Knowledge Level and Beliefs of Mothers of Children Under 5 Years of Age About Childhood Vaccinations

Authors

DOI:

https://doi.org/10.33533/jpm.v18i1.7984

Keywords:

Childhood vaccination, Beliefs, Knowledge, Mothers, Vaccine hesitancy, Vaccine refusal

Abstract

Vaccination prevents infectious diseases and mother’s consent is key to increasing childhood vaccination rates. The aim of this study was to assess mothers' knowledge, and beliefs about childhood vaccinations, as well as the impact of these factors on their vaccination behaviors. A descriptive cross-sectional study of 320 mothers was conducted. The data were collected using a questionnaire form. Most of mothers (98.4%) have their children fully vaccinated through the Extended Immunization Program (EIP), 96.6% of cases support vaccines necessity. Vaccine hesitancy was 7.8%, vaccine refusal was 1.6%.  The majority of mothers believe that the most common side effects of vaccines are fever (53.4%). Mothers were not adequately informed about EIP were 42.2%, and 57.5% of them had not received non-EIP vaccines, and 33.1% cited lack of knowledge as the reason. The majority of cases (73.7%) received information about EIP from a doctor. Parents' educational status, higher family income, and having more than three children significantly increased non-EIP vaccination rates but had no significant effect on EIP vaccination (p<0.05). Mothers still support EIP, but vaccine hesitancy is growing due to a lack of information. It is critical to assess mothers' knowledge and beliefs about vaccination, and social awareness is also required.

References

UNICEF. Immunization. 2023. Available from : https://data.unicef.org/topic/%20child-health/immunization/

WHO. Global Vaccine Action Plan 2011-2020; WHO: Geneva, Switzerland, 2013; Available from: https://www.who.int/publications- detail-redirect/global-vaccine-action-plan-2011-2020

Gür E. Vaccine hesitancy - vaccine refusal. Turk Pediatri Ars. 2019 Mar 1;54(1):1-2. DOI: https://doi.org/10.14744/TurkPediatriArs.2019.79990

Gür E, Gökçay, G. (Eds.) Vaccine Hesitancy. In: Vaccinations, 1st ed.; Türkiye Klinikleri: Ankara, Türkiye, 2021; p. 28-33.

Bozkurt HB. An Overview of Vaccine rejection and Review of Literature. Kafkas J. Med. Sci. 2018,8, 71-6.

DOI: https://doi.org/10.5505/kjms.2018.12754

Rozbroj T, Lyons A, Lucke J. Vaccine-Hesitant and Vaccine-Refusing Parents' Reflections on the Way Parenthood Changed Their Attitudes to Vaccination. J Community Health. 2020 Feb;45(1):63-72. DOI: https://doi.org/10.1007/s10900-019-00723-9

Kürtküncü M, Alkan I, Bahadır Ö, Arslan N. The Knowledge Levels Of Mothers About The Vaccination Status Of Children Living İn A Rural Area Of Zonguldak, Ejovoc (Electronic Journal of Vocational Colleges), 7(1), 8-17.

Çıklar S, Güner PD. Knowledge,Behavior and Attitude of Mother's about Childhood Immunization and Reasons of Vaccination Rejection and Hesitancy: A Study of Mixt Methodology. Ankara Med J. 2020; 20(1): 180-195 DOI: https://doi.org/10.5505/amj.2020.80148

Torun F, Yılmaz B. Knowledge and Attitudes of Parents with Children Aged 0-5 with Respect to Childhood VaccinesJ Pediatr Inf 2023;17(4):e255-e268 DOI: https://doi.org/10.5578/ced.20239605

MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015 Aug 14;33(34):4161-4. DOI: https://doi.org/10.1016/j.vaccine.2015.04.036

Emlek Sert Z, Topçu S, Çelebioğlu A. Knowledge, Beliefs, and Behaviors of Turkish Parents about Childhood Vaccination. Children (Basel). 2023 Oct 12;10(10):1679. DOI: https://doi.org/10.3390/children10101679

Durmuş Sarıkahya S, Güden E, Sümeyye Yorulmaz D. Childhood vaccine hesitancy in two regions with different socioeconomic backgrounds in Turkey. Z Gesundh Wiss. 2023 Feb 23:1-10. DOI: https://doi.org/10.1007/s10389-023-01854-z

Verulava T, Mariam J, Lordkipanidze A, Jorbenadze R, Dangadze B. Mothers' Knowledge and Attitudes towards Child Immunization in Georgia. Open Public Health J. 2020;12:232-7. DOI: https://doi.org/10.2174/1874944501912010232

Dasgupta P, Bhattacherjee S, Mukherjee A, Dasgupta S. Vaccine hesitancy for childhood vaccinations in slum areas of Siliguri, India. Indian J Public Health. 2018 Oct-Dec;62(4):253-8. DOI: https://doi.org/10.4103/ijph.IJPH_397_17

Ramadan HA, Soliman SM, Abd El-kader RG. Knowledge, Attitude and Practice of Mothers toward Children's Obligatory Vaccination. IOSR Journal of Nursing and health Science 2016; 5: 22-28. DOI: https://doi.org/10.9790/1959-0504022228

Almutairi WM, Alsharif F, Khamis F, Sallam LA, Sharif L, Alsufyani A et al. Assessment of Mothers' Knowledge, Attitudes, and Practices Regarding Childhood Vaccination during the First Five Years of Life in Saudi Arabia. Nurs Rep. 2021 Jul 5;11(3):506-16. DOI: https://doi.org/10.3390/nursrep11030047

Sağlık İstatistikleri Yıllığı. Available from: www.sağlıkbakanlığı.gov.tr (assesed at 15 March 2024)

Yörük S, Güler D. Factors associated with pediatric vaccine hesitancy of parents: a cross-sectional study in Turkey. Hum Vaccin Immunother. 2021 Nov 2;17(11):4505-11. DOI: https://doi.org/10.1080/21645515.2021.1953348

Hadjipanayis A, van Esso D, Del Torso S, Dornbusch HJ, Michailidou K, Minicuci N et al. Vaccine confidence among parents: large scale study in eighteen European countries. Vaccine. 2020;38(6):1505-1512. DOI: https://doi.org/10.1016/j.vaccine.2019.11.068

Gilkey MB, McRee AL, Magnus BE, Reiter PL, Dempsey AF, Brewer NT et al. Parental refusal/delay of early childhood vaccines. PLoS ONE. 2016;11(7):e0159087. DOI: https://doi.org/10.1371/journal.pone.0159087

Mohd Azizi FS, Kew Y, Moy FM. Vaccine hesitancy among parents in a multi-ethnic country, Malaysia. Vaccine. 2017;35(22):2955-61. DOI: https://doi.org/10.1016/j.vaccine.2017.04.010

Alsuwaidi AR, Elbarazi I, Al-Hamad S, Aldhaheri R, Sheek-Hussein M, Narchi H. Vaccine hesitancy and its determinants among Arab parents: a cross-sectional survey in the United Arab Emirates. Hum Vaccin Immunother. 2020;16(12):3163-9. DOI: https://doi.org/10.1080/21645515.2020.1753439

Giambi C, Fabiani M, D'Ancona F, Ferrara L, Fiacchini D, Gallo T et al. Parental vaccine hesitancy in Italy - Results from a national survey. Vaccine. 2018;36(6):779-87. DOI: https://doi.org/10.1016/j.vaccine.2017.12.074

Yufika A, Wagner AL, Nawawi Y, Wahyuniati N, Anwar S, Yusri F et al. Parents' hesitancy towards vaccination in Indonesia: a cross-sectional study in Indonesia. Vaccine. 2020;38(11):2592-9. DOI: https://doi.org/10.1016/j.vaccine.2020.01.072

Lane S, MacDonald NE, Marti M, Dumolard L. Vaccine hesitancy around the globe: analysis of three years of WHO/UNICEF Joint Reporting Form data-2015-2017. Vaccine. 2018;36(26):3861-7. DOI: https://doi.org/10.1016/j.vaccine.2018.03.063

Alghamdi AA, Alghamdi HA. Knowledge, Attitude, and Practice of Vaccination Among Parents in Jeddah City, Saudi Arabia. Cureus. 2023 Jul 11;15(7):e41721. DOI: https://doi.org/10.7759/cureus.41721

Natbony J, Genies M. Vaccine Hesitancy and Refusal. Pediatr Rev. 2019 Oct;40(Suppl 1):22-3. DOI: https://doi.org/10.1542/pir.2019-0072

Adefolalu OA, Kanma OJO, Balogun MR. Maternal knowledge, attitude and compliance regarding immunization of under five children in Primary Health Care centres in Ikorodu Local Government Area, Lagos State. J. Clin. Sci. 2019;16: 8-14. DOI: https://doi.org/10.4103/jcls.jcls_55_18

Alsalhi WA, Alqurashi MM, Albarghawi FM, AlMuhanna FA, Alahmari AH, Aldhban AY et al. Parents' knowledge, attitude, and practice toward childhood vaccinations, in Saudi Arabia, 2019. IJMDC. 2020; 4(4): 781-7. DOI: https://doi.org/10.24911/IJMDC.51-1578242191

Vonasek BJ, Bajunirwe F, Jacobson LE, Twesigye L, Dahm J, Grant MJ et al. Do Maternal Knowledge and Attitudes towards Childhood Immunizations in Rural Uganda Correlate with Complete Childhood Vaccination? PLoS One. 2016 Feb 26;11(2):e0150131. DOI: https://doi.org/10.1371/journal.pone.0150131

My C, Danchin M, Willaby HW, Pemberton S, Leask J. Parental attitudes, beliefs, behaviours and concerns towards childhood vaccinations in Australia: A national online survey, Aust Fam Physician, 2017 Mar;46(3):145-51. Available from: https://pubmed.ncbi.nlm.nih.gov/28260278/

Weiner JL, Fisher AM, Nowak GJ, Basket MM, Gellin BG. Childhood Immunizations: First-Time Expectant Mothers' Knowledge, Beliefs, Intentions, and Behaviors. Am J Prev Med. 2015 Dec;49 (6 Suppl 4):S426-34. DOI: https://doi.org/10.1016/j.amepre.2015.07.002

Gençer MZ. 24-72 Ay Çocukları olan Ebeveynlerin Sosyo-Demografik Özellikleri ve Rutin Dışı Aşılar Hakkındaki Bilgi Düzeyleri: Doğu-Batı Karşılaştırması. Konuralp Medical Journal. Kasım 2015;7(3):2. DOI: https://doi.org/10.18521/ktd.11271

Karafillakis E, Dinca I, Apfel F, Cecconi S, Wűrz A, Takacs J et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. 2016 Sep 22;34(41):5013-20. DOI: https://doi.org/10.1016/j.vaccine.2016.08.029

Downloads

Published

2024-06-15

How to Cite

Turhan Aksoku, B., Aypak, C., & Güven, D. (2024). Knowledge Level and Beliefs of Mothers of Children Under 5 Years of Age About Childhood Vaccinations. Jurnal Profesi Medika : Jurnal Kedokteran Dan Kesehatan, 18(1), 12–20. https://doi.org/10.33533/jpm.v18i1.7984