Knowledge, Perceptions, and Practice of Nurses on Surveillance of Adverse Events following Childhood Immunization in Nairobi, Kenya
Abstract/ Overview
Although vaccines currently approved for routine childhood immunization are safe and effective, frequent adverse
events following immunization often cause illnesses and sometimes loss of public trust in immunization programs. Nurses are
essential in this surveillance system. Objective. To determine nurses’ knowledge, perception, and practice towards surveillance of
postimmunization adverse events within Nairobi County health centers, Kenya. Methods. This is a cross-sectional survey involving
nurses (𝑛 = 274). Data were collected using self-administered questionnaires. Data analysis was performed using SPSS version
20. Differences in proportions of categorical variables were compared between groups using chi-square tests. Binary logistic
regression model was used to compute independent predictors of outcome. Results. 29.2%, 32.1%, and 45.3% of the respondents had
good knowledge, good practices, and good perceptions on AEFI surveillance, respectively. Respondents with diploma or degree
nursing training level were 1.8 times and 2.5 times more likely to have good knowledge and good perception in AEFI surveillance,
respectively. Nurses with previous AEFI training were 9.7 times and 1.8 times more likely to have good AEFI knowledge and
practices, respectively. Conclusion. There is a need to train and mentor nurses on AEFI surveillance. Findings of this study will
be valuable in informing policy review on childhood immunization programs.