study has been conducted to understand the risk factors of the recurrent meningitis epidemics using qualitative approach. Consequently, this study intends to explore and better understand the environmental, economic and socio-cultural factors of recurrent seasonal epidemic meninigitis using a qualitative approach. Methods We conducted in-depth interview (40 IDIs) and focus group discussions (6 FGDs) in two local government areas (LGAs) in Kebbi State, Northwestern Nigeria to understand the environmental, economic and socio-cultural factors of recurrent meningitis outbreaks. Routine surveillance data were used to guide the selection of settlements, wards and local government areas based on the frequency of re-occurrences and magnitude of the outbreaks. Results The discussions revealed certain elements capable of potentiating the recurrence of seasonal meningitis epidemics. These are environmental issues, such as poorly-designed built environment, crowded sleeping and poorly ventilated rooms, dry and dusty weather condition. Other elements were economic challenges, such as poor household living conditions, neighbourhood deprivation, and socio-cultural elements, such as poor healthcare seeking behaviour, social mixing patterns, inadequate vaccination and vaccine hesitancy. Conclusion As suggested by participants, there are potential environmental, socio-cultural and economic factors in the study area that might have been driving recurrent epidemics of cerebrospinal meningitis. In a bid to addressing this perennial challenge, governments at various levels supported by health development partners such as the World Health Organisation (WHO), United Nation Habitat, and United National Development Programme can use the findings of this study to design policies and programmes targeting these factors towards complementing other preventive and control strategies. |
اللغة: | English |
تدمد: | 1471-2458 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::822e2d6a8a955dd6005c1f16651c30d5Test http://link.springer.com/article/10.1186/s12889-018-6196-9Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....822e2d6a8a955dd6005c1f16651c30d5 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14712458 |
---|