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Awareness of saving one million lives program for results among women of reproductive age and the application of diffusion of innovations theory in accelerating adoption of the programme in Bayelsa State, Nigeria


Abisoye Sunday Oyeyemi
Stella Ufuoma Rotifa
Obioma Obiora Obikeze
Ulunma Ikwuoma Mariere
Numonyo Duabo Dambo
Adedotun Daniel Adesina
Ebikapaye Okoyen

Abstract

Background: Saving One Million Lives Program for Results (SOML PforR) is a relatively new intervention designed to improve maternal, newborn, and  child health (MNCH) in Nigeria. This study aimed to determine awareness of SOML PforR and discuss the application of Diffusion of Innovations (DOI)  theory to accelerate adoption of the programme.


Method: A cross-sectional descriptive study was conducted in all the 105 wards in the eight local  government areas (LGAs) of Bayelsa State, Nigeria. A structured interviewer-administered questionnaire was used to collect data from a random sample  of 1,250 women of reproductive age residing in communities where facilities offering SOML PforR services were located.Descriptive statistics were used  to summarise the quantitative variables. The association between categorical variables was determined using Chi‑square test. Binary logistic regression  was done to determine predictors of awareness of SOML in the state.


Results: Data were analysed for 1,223 women. The mean age (standard deviation)  of the women was 28.5 (6.8) years. Most (81.8%) participants were married/cohabiting and 77.1% had at least secondary education. Only 7% of the  women had heard about SOML PforR with radio as the predominant source of information (61.2%). Educational attainment was the only predictor of  awareness among the women (Adjusted OR=2.26, 95%CI 1.03-4.95).


Conclusion: Awareness of SOML PforR was poor despite several months of  implementation. Engaging early adopters and use of appropriate communication channels can accelerate adoption of the programme. 


Journal Identifiers


eISSN: 2992-345X
print ISSN: 0189-9287