Abstract
Background: The prevention and treatment of hypertension are a high priority in medicine. It has been recently reported by WHO that a large proportion of children fail to complete their immunization schedule. System weaknesses, low public awareness, fears and misconceptions about vaccines were responsible for that. Despite nearly 100% vaccination rate in Saudi Arabia, often parents delay vaccination and do not fully understand the value of immunization, except that it is mandatory for birth certification and admission in school. Objectives: To assess parental knowledge and attitude regarding vaccination and their effects on vaccination practice. Methodology: A cross-sectional study was conducted using a self-administered Arabic questionnaire, including 20 questions related to parental knowledge, attitude, and practice regarding childhood vaccination. It was distributed in PHC settings. Results: The study included parents of 390 children. Factors significantly associated with better knowledge score and positive parental attitude regarding child vaccination were source of information about child vaccination from TV, internet and journals/newspapers, parents with first child, younger age, and higher level of education. There was a moderate positive correlation between total knowledge score and total attitude score of child vaccination (r≤0.382, p<0.001). Conclusion: Positive attitude towards immunizations was remarkably high in this study group of parents. Knowledge on childhood immunizations, however, was not significantly higher in those who reportedly receive information from health professionals.
Keywords: Knowledge · Attitude · Practice · Childhood Vaccination
References
- 1.Boëlle PY. Theoretical epidemiology and vaccine. Rev Med Interne 2007; 28: 161-5.
- 2.Nicoll A, Elliman D, Begg NT. Immunization: causes of failure and strategies and tactics for success. BMJ 1989; 299(30): 808-12.
- 3.Farag MK, Al-Mazrou YY, Al-Jefry M, Al-Shehri SN, Baldo MH, Farghali M. National immunization coverage Saudi Arabia. Journal of Tropical Pediatrics 1995; 41:59-67.
- 4.Novelli VM, Khalil N, Metarwah B, El-Baba F, Nahar R, Abu- Nahya M. Childhood immunization in the state of Qatar: Implications for improving coverage. Annals of Saudi Medicine 1991;11(2):201-4.
- 5.Al-Shehri SN, Al-Shammari SA, Khoja TA. Missed Opportunities for Immunization. Canadian Family Physician 1992; 38:1087-91.
- 6.World Health Organization. Global immunization data. [Cited at 2012 march 12], Available from: http://www.who.int/immunization_mo nitoring/Global_Immunization_Data.
- 7.Tufenkeji H, Kattan H. Childhood immunization in the Kingdom of Saudi Arabia. Annals of Saudi Medicine 1994; 14(2):91-3.
- 8.Global immunization vision and strategy (Progress report and strategic direction for the Decade of Vaccines), [Cited at 2012 march 12], available from: http://apps.who.int/gb/ebwha/pdf_files/ WHA64/A64_14-en
- 9.Schwarz NG, Gysels M, Pell C, Gabor J, Schlie M, Issifou S et al. Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon. Vaccine 2009; 27: 5371-5.
- 10.Novelli VM, Khalil N, Metarwah B, El-Baba F, Nahar R, Abu- Nahya M. Childhood immunization in the state of MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 1 Qatar: Implications for improving coverage. Annals of Saudi Medicine 1991;11(2):201-4.
- 11.Harunur Rashid AKM. Childhood immunization status related to social and educational status of parents in a peripheral northern town of Saudi Arabia. Annals of Saudi Medicine 1993; 13(4):335-9.
- 12.Orenstein WA, Rodewald LE, Hinman AR. Immunization in the United States. In: Plotkin S, Orenstein WA, eds. Vaccines, 4th ed. Philadelphia: Elsevier; 2004:1357–1386.
- 13.Hinman AR, Orenstein WA, Rodewald L. Financing immunizations in the United States. Clin Infect Dis. 2004;38:1440–1446.
- 14.Langmuir AD. Medical importance of measles. Am J Dis Child. 1962; 103:224–226.
- 15.Gust DA, Strine TW, Maurice E, Smith P, Yusuf H, Wilkinson M et al. Under immunization among children: effects of vaccine safety concerns on immunization status. Pediatrics 2004; 114: e16-22.
- 16.Ministry of health, Saudi Arabia. [Cited at 2012 march 12], Available from: http://www.moh.gov.sa/en/Ministry/M ediaCenter/News/Pages/NEWS-20115-3-001.aspx
- 17.World Health Organization (WHO). [Cited at 2012 march 12], Available from: http://apps.who.int/immunization_moni toring/en/globalsummary/timeseries/tsc overagebycountry.cfm?C=SAU.
- 18.World Health Organization (WHO). [Cited at 2012 march 12], Available from: http://apps.who.int/immunization_moni toring/en/globalsummary/countryprofil eresult.cfm
- 19.Bernsen RM, Al-Zahmi FR, Al-Ali NA, Hamoudi RO, Ali NA, John Schneider J, et al. Knowledge, Attitude and Practice towards Immunizations KAP of parents towards childhood vaccination, Jamman Al-Zahrani 31 ORIGINAL ARTICLE among Mothers in a Traditional City in the United Arab Emirates Journal of Medical Sciences 2011; 4(3): 114-121.
- 20.Al-lela OQB, Bahari MB, Al-abbassi MG, Basher AY. Development of a questionnaire on knowledge, attitude and practice about immunization among Iraqi parents. J Public Health published online March, 2011
- 21.Tang CW, Huang SH, Weng KP, Ger LP, Hsieh KS. Parents’ Views About the Vaccination Program in Taiwan. Pediatrics and Neonatology 2011; 52: 98-102.
- 22.Vannice KS, Salmon DA, Shui I, Omer SB, Kissner J, Edwards KM, et al. Attitudes and beliefs of parents concerned about vaccines: Impact of timing of immunization information Pediatrics 2011;127: S120–S126
- 23.Qidwai W, Ali SS, Ayub S, Ayub S. Knowledge, Attitude and practice regarding immunization among family practice patients. JDUHS 2007; 1 (1): 15-19.
- 24.Mansuri FA, Baig LA. Assessment of immunization service in perspective of both the recipients and the providers: a reflection from focus group discussions. J Ayub Med Coll. 2003; 15:14-8. MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 1
- 25.Smith PJ, Kennedy AM, Wooten K, Gust DA, Pickering LK. Association between health care providers' influence on parents who have concerns about vaccine safety and vaccination coverage. Pediatrics 2006; 118:1287-92.
- 26.Buttery J, La Vincente S, Andrews R, Kempe A, Royle J. Adverse events following immunization: desperately seeking surveillance. Lancet Infect Dis 2006; 6: 680-1.
- 27.Kumar R, Taneja D K, Dabas P, Ingle G K, Saha R. Knowledge about tetanus immunization among doctors in Delhi. Indian J Med Sci 2005;59:3-8
- 28.Nowalk MP, Bardella IJ, Zimmerman RK, Shen S. The physician's office: can it influence adult immunization rates? Am J Manag Care 2004; 10:13-9.
- 29.Speers T, Lewis J. Journalists and jabs: media coverage of the MMR vaccine. Commun Med. 2004; 1:171-81.
- 30.Wolfe RM, Sharp LK. Vaccination or immunization? The impact of search terms on the internet. J Health Commun 2005; 10: 537-51. KAP of parents towards childhood vaccination, Jamman Al-Zahrani 32