• Ifeoma P Okafor, Duro C Dolapo, Modupe O Onigbogi, and Iruoma G Iloabuchi.
• Department of Community Health & Primary Care, College of Medicine, Idi-Araba, P.M.B. 12003, Lagos, Nigeria.
• Afr Health Sci. 2014 Jun 1; 14 (2): 339-47.

BackgroundImmunization and appropriate health-seeking behavior are effective strategies to reduce child deaths.ObjectivesTo compare maternal knowledge about immunization, use of growth chart and childhood health-seeking behavior in rural and urban areas.MethodsA cross-sectional comparative study done in Lagos, Nigeria. Questionnaire survey and focus group discussions were done. 300 respondents were selected by multi-stage sampling while discussants were purposively selected.ResultsAwareness of immunization was high but knowledge of vaccine preventable diseases (VPDs) was poor in both areas. Urban women utilized preventive services more; growth monitoring (p<0.001) and immunization (p<0.001) while higher proportions of rural women utilized nutritional counseling (p=0.005) and treatment of illness (p<0.001). Growth chart utilization was better in the urban areas (p<0.001). Increasing maternal education increased use of growth chart in both areas. Both groups of women use multiple treatment sources for children (more in urban), determined by cost, time, perceived severity of illness and type of ailment (urban) and peculiarity of illness (rural). There is a preference for orthodox care in the rural area.ConclusionsKnowledge of VPDs was poor and multiple treatment sources were common among rural and urban women. Education is vital to improve immunization knowledge and health-seeking behavior in both areas.

28 keywords...

hide…