Community-based Programs for Childhood Immunization and Prevention of Childhood Diseases: Sustainable Support in Mothers’ Decision-Making – A Health Belief Model Approach
Abstract Background: The childhood vaccination program (EPI) is claimed by the World Health Organization (WHO) as the most cost-effective intervention to reduce child mortality. Therefore, in low-income countries governments and health authorities invest in vaccination programs to reach the herd immunity. However, despite the resources allocated to the EPI, epidemics preventable through vaccines are still reported in these countries. In Cameroon, the Foumbot district in the West region has witnessed measles epidemics since 2010 and in 2013 a polio outbreak was reported. Methods: The design of this study is a cross-sectional survey. A total of 160 mothers of children between the ages of 12 to 23 months were interviewed. The Health-Belief-Model was applied to design a community-related framework regarding maternal decision-making.Results: The outcome of this survey shows that 60% of the children studied were completely vaccinated, 37.75% were partially vaccinated, and 1.25% had not received any vaccine. The logistic regression analysis shows that affiliation to Islam (OR=0.2) and a poor knowledge of infectious diseases (OR=0.3) were significant predictors of complete childhood vaccination failure. Conclusion: Starting the vaccination program at birth and a good knowledge of infectious diseases were important factors for complete childhood vaccination. Additionally, health facilities presented a shortage of qualified health personnel. Public health authorities should invest in health education programs with the goal of developing skills for health- seeking behavior in individuals and communities.