KUZEY NİJERYA'DA ÇOCUK FELSEFESİNİ ORTAYA ÇIKARMA POLİTİKASI GİRİŞİMİNİN (PEPI) AŞILAMA KAPSAMI ÜZERİNDEKİ ETKİSİ

Yıl 2025, Cilt: 7 Sayı: 3, 129 - 142, 26.12.2025

Musa Zakari

Öz

Çalışma, Kuzey Nijerya'da Polio Eradikasyon Politikası Girişimi'nin (PEPI) aşılama kapsamı üzerindeki etkisini incelemiştir. Çalışma, teorik çerçeve olarak Sosyal Bilişsel Teori'yi benimsemiştir. Çalışma, anket ve belgesel araştırma tasarımlarını birleştiren yakınsak paralel karma yöntem tasarımını kullanmıştır. Çalışmanın evreni Kano, Kaduna ve Borno eyaletlerinden 1.850 sağlık personeliydi ve 329 kişilik bir örneklem Taro Yamane formülü kullanılarak elde edildi. Çalışma için veri toplamak amacıyla hem birincil hem de ikincil yöntemler kullanılmış ve verileri analiz etmek amacıyla tanımlayıcı istatistikler ve çoklu doğrusal regresyon gibi nicel istatistiksel teknikler kullanılmıştır. Başlıca bulgular, PEPI'nin beş bileşeninin (Topluluk Seferberliği, Kapıdan Kapıya Kampanyalar, Gözetim Sistemleri, Paydaş Katılımı ve Entegre Hizmet Sunumu) aşılama kapsamı üzerinde istatistiksel olarak anlamlı pozitif bir etkiye sahip olduğunu ortaya koymuştur; ayrıca Topluluk Seferberliğinin en güçlü etkiye sahip olduğu ortaya çıkmıştır; COVID-19 pandemisi sırasında yaşanan düşüşe rağmen, aşılama kapsamının 2016'dan 2024'e kadar PEPI'nin yoğunlaşmasıyla paralel olarak sürekli bir artış eğilimi gösterdiğini ortaya koymuştur. Çalışma, PEPI'nin Kuzey Nijerya'da aşılama kapsamının iyileştirilmesinde önemli bir itici güç olduğu sonucuna varmıştır. Çalışma, diğer hususların yanı sıra, politika yapıcıların PEPI'nin temel bileşenlerini sürdürmeleri ve stratejik olarak geliştirmeleri gerektiğini önermiştir.

Anahtar Kelimeler

Çocuk Felci Eradikasyon Politikası Girişimi , aşılama kapsamı , Toplum Seferberliği , Kapı Kapı Kampanyalar ve Gözetim Sistemleri

Effect of the Polio Eradication Policy Initiative (Pepi) on Immunization Coverage In Northern Nigeria By

Öz

The study examined the effect of the Polio Eradication Policy Initiative (PEPI) on immunization coverage in Northern Nigeria. The study adopted the Social Cognitive Theory as its theoretical framework. The study utilized a convergent parallel mixed-methods design, incorporating survey and documentary research designs. The population of the study were 1,850 health personnel from Kano, Kaduna, and Borno states, and a sample of 329 was derived using Taro Yamane's formula. Both primary and secondary methods were used to collect data for the study, and quantitative statistical techniques, including descriptive statistics and multiple linear regression, were used to analyze the data. The major findings revealed that all five components of PEPI (Community Mobilization, Door-to-Door Campaigns, Surveillance Systems, Stakeholder Engagement, and Integrated Service Delivery) had a statistically significant positive effect on immunization coverage; it was also revealed that Community Mobilization had the strongest effect; it further revealed that despite a dip during the COVID-19 pandemic, immunization coverage showed a sustained upward trend from 2016 to 2024, corresponding with the intensification of PEPI. The study concluded that PEPI has been a significant driver in improving immunization coverage in Northern Nigeria. The study recommended among other that policymakers should sustain and strategically enhance the key components of PEPI.

Anahtar Kelimeler

Polio Eradication Policy Initiative , immunization coverage , Community Mobilization , Door-to-Door Campaigns and Surveillance Systems

Kaynakça

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