scholarly journals Using a mobile application (“PrimaKu”) to promote childhood immunization in Indonesia: A cross-sectional study

2021 ◽  
Author(s):  
Nani Nurhaeni ◽  
Siti Chodidjah ◽  
Robiyatul Adawiyah ◽  
Astuti Astuti
Keyword(s):  
Public Health ◽  
Mobile Application ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Mobile App ◽  
Childhood Immunization ◽  
Cross Sectional ◽  
Maternal Attitudes ◽  
Immunization Status ◽  
The Government

Background: Universal immunization coverage among children in Indonesia is low compared to the global target. Many children in Indonesia are not fully immunized as recommended by the government, which results in a high mortality rate. The government has developed a mobile application (PrimaKu) to provide information on vaccinations and reminder features. However, the successful use of the immunization features of the app has not been widely studied.Objective: This study aimed to evaluate the use of PrimaKu on maternal attitudes toward immunization and complete basic immunizations status among Indonesian children aged 12 to 24 months.Methods: A cross-sectional research was conducted at a public health center in West Java Province, Indonesia, from August to December 2020. Convenience sampling was used to select the respondents. Data were collected using validated questionnaires and analyzed using binomial logistic regression.Results: A total of 119 mothers were included. About 44.5% of children had a complete basic immunization status. Mothers who had a supportive attitude toward immunization were 3.58 times (95% CI 1.49-8.57, p 0.003) more likely to complete the basic immunization, and those who used the mobile app were 3.23 times (95% CI 1.18-8.87, p 0.034) more likely to complete the immunization. Conclusion: Using the PrimaKu mobile application could increase maternal attitudes toward immunization and complete basic immunization status. Therefore, public health nurses should provide comprehensive education and improve mothers’ literacy to use the application.Funding: This study was funded by Universitas Indonesia, Indonesia.

scholarly journals Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0252798
Author(s):  
Akinola Ayoola Fatiregun ◽  
Laura Nic Lochlainn ◽  
Lassané Kaboré ◽  
Modupeola Dosumu ◽  
Elvis Isere ◽  
...  
Keyword(s):  
Health Service ◽  
Health Workers ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Service Encounter ◽  
Childhood Immunization ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Attitudes And Practices

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.

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

2019 ◽  
Vol 6 (3) ◽  
pp. 1252
Author(s):  
K. K. Lamiya ◽  
Jesha Mohammedali Mundodan ◽  
Sheela P. Haveri
Keyword(s):  
Descriptive Analysis ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Childhood Immunization ◽  
Cross Sectional ◽  
Vaccine Preventable Diseases ◽  
Under Five ◽  
Root Cause ◽  
Attitude And Practice

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.

scholarly journals Knowledge into the Practice against COVID-19: A Cross-Sectional Study from Ghana

2021 ◽  
Vol 18 (24) ◽  
pp. 12902
Author(s):  
Prince Yeboah ◽  
Dennis Bomansang Daliri ◽  
Ahmad Yaman Abdin ◽  
Emmanuel Appiah-Brempong ◽  
Werner Pitsch ◽  
...  
Keyword(s):  
Public Health ◽  
Western Europe ◽  
Preventive Measures ◽  
Critical Issue ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
African Countries ◽  
Cross Sectional ◽  
Personal Attitude ◽  
The Government

The COVID-19 pandemic has affected populations globally, including Ghana. Knowledge of the COVID-19 disease, and the application of preventive public health interventions are pivotal to its control. Besides a lockdown, measures taken against the spread of the virus include the wearing of face masks, social distancing, regular hand washing with soap and, more recently, vaccination against the virus. In order to establish a possible link between the knowledge of the disease and compliance with preventive measures, including vaccination, a cross-sectional study employing an interview-structured questionnaire was conducted in six regions of Ghana (n = 1560). An adequate level of knowledge of COVID-19 (69.9%) was reported. The linear multiple regression analysis further explicated the differences in the knowledge of COVID-19 among the respondents by their knowledge of cholera and influenza (adjusted R-Square = 0.643). Despite this profound knowledge of the illness, two thirds of the respondents were unwilling to follow basic preventive measures and only 35.3% were willing to be vaccinated. Amazingly, neither knowledge of COVID-19 nor the socio-demographic characteristics had any meaningful influence on the practice of preventive measures. Personal attitude leading to efficient public compliance with preventive measures, therefore, is a critical issue demanding special attention and effective interventions by the government and locals with authority to curb the spread of the pandemic which surpasses the traditional channels of public health communication. This includes a roll-out of persuasion, possibly including public figures and influencers, and in any case, a balanced and open discussion addressing the acceptance of the COVID-19 vaccine in order to avoid new variants and comparable problems currently facing many countries of Western Europe. Indeed, a profound hesitancy against vaccination may turn African countries such as Ghana for many years into hotspots of new viral variants.

scholarly journals Immunization coverage among anganwadi preschool children in Kannur, Kerala, India

2017 ◽  
Vol 4 (6) ◽  
pp. 2042
Author(s):  
Anitha S. S. ◽  
A. K. Jayasree ◽  
Devaki Antherjanam S.
Keyword(s):  
Preschool Children ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Vaccine Preventable Diseases ◽  
Government Sector ◽  
Study Population ◽  
The Government ◽  
Socio Demographic Factors

Background: The Government of India launched the Expanded Programme on Immunization (EPI) in 1978 with the objective of reducing the mortality and morbidity resulting from vaccine-preventable diseases of childhood. The Coverage Evaluation Survey by UNICEF in 2009 reported that the percentage of children fully immunized in India is only 61%. The objective of this study was to assess the immunization coverage among preschool children attending Anganwadi in Kannur district.Methods: Cross-sectional study done during July 2013- June 2014 among Anganwadi pre-school children. Anganwadi centres were selected using multistage random sampling. The data regarding immunization and socio-demographic factors were collected by interviewing the mothers using a standardized questionnaire. Data was entered in Epi Data version 3.1 and analysis was carried out using the Statistical Package for the Social Sciences (SPSS) version 19 software.Results: In this study 456 preschool children (3-6 years) were studied. Among the study population, 429 children (94.1%) were fully immunized, 25 (5.5%) were partially immunized and 2 (0.4%) were non-immunized. The major reasons for not taking immunization as stated by the respondents were: religious beliefs, personal engagements at the time of immunization, fear of fever after immunization, and that the child had fever at the proposed date.Conclusions: The present study shows that regular follow up and motivation through systems like Anganwadi can improve immunization coverage. The study also identified that children taking vaccination from government sector are more likely to complete the schedule. 

scholarly journals Predictors of real-world parents acceptance to vaccinate their children against the COVID-19

2021 ◽  
Author(s):  
Petros A Galanis ◽  
Irene Vraka ◽  
Olga Siskou ◽  
Olympia Konstantakopoulou ◽  
Aglaia Katsiroumpa ◽  
...  
Keyword(s):  
Public Health ◽  
Demographic Data ◽  
Multivariate Regression Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Family Doctors ◽  
Vaccination Coverage Rate ◽  
Factors Influencing ◽  
The Government

Background: As the COVID-19 pandemic continues to threaten public health, the vaccination of children against the disease appears to be a key factor to control the pandemic. Objective: To investigate the prevalence of parents who have vaccinated their children against the COVID-19 and the factors influencing this decision. Methods: We conducted a web-based cross-sectional study in Greece during the first week of September 2021. The study questionnaire was distributed through social media and a convenience sample was obtained. Only parents with children aged 12-17 years old could participate in the study. We collected socio-demographic data of parents and we measured their attitudes towards vaccination and COVID-19 pandemic. Results: Study population included 656 parents. Mean age of parents was 45.5 years, while most of them were mothers with a high level of education. Regarding vaccination, 27.1% of parents had their children vaccinated against the COVID-19, while almost all children had a complete vaccination history (98.9%). The most important reasons for decline of COVID-19 vaccination were doubts about the safety and effectiveness of COVID-19 vaccines (45.3%) and fear of side effects (36.6%). Regarding the information about the COVID-19 vaccines, parents showed more trust in family doctors than in scientists and the government. Multivariate regression analysis identified that increased parents age, increased trust in COVID-19 vaccines, and positive attitude of parents towards vaccination had a positive effect on children vaccination. Conclusions: Understanding the factors influencing parents' decision to vaccinate their children against the COVID-19 is crucial to increase the COVID-19 vaccination coverage rate. Implementation of public health policies is necessary to spread knowledge about COVID-19 vaccines and to regain vaccine confidence.

scholarly journals Assessing the level and determinants of COVID-19 Vaccine Confidence in Kenya

2021 ◽  
Author(s):  
Stacey Orangi ◽  
Jessie Pinchoff ◽  
Daniel Mwanga ◽  
Timothy Abuya ◽  
Mainga Hamaluba ◽  
...  
Keyword(s):  
Public Health ◽  
Economic Loss ◽  
Vaccine Safety ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Major Barrier ◽  
The Government ◽  
Vaccine Confidence ◽  
Context Specific

The government of Kenya has launched a phased rollout of COVID-19 vaccination. A major barrier is vaccine hesitancy; the refusal or delay of accepting vaccination. This study evaluated the level and determinants of vaccine hesitancy in Kenya. We conducted a cross-sectional study administered through a phone-based survey in February 2021 in four counties of Kenya. Multivariate logistic regression was used to identify individual perceived risks and influences, context-specific factors, and vaccine-specific issues associated with COVID-19 vaccine hesitancy. COVID-19 vaccine hesitancy in Kenya was high: 60.1%. Factors associated with vaccine hesitancy included: older age, lower education level, perceived difficulty in adhering to government regulations on COVID-19 prevention, less adherence to wearing of face masks, not having ever been tested for COVID-19, no reported socio-economic loss as a result of COVID public-health restriction measures, and concerns regarding vaccine safety and effectiveness. There is a need for the prioritization of interventions to address vaccine hesitancy and improve vaccine confidence as part of the vaccine roll-out plan. These messaging and/or interventions should be holistic to include the value of other public health measures, be focused and targeted to specific groups, raise awareness on the risks of COVID-19 and effectively communicate the benefits and risks of vaccines.

scholarly journals Is mothers’ knowledge and practice regarding childhood immunization compliant with immunization completeness?

2017 ◽  
Vol 4 (3) ◽  
pp. 775
Author(s):  
Nafeha Sameen Siddiqui ◽  
Arvind K. Gaikwad ◽  
Bina M. Kuril ◽  
Rajendra T. Ankushe ◽  
Mohan K. Doibale ◽  
...  
Keyword(s):  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Childhood Immunization ◽  
Cross Sectional ◽  
Medical College ◽  
Adequate Knowledge ◽  
Health Agencies ◽  
Study Population ◽  
Knowledge Practice ◽  
Knowledge And Practice

Background: Immunization is one of the most effective, safest and efficient public health interventions. Despite the concrete efforts of government and other health agencies, a large proportion of vulnerable infants and children in India remain unimmunized. In order to improve immunization coverage, factors such as knowledge, attitude and practices of parents/caretakers are known to contribute to success or failure of immunization program. The aim of present study is to assess the knowledge and practice of mothers with respect to immunization completeness of their child.Methods: This is a descriptive cross sectional study involving 364 mothers attending immunization OPD in Government Medical College, Aurangabad, Maharashtra, India during month of September till December 2015.Results: 78.5% children were completely immunized as per date. 57.97% of the study population was found to have adequate knowledge-practice scores. A significant association of immunization completeness with KP scores of mothers (p<0.05) was found.Conclusions: Future efforts are required to improve immunization rate and parents' knowledge and practice.

scholarly journals Estimating the costs of the national basic public health services in Zhuhai, China, through activity-based costing: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e024831 ◽  
Author(s):  
Zan Wang ◽  
Qin Ao ◽  
Yinbo Luo ◽  
Qi Wang ◽  
Zuxun Lu ◽  
...  
Keyword(s):  
Public Health ◽  
Cross Sectional Study ◽  
Activity Based Costing ◽  
Sectional Study ◽  
Public Health Services ◽  
Cross Sectional ◽  
Per Capita ◽  
The Government ◽  
The Cost ◽  
Capita Cost

ObjectiveOur research aims to estimate the per capita cost of 13 items in the basic public health service (BPHS) project in Zhuhai, China, and provide an economical basis for the improvement of the cost compensation mechanism used by the government.DesignThis research is a cross-sectional study.SettingA total of 19 primary healthcare facilities (PHFs) in Zhuhai, China, are involved in this research.ParticipantsA total of 152 participants (114 personnel engaged in BPHS, 19 financial personnel and 19 PHF heads) were included in this study, which was conducted from May 2017 to July 2017.Primary and secondary outcome measuresWe used the activity-based costing model to calculate the cost of providing BPHS in Zhuhai. An analytical hierarchy process was used to determine the difficulty dimension and workload coefficient.ResultsThe weights of the difficulty dimensions in the provision of BPHS in Zhuhai were 35.04% (coordination of residents), 24.03% (staff workload), 21.36% (complexity of work-related skills) and 19.59% (basic qualities of staff). The average difficulty coefficient of each subproject was 5.28. The actual per capita cost of BPHS provision in 2016 was 97.48 RMB (12.76 EUR), which was higher than the actual standard compensation of 55 RMB (7.2 EUR) in Zhuhai. Immunisation was the most costly among the 13 service items (17.82 RMB or 2.33 EUR per person), whereas the management of tuberculosis was the least costly item (0.57 RMB or 0.07 EUR per person).ConclusionsGovernment funds for basic public health services cannot compensate for the actual costs. Accordingly, subsidies should be increased based on the actual per capita cost for sustainable BPHS development. The government should improve the methods used in cost estimation and measures used as the basis for awarding performance incentives.

scholarly journals Determinants of Complete Immunization Coverage among Children Aged 11-24 Months in Somalia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Abdinasir Abdullahi Jama
Keyword(s):  
Standard Deviation ◽  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Place Of Delivery ◽  
Level Of Education ◽  
The Government ◽  
Level Of Significance

Background. The general coverage of vaccination means the percentage of children in world who received the recommended vaccines and has existed over the past few years continued the same. Aim. The aim of this study was to determine the factors associated with complete immunization coverage among children aged 11-24 months in Somalia. Method. This was a descriptive cross-sectional study conducted in Galkayo hospital in Mudug region Somalia. Systematic random sampling was carried out in to recruit 357 children between 24 and 11 ages. Well-structured questionnaires were filled by participants who gave their consent. Data were analyzed using the statistical package for social sciences version 21. Descriptive statistics such as means, standard deviation, proportions, and range were used to summarize the data. Inferential statistics were used to test for association between the dependent variable and independent variables using the chi-square with the level of significance set at 5%. Result. The age of the respondents was between 11 and 24 with a mean age of the 7.71 with standard deviation ±5.87, the level of education of the mother (p=0.0001), the place of delivery of the baby (p=0.0001), and the distance of the participants to health facility (p=0.026533) were statistically significantly associated with immunization coverage. Final the full immunization coverage in Somalia is 20%. Conclusion. The study is recommended to the government to increase the level of education of the mother; also, the study is recommended to increase the hospital delivery that may increase the immunization coverage in Somalia.

Sign in / Sign up

Export Citation Format

Share Document