scholarly journals Knowledge, attittude and practice among mothers of under five children on immunization

Author(s):  
K. K. Lamiya ◽  
Jesha Mohammedali Mundodan ◽  
Sheela P. Haveri

Background: Many parents have poor understanding of vaccine preventable diseases (VPD) and many believe in false propagations about the contents, side effects and effectiveness of vaccines. Lack of good knowledge and positive attitude about childhood immunization was believed to be the root cause for resurgence of VPDs. Aim of the study was to assess the knowledge, attitude and practice regarding childhood immunization among mothers of under five children.Methods: A cross sectional study was done among mothers with at least one child in the under-five age group residing in the rural field practice area of a teaching institution. Assuming 61% mothers have good knowledge (Mangalore study) the sample size was calculated to be 235 with 20% error and 1.5 design effect. Data was collected with the help of pretested semi structured questionnaire by interviewing 15 eligible mothers from each of 16 wards. Descriptive analysis was done.Results: The average age of the participants was 27.30±5.42 years with many of them educated up to 10th grade (40.3%) and most being housewife (74.5%). Knowledge of mothers regarding the diseases that can be prevented by immunization was fairly good. But the knowledge regarding individual vaccines, their dosages and schedule were found to be low. Majority of mothers had good attitude about immunization. Immunization coverage of the locality was relatively good (87.7%). Significant relation was established between attitude and practice. Sick at the time of vaccination was the most common cause of being partially immunised (68.96%).Conclusions: Intensify the awareness classes for mothers and religious leaders on immunisation.

2020 ◽  
Vol 46 (1) ◽  
pp. 182-189 ◽  
Author(s):  
Dina Keumala Sari ◽  
Rina Amelia ◽  
Ridha Dharmajaya ◽  
Liza Meutia Sari ◽  
Nadya Keumala Fitri

AbstractThe increasing number cases of coronavirus disease (COVID-19) infections in the general population in Indonesia raises questions concerning the public’s knowledge and attitudes regarding this pandemic. To determine the correlation between the general public’s knowledge and attitudes regarding the COVID-19 outbreak 1 month after the first cases were reported in Indonesia. This cross-sectional study was conducted between early March and the end of April 2020 in the general population of Indonesia, beginning with the North Sumatra region, where the spread of COVID-19 in Indonesia began. Questionnaires were randomly distributed online in the red zone in Indonesia. Data were collected by collecting people’s responses to the questionnaire, which were distributed via WhatsApp (WA) application and were competed independently by the participants. A descriptive analysis was conducted to describe the demographic characteristics, knowledge, and attitudes of the general population. A total of 201 people had good knowledge (98%) and a positive attitude (96%) regarding the COVID-19 pandemic. The respondents had a negative attitude in relation to two aspects of the COVID-19 outbreak: having to always maintain a distance of 1.5 m when in crowds, and not being able to regularly exercise or eat nutritious food (78.6% and 79.1%, respectively). Most people in Indonesia have good knowledge and a positive attitude regarding the COVID-19 pandemic. However, negative attitudes were still found in this study, and as a result, transmission prevention measures cannot reach their maximum effectiveness by simply publicizing the increase in day-to-day cases to the general public.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0252798
Author(s):  
Akinola Ayoola Fatiregun ◽  
Laura Nic Lochlainn ◽  
Lassané Kaboré ◽  
Modupeola Dosumu ◽  
Elvis Isere ◽  
...  

Background Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State. Methods This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0–23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out. Results 984 caregivers with children aged 0–23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV. Conclusions One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers’ engagement and screening of vaccination documentation by health workers during every health service encounter.


Author(s):  
Swetha E. Jose ◽  
Navya C. Joseph ◽  
Soorya Sheela ◽  
Vidhu M. Joshy

Background: Immunization is globally recognized as one of the most powerful, safe, and cost-effective for the prevention/control of some childhood diseases. Father's involvement is essential for the successful immunization of the child, as man is the head of the family and he takes responsibility for all decision’s measures including health and financial issues. Fathers having good knowledge of RI are likely to encourage their children to assess immunization services. This study thus aimed at assessing the knowledge, attitude and practice of fathers, uptake of RI and its associated factors. To assess the knowledge, attitude and practice of fathers about childhood immunization.Methods: After obtaining institutional ethical clearance we interviewed 110 fathers who have children within the age group 9 months to 2 years who attended the pediatric OP and their knowledge, attitude and practice about immunization was analyzed.Results: Out of 110 fathers interviewed majority come from joint family (91.8%) and had secondary education only (42.7%). Majority were skilled workers (65.5%). Only 0.9% had child death in their family and only 2.7% had a history of vaccine preventable disease in their family. Only 10.9% had good knowledge, 99.09% had good attitude and only 32.7% had good practice.Conclusions: It was found that majority of fathers had poor knowledge and practice about childhood immunization. More awareness programs have to be done in order to improve the routine immunization.


Author(s):  
Sreedevi C.

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.


Author(s):  
Monika M. Khubchandani ◽  
Nilima Thosar ◽  
Priyanka Paul ◽  
Suwarna Dangore ◽  
Swapnil Mohod

Aims: The present study was undertaken to assess the knowledge, attitude and practice behaviors of parents towards care of the primary dentition of children in Wardha city, India. Study Design: Cross sectional study. Place and Duration of the Study: Department of Pedodontics & Preventive Dentistry, Sharad Pawar Dental College & Hospital, Duration- One year Methodology: A questionnaire based cross sectional study was conducted among parents of 3-7 year old children who visited the Department of Pedodontics & Preventive dentistry. The self-administered, close-ended questionnaire was adopted from oral health literature [Rwakatema et al 2009] and was modified based on researcher’s knowledge and experience of the issues under study. The first part of the questionnaire included the demographic details while the second part comprised of 25 items to test knowledge, attitude and practices of parents. Data was collected by a single investigator who distributed the questionnaire, allowed enough time to fill it and collected on the spot after they had completed. Results: Majority of parents (69%) had good knowledge about importance of milk teeth. 87% of parents were aware that oral health affects the overall general health of child. However, Bedtime bottle-feeding and sharing of spoons with the child was reported by 54% and 77% of the study participants respectively. Conclusions: The majority (57.9%) of the study population had good knowledge pertaining to oral health. However, their practices towards the oral health of children were not satisfactory. Therefore, there is a need to improve oral health care practices by conducting awareness programs for parents.


2020 ◽  
Author(s):  
Tatiana Drummond ◽  
Isabel Marín ◽  
Anny Sánchez ◽  
Marianjosé Reyes ◽  
Jenny García ◽  
...  

Abstract In Venezuela, PAHO has reported an increase in vaccine-preventable diseases since 2016. The goal of this work was to assess vaccination coverage in children hospitalized in the Department of Pediatrics at the Hospital Universitario de Caracas (HUC). Methods: A descriptive cross-sectional study included 0 to 12 years old children hospitalized in HUC admitted between January 2015 and December 2019, and verified immunization scheme. The patient data were compared with the schedule of the Ministry of Health of Venezuela and analyzed by comparing immunization coverage by year of patient hospitalization and patient age. Results: A total of 2903 patients were surveyed, corresponding to 53.2% male, 37.4% infants. A coverage level above 95% was found only for BCG. Comparing vaccination coverage with the vaccination schedule vs year of patient hospitalization, it was observed a mean decrease in vaccine coverage of 21.5% in 2019 relative to 2015 (p = 0.0000). Vaccination rates in children under one year old were lower than in children older than 6 years for all vaccines (p = 0.0000) Conclusions: There is a decline in vaccination coverage in 2019 in relation to previous years, being the most affected children less than one year old


Author(s):  
Shuaa Z. Alshammari ◽  
Isamme AlFayyad ◽  
Youssef Altannir ◽  
Mohamad Al-Tannir

Parental beliefs about vaccination are one of the main factors in reaching high vaccination rates. This cross-sectional study aims to assess the awareness and attitudes regarding routine childhood immunization among Saudi parents in Riyadh, Saudi Arabia. This survey, with a pretested 18-item questionnaire, was conducted on parents having at least one child from Riyadh, Saudi Arabia, between 1 May 2019 and 1 November 2019. The validated questionnaire consisted of three sections; participants’ demographics, awareness, and attitude regarding the immunization of their children. In total, 1200 parents participated in the study, 883 (73.3%) of the parents scored a good knowledge of childhood immunization, and 93% knew that routine vaccination protects children from infectious diseases and their complications. Around 10% stated that immunization can cause autism. Only parents in age groups 30–39 and 40–49 were 1.76 (p < 0.05) times and 1.92 (p < 0.05) times, respectively, more likely to exhibit good knowledge. About 522 (43.6) of the parents attained a positive attitude toward immunization. Adherence to the immunization schedule was confirmed important by 93%, while 91% presumed that immunization keeps their children healthy. Additionally, immunization was perceived as important by 94% of parents and only 8% agreed that immunization is prohibited by religion. Females were 1.45 (p < 0.05) times more likely to exhibit positive attitudes than males. Parents have good knowledge and a positive attitude towards child immunization. However, parental education should be focused on the fact that religion supports immunization, and more awareness should be focused on the lack of correlation between autism and vaccination.


Author(s):  
◽  
Vitri Widyaningsih ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: Among the leading causes of global child morbidity and mortality are vaccine-preventable diseases, especially in low-and middle-income countries (LMICs). A complete basic immunization for children contains one BCG, three DPT-HB-Hib immunizations, four polio immunizations, and one measles immunizations. Antenatal care visit contributes an important to complete the basic immunization. This study aimed to estimate the effect of antenatal care on the completeness of basic immunization in children aged 12-23 months in Africa using meta-analysis. Subjects and Method: A meta-analysis and systematic review was conducted to examine the effect of antenatal care on the basic immunization completeness in children aged 12-23 months. Published articles in 2015-2020 were collected from PubMed and Google Scholar databases. Keywords used “immunization coverage” OR “vaccination coverage” OR “complete immunization” OR “complete vaccination” OR “full immunization” OR “full vaccination” AND children OR “child immunization” OR “child immunization coverage” NOT “incomplete immunization” OR “incomplete vaccination”. The inclusion criteria were full text, in English language, and using cross-sectional study design. The selected articles were analyzed by Revman 5.3. Results:6 studies from Senegal, Nigeria, Ethiopia, and South Africa showed that antenatal care increased basic immunization completeness in children aged 12-23 months (aOR=1.19; 95% CI= 1.06 to 1.36; p<0.001) with I2 = 95%). Conclusion: Antenatal care increases basic immunization completeness in children aged 12-23 months. Keywords: basic immunization, antenatal care, children aged 12-23 months Correspondence: Farida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutarmi 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085654415292 DOI: https://doi.org/10.26911/the7thicph.03.125


Author(s):  
Niloofar Halvani ◽  
Zahra Bahrololoomi ◽  
Ali Sarchami ◽  
Fatemeh Zarebidoki

Introduction: Fissure sealant is one of the most important and effective preventing techniques. Having proper information and guidelines is the most important factors for the success of treatment. Therefore, in this study, the knowledge, attitude and practice of general dentists about fissure sealant in Yazd in 2017 were evaluated. Methods: A descriptive cross-sectional study was conducted by a questionnaire in which 140 general dentists were investigated in Yazd. The questionnaire consisted of demographic information, 9 questions about awareness of the issue of Fissure sealant, 4 questions about people's attitude and 7 questions about their practice. After gathering the data, they were analyzed by SPSS 20 version 18 software and ANOVA test. Results: The results of the study showed that the majority of General dentists had a good knowledge (85.72%), their attitude level (77.14%) and performance (85%) were moderate. There was a significant difference in knowledge (P-value = 0.004) and practice (P-value = 0.000) levels in age group and work experience, but there was no significant difference in attitude level (P-value = 0.980). Conclusion: According to the results, the knowledge of dentists in Yazd seems to be good in most cases, but their attitudes and practice are moderate and in some cases poor, despite having good knowledge, the results indicate that they are not up to date with new information and resources. This indicates the need to train new resources in retraining courses with emphasis on functional weaknesses and dentists' awareness.


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