Assessment of Parents’ Knowledge, Attitude and Practice about Child Vaccination in Rural areas

Abstract

Background: Vaccines have thrived as one of the most successful health interventions that have diminished occurrence of infectious diseases and improved quality of life in the population. Although the vaccination coverage has been gradually increasing, the average total immunization coverage is far less than the desired outcome. Parental decisions regarding vaccination are very vital for increasing the vaccination rate and parent compliance to the immunization schedule. Objective: To analyze the extent of parents' Knowledge, Attitude and Practice(KAP) about child vaccination in rural areas such that it can be correlated with the immunization status of their child amongst native participants of Bangalore. Methodology: A prospective cross-sectional study was carried out on 110 Parents residing in rural areas of Bangalore who had children below 5 years of age. The sociodemographic details of the parents were collected and they were made to fill a KAP Questionnaire. Each question under Knowledge and Attitude was scored to assess their KAP level regarding child vaccination. The immunization status of the child was assessed by counting on the parents' word for it. Results: A total of 110 parents participated in the study from different rural clusters of Bangalore. Assessment of the extent of Knowledge, attitude and practice about child vaccination showed that a majority of them (72.7 %,) had good knowledge score followed by average (21.8%) and poor (5.4%) whereas 85.4% of the respondents were found to have good attitude towards child vaccination. The immunization status of the child was assessed by counting on the parents' word for it and.68.1% children were completely immunized whereas 7.2 % received incomplete immunization. The immunization status of the remaining 24.5% of the children was uncertain as assessment was not possible due to lack of surety in the parents part regarding the immunization status of their child. Although parental knowledge was not found to be significantly associated with the immunization status of their child, there was a significant association between the attitude of parents towards child vaccination and the immunization status of their child. A very significant correlation was also seen between the parental knowledge and attitude score with p≤0.0001. Conclusion: The parental Knowledge, Attitude and Practice about child vaccination are important determinants of the immunization status of their child. A combined effort from the members of the healthcare team and social health workers can definitely make the attainment of the targeted immunization coverage rate in the country possible.

Knowledge, Attitude and Practice Towards Vaccination among Parents in Al Qassim Region, Saudi Arabia

“…It also important to note that nearly all parents (87.5%) in this study indicated that their child completed the immunization programs. Various papers reported good adherence to childhood immunization [11][12][13]. In contrast, Vezzosi et al, [15] accounted that more than one third of parents had vaccinated their child (38.4%) and almost two-third were actually encourage by their healthcare professionals to vaccinate their child which was not consistent with our study result.…”

“…This study has shown that the attitude of parents toward childhood immunization was generally positive (82.7%) while the rest were either having an average attitude (16.1%) or negative attitude (1.2%) with an overall mean attitude score of 19.2 ± 1.67 out of 21. This report is consistent from the paper published in India [12]. They reported good attitude toward childhood vaccination had been detected from 85.4% of the parents, while average and poor knowledge were detected from 11.8% and 2.7% respectively.…”

“…In neighboring country [10], the overall knowledge score of parents was 8.58 ± 2.19 with majority of the parents had moderate knowledge (63.3%), followed by high knowledge (23.3%) and low knowledge (13.5%) which was in accordance with our study findings. However, in Nepal [11], a great proportion of the parents were found to have good knowledge (72.5%) and this has been corroborated by the study published in India [12], where they reported 72.7% of the parents were having god knowledge, followed by average (21.8%) and poor knowledge (5.4%). These results showed better knowledge when compared to our study outcome.…”

Maternal Satisfaction towards Childhood Immunization Service and Its Associated Factors in Wadla District, North Wollo, Ethiopia, 2019

“…In consistent to the study conducted in the United Arab Emirates [42], mothers who have a favorable attitude to childhood immunization service were found more likely to be satisfied by service than mother with unfavorable attitude. The possible explanation might be mothers who have favorable attitudes will have more opportunities to understand the vaccination and its importance and better compliance with the immunization schedule which ultimately generate more satisfaction towards childhood immunization service [43,44].…”

The evaluation of immunization coverage under mission Indradhanush: a review

“…18,23 A study conducted in Bangalore concluded 72.7% care givers had good knowledge, 21.8% had average knowledge and 5.40% have poor knowledge. 20 Furthermore, a cross-sectional study conducted. in Madhya Pradesh (Indore) revealed,88% care givers were aware about immunization.…”