Mothers’ Perception about Immunization of Children in Bangladesh

Authors

  • Md Mahmudul Hasan Research Investigator
  • Tumpa Gharami
  • Halima Akter

DOI:

https://doi.org/10.35654/ijnhs.v8i1.852

Keywords:

Mothers, Perception, Immunization, Children, Bangladesh

Abstract

Background: Immunization is an essential public health strategy to prevent childhood diseases and enhance community health. The effectiveness of immunization programs, however, relies heavily on the acceptance and compliance of parents, particularly mothers. This study aimed to evaluate mothers' perceptions of child immunization in rural areas of Bangladesh. Methods: A cross-sectional study was conducted at the EPI center of Sher-e-Bangla Medical College Hospital in Barishal, involving 112 participants selected through convenience sampling. Data were collected via structured face-to-face interviews, utilizing a questionnaire with two sections: one on socio-demographic details and the other on mothers’ perceptions of immunization. The data were analyzed using SPSS version 26, employing descriptive statistics to summarize participant characteristics and perceptions, and inferential statistics to assess relationships among variables. Results: The average age of participants was 29.29 years (SD = 6.92). A significant positive association was observed between participants' age and their perception of immunization (r = -0.190, p = 0.045). Additionally, residential area was significantly related to immunization perception (t = -2.115, p = 0.037), and the information source also had a significant effect on perception (F = -2.115, p = 0.021). Conclusion: The study findings indicate that perceptions of immunization are significantly associated with certain demographic factors. These results highlight the need for targeted educational efforts and community-based initiatives to counter misinformation and increase awareness. The insights gained can aid policymakers, healthcare providers, and public health professionals in improving immunization rates and safeguarding the health of future generations in Bangladesh

Downloads

Download data is not yet available.

References

(1) World Health Organization. Vaccines and Immunization [Internet]. 2024. Available from: https://www.who.int/health-topics/vaccines-and-immunization#tab=tab_1

(2) Mahalingam S, Soori A, Ram P, Achappa B, Chowta M, Madi D. Knowledge, attitude and perceptions of mothers with children under five years of age about vaccination in Mangalore, India. Asian J Med Sci. 2014;5(4):52–7. https://doi.org/10.3126/ajms.v5i4.10306

(3) World Health Organization. Vaccines and global health security. 2020.

(4) Centers for Disease Control and Prevention. Ten Great Public Health Achievements in the 20th Century [Internet]. 2011. Available from: https://www.cdc.gov

(5) Sarkar PK, Sarker KN, Doulah S, Bari TI. Expanded Programme on Immunization in Bangladesh: A Success Story. Bangladesh J Child Health. 2015;39(2):93–8.

(6) Offit P. Global Immunization: Worldwide Disease Incidence [Internet]. Children's Hospital of Philadelphia; 2014 [cited 2024 Dec 1]. Available from: https://www.chop.edu/centers-programs/vaccine-education-center/global-immunization/diseases-and-vaccines-world-view

(7) World Health Organization. Immunization coverage [Internet]. 2023 Jul 18. Available from: https://www.who.int/news-room/fact-sheets/detail/immunization-coverage

(8) Sarker AR, Akram R, Ali N, Sultana M. Coverage and factors associated with full immunisation among children aged 12–59 months in Bangladesh: insights from the nationwide cross-sectional demographic and health survey. BMJ Open. 2019;9(7):e028020. https://doi.org/10.1136/bmjopen-2018-028020

(9) World Health Organization. Global eradication of poliomyelitis: report of the sixth meeting of the Technical Consultative Group for poliomyelitis eradication. Geneva; 2001. Available from: www.who.int/vaccinesdocuments/

(10) Tagbo B, Uleanya N, Nwokoye I, Eze J, Omotowo I. Mothers’ knowledge, perception and practice of childhood immunization in Enugu. Niger J Paediatr. 2012;39(3). https://doi.org/10.4314/njp.v39i3.1

(11) Thirunavukkarasu A, Alanazi MFA, Al-Hazmi AH, et al. Maternal Perception, Hesitancy, and Satisfaction Toward Childhood Immunization in Primary Health Centers, Hafr Al-Batin: A Multicenter Cross-Sectional Study from Eastern Saudi Arabia. Risk Manag Healthc Policy. 2023;16:2357–68. https://doi.org/10.2147/RMHP.S406933

(12) Adavalath S, Sowmya S, Avabratha K. Immunization of children under 5 years: Mother's knowledge, attitude, and practice in a rural community. Muller J Med Sci Res. 2023;14(1):6. https://doi.org/10.4103/mjmsr.mjmsr_46_22

(13) Nnenna TB, Davidson UN, Babatunde OI. Mothers’ Knowledge and Perception of Adverse Events Following Immunization in Enugu, South-East, Nigeria. Niger J Paediatr. 2013;4(2):2–6.

(14) Fuchs EL. Self-reported prenatal influenza vaccination and early childhood vaccine series completion. Prev Med. 2016;88:8–12. https://doi.org/10.1016/j.ypmed.2016.03.012

(15) Ellithorpe ME, Adams R, Aladé F. Parents’ Behaviors and Experiences Associated with Four Vaccination Behavior Groups for Childhood Vaccine Hesitancy. Matern Child Health J. 2022;26(2):280–8. https://doi.org/10.1007/s10995-021-03336-8

(16) Lovri? Makari? Z, Kolari? B, Tomljenovi? M, Posavec M. Attitudes and beliefs related to childhood vaccinations among parents of 6 years old children in Zagreb, Croatia. Vaccine. 2018;36(49):7530–5. https://doi.org/10.1016/j.vaccine.2018.10.055

(17) Tobin-West CI, Alex-Hart BA. Identifying Barriers and Sustainable Solution to Childhood Immunization in Khana Local Government Area of Rivers State, Nigeria. Int Q Community Health Educ. 2012;32(2):149–58. https://doi.org/10.2190/iq.32.2.e

(18) Almutairi WM, Alsharif F, Khamis F, et al. Assessment of Mothers’ Knowledge, Attitudes, and Practices Regarding Childhood Vaccination during the First Five Years of Life in Saudi Arabia. Nurs Rep. 2021;11(3):506–16. https://doi.org/10.3390/nursrep11030047

(19) Mphaka MR, Moshime M, Reddy C. A Cross-Sectional Study On Caregivers’ Knowledge, Attitudes, And Practices About The Routine Immunisation Program In Tshwane Sub-District 2, Gauteng, South Africa. J Environ Sci Public Health. 2018;2(04):221–31. https://doi.org/10.26502/jesph.96120041

(20) Rahman M, Obaida-Nasrin S. Factors affecting acceptance of complete immunization coverage of children under five years in rural Bangladesh. Salud Publica Mex [Internet]. 2010 [cited 2025 Jan 22];52(2):134–40. Available from: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342010000200005

(21) Favin M, Steinglass R, Fields R, Banerjee K, Sawhney M. Why children are not vaccinated: a review of the grey literature. Int Health. 2012;4(4):229–38.

(22) Phadke VK, Bednarczyk RA, Salmon DA, Omer SB. Association between vaccine refusal and vaccine-preventable diseases in the United States: A review of measles and pertussis. JAMA. 2016;315(11):1149–58.

(23) Rahman MS, Giedraitis V, Akhter S. Knowledge, attitude, and practice toward immunization among mothers and caregivers in rural Bangladesh. Int J Med Public Health. 2012;2(2):16–21.

(24) Jolley D, Douglas KM. The effects of anti-vaccine conspiracy theories on vaccination intentions. PLoS One. 2014;9(2): e89177.

(25) Rossen I, Hurlstone MJ, Dunlop PD, Lawrence C. Accepters, fence sitters, or rejecters: Moral profiles of vaccination attitudes. Soc Sci Med. 2019; 224:23–7.

(26) Omer SB, Salmon DA, Orenstein WA, deHart MP, Halsey N. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. N Engl J Med. 2015;360(19):1981–8.

(27) World Health Organization. The global vaccine action plan 2011–2020: Review and lessons learned. 2021.

(28) Dubé E, Gagnon D, MacDonald NE, SAGE Working Group on Vaccine Hesitancy. Strategies intended to address vaccine hesitancy: Review of published reviews. Vaccine. 2018;36(14):1673–81.

(29) Elbur AI, MA Y, Albarraq AA, Abdallallah MA. Knowledge and Attitudes on Childhood Vaccination a Survey among Saudi Parents in Taif Region, Saudi Arabia. Int J Pharm Pract Drug Res. 2014;4:92–7.

(30) Rahman MM, Islam MS, Alam MJ. Rural-urban differences in health services utilization in Bangladesh: A study on immunization coverage. PLoS One. 2018;13(11):e0207803.

(31) Mugada V, Chandrabhotla S, Kaja DS, Satya Gopala Krishna Machara SGK. Knowledge towards childhood immunization among mothers & reasons for incomplete immunization. J Appl Pharm Sci. 2017;7(10):157–61.

(32) Ahmed S, Das A. Economic status and health-related attitudes: Evidence from Bangladesh. Health Policy Plan. 2018;33(3):237–47.

(33) 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(19):2150–9.

Bhuiya A, Hanifi SM, Mahmood SS. Three decades of rural development in Bangladesh: Insights from a longitudinal study. Dhaka: ICDDR, B

Downloads

Published

2025-02-20