Influencing factors in MMR immunisation decision making

Hill, Marie; Cox, Carol

doi:10.12968/bjon.2013.22.15.893

Cited by 15 publications

(11 citation statements)

References 40 publications

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“…It became apparent from this study that the attitude of health care providers had an influence on the mothers' decisions to immunise their children. The value of good health professional advice is also described by Hill (2013), who demonstrated that health professionals are seen as a trustworthy source of information, and that parents are reported to actively seek their advice to inform their decision about whether to immunise their children or not.…”

Section: The Influence Of the Attitudes Of Health Care Providersmentioning

confidence: 99%

“…Immunisation is stated to be the most effective public health intervention in the world for saving lives and for promoting good health. Immunisation is also an intervention that saves money (Hill, 2013). The Expanded Programme on Immunisation (EPI) Fact Sheet states that, "According to WHO every dollar spent on vaccine saves seven dollars in medical costs and 25 dollars in overall costs related to vaccine preventable diseases" (WCDoH, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of Mothers and Caregivers Regarding the Factors Affecting Low Uptake of Measles Immunisation Among Children Under 5 Years in Nyangana District, Namibia

Lifalaza¹,

Stern²,

Ashipala³

2018

GJHS

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Immunisation is considered to be amongst the most successful and cost-effective disease prevention interventions available. The aim of this study was, to investigate the perceptions of mothers/caregivers on the factors that impact on the uptake of measles immunisation in the Nyangana Health District, with a view to improving measles immunisation coverage. A qualitative exploratory study design was used to collect data from the study participants by the use of interviews. Data was audio-taped and transcribed verbatim. The recorded interviews were translated from the Gciriku language to English. Data was analysed through the use of the Thematic Content Analysis approach. Mothers whose children were vaccinated and those whose children were not vaccinated had both positive perceptions about immunisation. The findings indicates that, despite awareness and willingness for some mothers to bring their children for subsequent follow-up vaccinations, barriers such as inability to pay for transport, lack of support for single mothers and absence of support structures was hindering factors to immunisation uptake. Additionally, health system factors such as health care provider attitudes, staff shortages, inconvenient immunisation services, time constraints, inadequate outreach services and lack of tracking services for children who missed their measles immunisation were found to have an influence on the immunisation uptake. The children who missed their immunisation doses were mostly for single mothers and for those mothers who stayed far away from the clinic. The study concludes that the relationship between health care providers and mothers/caregivers and support from other social structures, should be good, in order to motivate mothers to use immunisation services. The study recommends that the following aspects be addressed, as they have the potential to improve the low uptake of measles immunisation: patient/provider relationship, information sharing, and supervision in the health facility, access to services, availability of outreach services, improved data tracking and active involvement of all stakeholders. These children should be targeted through improved outreach services and the use of health extension workers for contact tracing of children who missed their immunisation.

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Section: The Influence Of the Attitudes Of Health Care Providersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of Mothers and Caregivers Regarding the Factors Affecting Low Uptake of Measles Immunisation Among Children Under 5 Years in Nyangana District, Namibia

Lifalaza¹,

Stern²,

Ashipala³

2018

GJHS

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“…Paling tidak sekitar 90% anak harus mendapat imunisasi campak rutin dan pemberian vitamin A, untuk mencapai tujuan tersebut. Faktor yang mempengaruhi seseorang untuk imunisasi campak terdapat 7 yaitu sejarah imunisasi, lokasi dan akses ke pelayanan kesehatan, hubungan dengan profesionalitas dalam dunia kesehatan, persepsi dari sumber informasi, Faktor risiko dengan vaksin, kelas sosial dan etnis (Hill & Cox, 2013)…”

Section: Kejadian Campak DI Kecamatanunclassified

Measles Distribution Map according to Measles Immunization and Vitamin A Coverage

Dilita¹,

Hendrati²

2019

JBE

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Background: According to the World Health Organization (WHO), Indonesia is one of the ten countries with the most significant number of measles cases in the world. Immunization coverage in Trenggalek Regency has reached the target of prevention of measles in the elimination stage, namely measles immunization coverage> 95%, the incidence of measles persists and increases in the last three years, from 2013 to 2015. Purpose: This study aimed to evaluate the trends between measles immunization status and the provision of vitamin A with the incidence of measles in Trenggalek Regency. Methods: This type of research is an observational study with a cross-sectional study design. The sample population is consist of 14 sub-districts in Trenggalek Regency. Data was taken from the health profile of Trenggalek Regency in 2013, 2014, and 2015. In this study, data processing were analysed by Health Mapper application version 4.3.0.0 with product version 4.03 to determine data descriptively. Results: Distribution of measles incidence with immunization coverage in Trenggalek Regency in 2013, 2014, and 2015 showed that measles incidence tended to increase followed with the decreasing number of measles immunization coverage each year. Ironically, the distribution of measles incidence with vitamin A administration in 2013, 2014, and 2015 showed the incidence of measles had increased because of the inconsistent amount of vitamin A administration. Conclusion: Measles incidence tends to occur in low immunization coverage areas and has decreased from the previous year. Giving vitamin A does not prevent the occurrence of measles, but serves to reduce compilation.

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“…[21] In the past, nurses have played a major role in improving childhood vaccinations against other infectious diseases through nurse-administered programs or by influencing parents. [22][23][24] Equipped with updated HPV-vaccine knowledge, nurses can better educate and empower parents for timely HPV vaccinations. Various educational strategies in healthcare practice or community settings have shown to be effective in improving parental HPV vaccine knowledge and uptake.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Human Papillomavirus Vaccine uptake or intent among parents of preadolescents and adolescents

Dayal

Robinson²,

Schoening

et al. 2017

JNEP

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Aim: The aim of this study was to examine predictors of human papillomavirus (HPV) vaccine uptake or intent among parents of pre-adolescents and adolescents. Methods: A cross-sectional descriptive study was conducted among parents of girls aged 9 to 18 years, visiting two primary care clinics in central Texas from September to November 2015. Pearson's product-moment correlation procedures and path analyses based on Health Belief Model were performed. Results: Path analysis showed that provider recommendation for HPV vaccination (β = 0.37; p < .001) and perceived HPV vaccine harm (β = -0.48; p < .001) had statistically significant direct effects on HPV vaccine uptake or intent. The perceived HPV vaccine effectiveness was directly influenced by HPV knowledge (β = 0.39; p < .001), empowerment in parent-provider relationships (β = 0.30; p = .006) and parental college education (β = 0.23; p = .039). Conclusions: Together with parental empowerment fostering an equal partnership with providers, targeted education to improve parental HPV knowledge may convince them of the HPV vaccine effectiveness. This, in turn, may help them put the perceived HPV vaccine harm in proper perspective and allow them to make informed decisions regarding the timely HPV vaccination of their children. Because provider recommendation is one of the most important contributing factors for HPV vaccine uptake or intent, parental education and recommendations from nurses will help reduce the knowledge gaps and empower parents to make the timely decisions to vaccinate their children.

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Influencing factors in MMR immunisation decision making

Cited by 15 publications

References 40 publications

Perceptions of Mothers and Caregivers Regarding the Factors Affecting Low Uptake of Measles Immunisation Among Children Under 5 Years in Nyangana District, Namibia

Perceptions of Mothers and Caregivers Regarding the Factors Affecting Low Uptake of Measles Immunisation Among Children Under 5 Years in Nyangana District, Namibia

Measles Distribution Map according to Measles Immunization and Vitamin A Coverage

Predictors of Human Papillomavirus Vaccine uptake or intent among parents of preadolescents and adolescents

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