Assessing mother’s knowledge and attitude on routine immunization: A cross-sectional study at Kalinga provincial hospital
Arawn Josh Bacacao, Mary Chris Balcanao, Cislyn Faith Banasan, Gladys Assudo, Remy Ann Asiw, Angel Sychamore Bakidan, Gerah Mae Bang-I, Coleen Barrera, Novalie Benitez, Marijoy Boccol & Krizhel Mirja Cawas
Abstract
Immunization is a critical public health intervention that has significantly reduced childhood morbidity and mortality rates worldwide. The success of immunization programs relies heavily on the knowledge and attitudes of mothers towards vaccines, as they are the primary decision-makers for their children's healthcare. This study aimed to determine the mother's level of knowledge and attitude toward routine immunization at Kalinga Provincial Hospital. Utilizing a cross-sectional descriptive design, data were collected from 48 mothers through a modified questionnaire. Findings revealed a prevailing low knowledge level, emphasizing significant gaps in understanding vaccination schedules, doses, and preventable diseases. While the majority expressed positive attitudes, a subset retained misconceptions, influenced by cultural, religious, and alternative healing practices. Notably, older mothers exhibited more favorable attitudes, aligning with their potentially stronger influence on vaccination decisions. Research limitations include a small sample size and geographical specificity, impacting generalizability. However, these constraints are acknowledged to provide transparency about the study's scope. Implications suggest the need for tailored educational campaigns, considering sociodemographic factors and collaborating with indigenous communities. Cultural and religious considerations should be incorporated into communication strategies to dispel myths and build trust. The study underscores the importance of healthcare providers' role in addressing concerns and promoting comprehensive vaccine literacy. Future research should explore specific factors contributing to knowledge gaps, guiding targeted interventions.
Keywords
routine immunization, mothers, knowledge, attitude, sociodemographic factors
Author information & Contribution
Arawn Josh Bacacao. Corresponding Author: Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines. Email:
arawnbacacao01@gmail.com
Mary Chris Balcanao. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Cislyn Faith Banasan. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Gladys Assudo. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Remy Ann Asiw. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Angel Sychamore Bakidan. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Gerah Mae Bang-I. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Coleen Barrera. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Novalie Benitez. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Marijoy Boccol. Bachelor of Science in Nursing at Saint Tonis College Inc. in Tabuk City, Kalinga, Philippines.
Krizhel Mirja Cawas. MSN, RN. Former clinical instructor at Saint Tonis College Inc.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Funding
This work was not supported by any funding.
AI Declaration
Notes
This paper is presented in 1st International Student Research Congress 2024
Acknowledgement
References
Abdullah Khalid AlTuwayjiri, & Almutairi, A. (2021). Knowledge, attitude, and practice of the parents regarding childhood vaccinations in Saudi Arabia 2021. International Journal of Medicine in Developing Countries, 5(12), 2055–2062. https://doi.org/10.24911/IJMDC/51-1633031645
Adedire, E., Olufemi Ajumobi, Omotayo Bolu, Nguku, P., & Ajayi, I. O. (2021b). Maternal knowledge, attitude, and perception about childhood routine immunization program in Atakumosa-west Local Government Area, Osun State, Southwestern Nigeria. The Pan African medical journal, 40(1), 8. https://doi.org/10.11604/pamj.supp.2021.40.1.30876
Agboola, S. M., Busari, Olusegun Adesola, Segun-Agboola, B. T., Olajide, Toye Jude, Shabi, O. M., & Elegbede, Olayide Toyin. (2015). Knowledge, attitude, perceptions of adult males towards childhood immunizations in southwest Nigeria – Afe Babalola American Journal of Health Research, 3(1), 8-12.
Ahmad Nadeem Aslami, K, A. T., Salim, A. K., Pillai, A. V., J, A. T., Bency S, Anas, S., & Ahemmed A. (2015). Assessment of knowledge about immunization of under five children among mothers attending outpatient department of pediatrics in a tertiary care hospital in Kollam, Kerala. Journal of Evidence-based Medicine and Healthcare. https://doi.org/10.18410/jebmh/2015/595
Ahmed Abdulrahman, Y. M. (2014). Parents′ knowledge and attitudes on childhood immunization, Taif, Saudi Arabia. Journal of Vaccines & Vaccination, 05(01). https://doi.org/10.4172/2157-7560.1000215
Alenazi, A. O., Reem Alshareef, Fatimah Abduladhim Alabudib, & Ayah Jawad Almuqarrab. (2017). Assessment of knowledge and attitude and practice of parents about immunization in Jeddah City. The Egyptian Journal of Hospital Medicine. 69(7), 2939–2943. https://doi.org/10.12816/0042589
Alshammari, S. Z., AlFayyad, I., Altannir, Y., & Al-Tannir, M. (2021). Parental awareness and attitude about childhood immunization in Riyadh, Saudi Arabia: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(16), 8455. https://doi.org/10.3390/ijerph18168455
Alshammari, T. M., Subaiea, G. M., Hussain, T., Moin, A., & Yusuff, K. B. (2018). Parental perceptions, attitudes and acceptance of childhood immunization in Saudi Arabia: A cross sectional study. Vaccine, 36(1), 23–28. https://doi.org/10.1016/j.vaccine.2017.11.050
Annie Kibongani Volet, Scavone, C., Catalán-Matamoros, D., & Capuano, A. (2022). Vaccine hesitancy among religious groups: Reasons underlying this phenomenon and communication strategies to rebuild trust. Front. Public Health, 10:824560. https://doi.org/10.3389/fpubh.2022.824560
Arceo, E., Jurado, J. E., Cortez, L. A., Sibug, N., Sarmiento, G. L., Lawingco, A. C., Carbungco, C., & Tiongco, R. E. (2021). Understanding COVID-19 preventive behavior: An application of the health belief model in the Philippine setting. Journal of education and health promotion, 10, 228. https://doi.org/10.4103/jehp.jehp_1441_20
Bangura, J.B., Xiao, S., Qiu, D. & Chen, L. (2020). Barriers to childhood immunization in sub-Saharan Africa: A systematic review. BMC Public Health, 20, 1108. https://doi.org/10.1186/s12889-020-09169-4
Bosede Ehelami Adebayo, & Regina Eziuka Oladokun. (2012). Immunization coverage in a rural community in Southwestern Nigeria. Journal of Vaccines & Vaccination, 3(4). https://doi.org/10.4172/2157-7560.1000143
CDC. (2022, September 22). Fast Facts on Global Immunization. Centers for Disease Control and Prevention. https://www.cdc.gov/globalhealth/immunization/data/fast-facts.html
Cordero, D. A. (2022). A more contextualized approach: Addressing COVID-19 vaccine hesitancy in the Philippines. Infect Chemother, 54(1), 178-179. https://doi.org/10.3947/ic.2022.0012
Danchin, M., Costa-Pinto, J. C., Attwell, K., Willaby, H. W., Wiley, K. E., Mahbubul Hoq, Leask, J., Perrett, K. P., O’Keefe, J., Giles, M. L., & Marshall, H. L. (2017). Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake. Vaccine, 36(44), 6473–6479. https://doi.org/10.1016/j.vaccine.2017.08.003
Dubé, E., Gagnon, D., Nickels, E., Jeram, S. M., & Schuster, M. (2014). Mapping vaccine hesitancy—Country-specific characteristics of a global phenomenon. Vaccine, 32(49), 6649–6654. https://doi.org/10.1016/j.vaccine.2014.09.039
Fisha Alebel Gebre Eyesus, Tadesse Tsehay Tarekegn, Baye Tsegaye Amlak, Bisrat Zeleke Shiferaw, Mamo Solomon Emeria, Omega Tolessa Geleta, Agerie Aynalem Mewahegn, Dejen Getaneh Feleke, & Ermias Sisay Chanie. (2021). Knowledge, attitude, and practices of parents about immunization of infants and its associated factors in Wadla Woreda, North East Ethiopia. Pediatric Health, Medicine and Therapeutics, 12, 223–238. https://doi.org/10.2147/phmt.s295378
Francis, E., John Howell Diric, Dorado, Z., Dumaua, K., Julia, M., & Jose Maria Dumaya. (2020). Dengue vaccine controversy awareness, vaccine health literacy, and vaccine acceptability among mothers in select rural communities. The Journal of Health and Caring Sciences, 2(2), 123–134. https://doi.org/10.37719/jhcs.2020.v2i2.oa005
Gidado, S., Nguku, P., Biya, O., Waziri, N. E., Mohammed, A., Nsubuga, P., Akpan, H., Oyemakinde, A., Nasidi, A., Suleman, I., Abanida, E., Musa, Y., & Sabitu, K. (2014). Determinants of routine immunization coverage in Bungudu, Zamfara State, Northern Nigeria. The Pan African medical journal, 18 (1), 9. https://doi.org/10.11694/pamj.supp.2014.18.1.4149
Harmsen, I. A., Mollema, L., Ruiter, R. A., Paulussen, T. G., de Melker, H. E., & Kok, G. (2013). Why parents refuse childhood vaccination: a qualitative study using online focus groups. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-1183
Helvinder Kaur Balbir Singh, Vishal Bhagwan Badgujar, Rose Suzila Yahaya, Santibuana Abd Rahman, Farheen Mohd Sami, Sangeeta Badgujar, Subhashini Nair Govindan & Mohammed Tahir Ansari (2019). Assessment of knowledge and attitude among postnatal mothers towards childhood vaccination in Malaysia. Human Vaccines & Immunotherapeutics, 15(11), 2544-2551. https://doi.org/10.1080/21645515.2019.1612666
Hickey, G., McGilloway, S., Leckey, Y., Furlong, M., Leavy, S., Stokes, A., O’Connor, S., Bywater, T., & Donnelly, M. (2019). Mothers’ well‐being, parenting attitudes, and home environment: Cumulative risk and parity in early motherhood. Child: care, health and development, 45(4), 523-530. https://doi.org/10.1111/cch.12677
Hussain, A. R., Zahid, A., Malik, M., Ansari, M., Mojtaba Vaismoradi, Aslam, A., Hayat, K., Márió Gajdács, & Shazia Qasim Jamshed. (2021). Assessment of parents’ perceptions of childhood immunization: A cross-sectional study from Pakistan. Children, 8(11), 1007–1007. https://doi.org/10.3390/children8111007
Kibongani Volet, A., Scavone, C., Catalán-Matamoros, D., & Capuano, A. (2022). Vaccine Hesitancy Among Religious Groups: Reasons Underlying This Phenomenon and Communication Strategies to Rebuild Trust. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.824560
Kyprianidou, M., Eleana Tzira, Galanis, P., & Konstantinos Giannakou. (2021). Knowledge of mothers regarding children’s vaccinations in Cyprus: A cross-sectional study. Plos One, 16(9), e0257590. https://doi.org/10.1371/journal.pone.0257590
Migriño, J. R., Gayados, B., Rachel, K., Lorelie De Jesus, Lopez, C. D., Winona Colleen Mercado, Jan-Mark Caezar Tolosa, Joeylyn Torreda, & Glaze Tulagan. (2020). Factors affecting vaccine hesitancy among families with children 2 years old and younger in two urban communities in Manila, Philippines. Western Pac Surveill Response,1(2), 20–26. https://doi.org/10.5365/wpsar.2019.10.2.006
Mohamed, M. J., Ochola, S., & Owino, V. O. (2018). Comparison of knowledge, attitudes and practices on exclusive breastfeeding between primiparous and multiparous mothers attending Wajir District hospital, Wajir County, Kenya: a cross-sectional analytical study. International Breastfeeding Journal, 13(1). https://doi.org/10.1186/s13006-018-0151-3
Rosenstock, I. M. (2016). The health belief model and preventive health behavior. Health Education Monographs, 2(4), 354-386. https://doi.org/10.1177/109019817400200405
Taiwo, L., Idris, S., Abubakar, A., Nguku, P., Nsubuga, P., Gidado, S., Okeke, L., Emiasegen, S., & Waziri, E. (2017). Factors affecting access to information on routine immunization among mothers of under 5 children in Kaduna State Nigeria. Pan African Medical Journal, 27. https://doi.org/10.11604/pamj.2017.27.186.11191
Verulava, T., Jaiani, M., Lordkipanidze, A., Jorbenadze, R., & Dangadze, B. (2019). Mothers’ Knowledge and Attitudes Towards Child Immunization in Georgia. The Open Public Health Journal, 12(1). https://doi.org/10.2174/1874944501912010232
World Health Organization (2019, October 29). Vaccines and immunization. https://www.who.int/health-topics/vaccines-and-immunization#tab=tab_1
Yalma Ramsey Msheliza, Ejemeka Chibuzo, & Olayinka Victor Ojo. (2020). An evaluation of knowledge and attitude towards routine immunization among caregivers/mothers of under-five years children in Gwagwalada Area Council Abuja-FCT. International Journal of Recent Innovations in Medicine and Clinical Research, 2(4), 30–37. https://doi.org/10.5281/zenodo.4320134
Cite this article:
Bacacao, A.J., Balcanao, M.C., Banasan, C.F., Assudo, G., Asiw, R.A., Bakidan, A.S., Bang-I, G.M., Barrera, C., Benitez, N., Boccol, M. & Cawas, K.M. (2024). Assessing mother’s knowledge and attitude on routine immunization: A cross-sectional study at Kalinga provincial hospital. International Student Research Review, 1(1), 48-56. https://doi.org/10.53378/isrr.01246
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This work is licensed under a Creative Commons Attribution (CC BY 4.0) International License.
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