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All Journal Indonesian Journal of Community Health Nursing Asian Journal of Public Health and Nursing
Ishaku Hassan
Federal Medical Centre, Jalingo, Taraba State, Nigeria
Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Reducing Parental Perceived Barriers to HPV Vaccine Uptake Through a Community-Based Nurse-Led Educational Intervention in Kaduna North Senatorial District, Nigeria Shatu Ishaku; Hadiza Mohammed Sani; Hayat Imam Gommaa; Anita Mfuh Y. Lukong; Ishaku Hassan
Asian Journal of Public Health and Nursing Vol. 3 No. 1 (2026)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/ce5hh361

Abstract

Background:  Parental perceived barriers remain a major obstacle to human papillomavirus (HPV) vaccine uptake among adolescents in Nigeria. Community-based nurse-led educational interventions may help address these barriers, but evidence from rural and semi-urban settings is limited. This study aims to assess the effect of a community-based nurse-led educational intervention on parental perceived barriers to HPV vaccine uptake in Kaduna North Senatorial District, Nigeria. Methods: A quasi-experimental pre-test and post-test design with intervention and control groups was conducted among 208 parents of adolescents aged 9–14 years, with 204 completing the study (102 per group). Data were collected using a structured interviewer-administered questionnaire assessing socio-demographic characteristics and perceived barriers. The intervention group received a structured nurse-led educational programme, while the control group received no intervention. Data were analysed using chi-square tests, McNemar’s test, and t-tests, with significance set at p < 0.05. Results: At baseline, there was no significant difference in mean barrier scores between groups (p = 0.652). After the intervention, the study group showed significant reductions in key barriers, including difficulty accessing accurate information, long waiting times, and limited opportunity to discuss concerns (p < 0.001). The mean barrier score decreased significantly in the study group from 5.40 ± 2.03 to 2.07 ± 1.55 (p < 0.001), while no significant change occurred in the control group. Conclusion: The community-based nurse-led educational intervention significantly reduced parental perceived barriers to HPV vaccine uptake, supporting the integration of structured health education into primary healthcare to improve adolescent vaccination outcomes.
IMPACT OF POSTNATAL EDUCATION ON KNOWLEDGE OF FACTORS INFLUENCING POSTPARTUM ADAPTATION AMONG PRIMIPAROUS MOTHERS Shatu Ishaku; Oluwatoyin A. Ogunyewo; Ishaku Hassan; Ramatu Balarabe
Indonesian Journal of Community Health Nursing Vol. 11 No. 2 (2026): AUGUST 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i2.87233

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Introduction: The postpartum period is a critical transition marked by physical, psychological, and social changes requiring mothers, particularly first-time mothers, to adapt to new maternal roles. Successful adaptation is influenced by factors such as coping strategies, self-efficacy, awareness, family support, healthcare provision, cultural norms, and relevant laws or regulations. This study examined the impact of a structured health education intervention on knowledge of factors influencing postpartum adaptation among primiparous mothers in Zaria Metropolis, Kaduna State, Nigeria.   Method: A quasi-experimental nonequivalent control group design with pretest and posttest was employed between October 2021 and April 2022. A total of 130 primiparous mothers were recruited using multistage sampling. The intervention group received a 40-minute structured health education session, while the control group received routine care. Data were collected using a structured questionnaire assessing knowledge of factors influencing postpartum adaptation. Analysis was conducted using descriptive statistics and McNemar’s chi-square test at p ≤ 0.05. Percentage change (Δ%) was used to estimate effect size.   Result: Baseline differences were observed in age (p = 0.003) and education (p = 0.001), while other variables were comparable. The intervention group showed significant improvements across all factors (p < 0.001), with increases ranging from +3.5% to +66.5%. Notable gains were observed in knowledge of healthcare provider support (+40.8%) and laws/regulations (+66.5%). In contrast, the control group showed inconsistent changes, including declines in coping strategies (−16.7%) and personality traits (−11.8%), with no improvement in self-efficacy and legal knowledge. Overall, the intervention group demonstrated markedly greater improvement.   Conclusion: Structured postnatal education significantly improves mothers’ knowledge of factors influencing postpartum adaptation.   Keywords: factors; impact; postnatal education; postpartum adaptation; primiparous mothers
Co-Authors Anita Mfuh Y. Lukong Hadiza Mohammed Sani Hayat Imam Gommaa Oluwatoyin A. Ogunyewo Ramatu Balarabe Shatu Ishaku Shatu Ishaku