A Study of Vaccine Hesitancy among Mother and Care Provider during MR Vaccine Campaign
Keywords:
Vaccine hesitancy, MR vaccination campaign, attitude, urban areaAbstract
Background: Despite evidence regarding the crucial beneficial effects of vaccines, vaccination has not been carried up to the mark across the globe. The latent issue of vaccine hesitancy for new emerging vaccine leading to vaccine refusals has not been widely addressed particularly in the Indian context.
Objectives: The present study was conducted to find out the proportion and factors contributing to vaccine hesitancy for childhood vaccinations in urban area.
Methods: A cross-sectional study was carried out among 712 children of 9 months to up to 15 years old and adolescent residing in urban areas. Associations were analyzed using percentage proportion, logistic regression and by student ‘t’ test.
Results: 140 (19.7%) of the families were vaccine hesitant and 572 (80.3%) were not hesitant. Nuclear families, mothers of lower educational status and have history of incomplete previous immunization had significantly higher odds of vaccine hesitancy. Lacks of trust / fear of new vaccination (42.1%) and Reluctance to new vaccine (37.8%) were the major reasons cited for vaccine hesitancy.
Conclusion: Along this spectrum of indecision, there is a range of vaccine uptake, depending on additional influences that move an individual toward or away from ultimately accepting a particular vaccine.
References
Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007‑2012. Vaccine 2014; 32:2150‑9.
World Health Organization. Department of Immunization, Vaccines and Biologicals (IVB). SAGE October 2014. Geneva: World Health Organization; 2014. Available from: http://www.who.int/immunization/sage/meetings/2014 / October/Yellow‑bookSAGE2014_ final. pdf?ua=1. [Last accessed on 2018 May 20].
Opel DJ, Mangione-Smith R, Taylor JA, Korfiatis C, Wiese C, Catz S, et al. Development of a survey to identify vaccine hesitant parents: the parent attitudes to childhood vaccines survey. Hum Vaccin. 2011;7(4):419-25. 16.
Benin AL, Wisler-Scher DJ, Colson E, Shapiro ED, Holmboe ES. Qualitative analysis of mothers' decision-making about vaccines for infants: the importance of trust. Pediatrics. 2006; 117(5):1532-41. 17.
SAGE. Report of the SAGE Working Group on vaccine hesitancy. Geneva: WHO, October 2014. Available at: http://www.who.int/immunization/sage/meetings/2014/october/1_Report_ WORKING_GROUP_vaccine_ hesitancy_final.pdf
Gust DA, Kennedy A, Shui I, Smith PJ, Nowak G, Pickering LK. Parent attitudes toward immunizations and healthcare providers the role of information. American journal of preventive medicine. 2005; 29:105–12.
Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007–2012. Vaccine. 2014 Apr 17; 32 (19):2150-9.
The SAGE Working Group. Summary WHO SAGE Conclusions and Recommendations on Vaccine Hesitancy. Available from: http://www. who.int/immunization/ programmes_ systems/ summary_of_sage_ vaccinehesitancy_ 2pager.pdf?ua=1. [Last accessed on June 15, 2019].
Gwalior Municipal Corporation City Population Census 2011-2019. Available on .https://www.census2011.co.in › ... › District List › Gwalior › Gwalior (Gird)][Last access on 15th June 2019].
World Health Organization. SAGE Working Group. Report of the SAGE Working Group on Vaccine Hesitancy. Geneva: World Health Organization; 2014. Available from: http://www.who.int/immunization/sage/meetings/2014/october/ SAGE working_ group_ revised_report_ vaccine_hesitancy.pdf. [Last accessed on 10th June 2019].
Agarwal AK. Social Classification: The Need to Update in the Present Scenario.Indian J Community Med. 2008 Jan; 33(1): 50–51. doi: 10.4103/0970-0218.39245 PMCID : PMC2782230. available on https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC2782230/. [Last access on 15th June 2019]
Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007‑2012. Vaccine 2014; 32:2150‑9. ]
Barman D, Dutta A. Access and barriers to immunization in West Bengal, India: Quality matters. J Health Popul Nutr 2013; 31:510-22.
Dasgupta P, Bhattacherjee S, Mukherjee A, Dasgupta S. Vaccine hesitancy for childhood vaccinations in slum areas of Siliguri, India. Indian J of Public Health. 2018. 62; 4:253-258. Available on http://www.ijph.in/article.asp.[Last access on 15th June 2019]
Clark A, Sanderson C. Timing of children's vaccinations in 45 low-income and middle-income countries: an analysis of survey data. The Lancet. 2009 May 2;373(9674):1543-9.
Lauridsen J, Pradhan J. Socio-economic inequality of immunization coverage in India. Health economics review. 2011 Dec;1(1):11.
Sharma S. Socioeconomic factors of full immunization coverage in India. World Journal of Vaccines. 2013 Aug 20; 3(03):102.
Naeem M, Adil M, Abbas SH, Khan MZ, Naz SM, Khan A, Khan MU. Coverage and causes of missed oral polio vaccine in urban and rural areas of Peshawar. Journal of Ayub Medical College Abbottabad. 2011 Dec 1; 23(4):98-102.
Corsi DJ, Bassani DG, Kumar R, Awasthi S, Jotkar R, Kaur N, Jha P. Gender inequity and age-appropriate immunization coverage in India from 1992 to 2006. BMC international health and human rights. 2009 Oct; 9(1):S3.
Mathew JL. Inequity in childhood immunization in India: a systematic review. Indian pediatrics. 2012 Mar 1;49(3):203-23.
Freed GL, Clark SJ, Butchart AT, Singer DC, Davis MM. Parental vaccine safety concerns in 2009. Pediatrics. 2010 Apr 1; 125(4):654.
Mandal NK, Sinhamahapatra B, Sinha N, Mukhopadhyay DK, Das R, Biswas AB. Child immunization and Vitamin A supplementation in the district of Bankura, West Bengal. Int J Med Public Health 2011; 1:22-6.
Manjunath U, Pareek RP. Maternal knowledge and perceptions about the routine immunization programme – A study in a semiurban area in Rajasthan. Indian J Med Sci 2003; 57:158-63.
Dube E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Human vaccines & immunotherapeutics. 2013; 9:1763–73
Patel TA, Pandit NB. Why infants miss vaccination during routine immunization sessions? Study in a rural area of Anand district, Gujarat. Indian J Public Health 2011; 55:321-3
Gowda C, Dempsey AF. The rise (and fall?) of parental vaccine hesitancy. Human vaccines & immunotherapeutics. 2013; 9:1755–62
Pulcini C, Massin S, Launay O, Verger P. Knowledge, attitudes, beliefs and practices of general practitioners towards measles and MMR vaccination in south-eastern France in 2012. Clinical Microbiology and Infection. 2014;20(1):38-43
Sadaf A, Richards JL, Glanz J, Salmon DA, Omer SB. A systematic review of interventions for reducing parental vaccine refusal and vaccine hesitancy. Vaccine. 2013;31:4293–304]
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.