B. Patel Trushitkumar *, Riju Pathak , Rajindar Singh , Varun Alves , N. M. Mahesh , T. S. Chaluvaraj , R. Chandramouli , Bincy Varghese
- Department of Pharmacy Practice, Krupanidhi College of Pharmacy, #12/1, Chikkabellandur, Carmelaram Post, Varthur Hobli, Bangalore - 560035, KA, India
Abstract
Background: Vaccines have thrived as one of the most successful health interventions that have diminished occurrence of infectious diseases and improved quality of life in the population. Although the vaccination coverage has been gradually increasing, the average total immunization coverage is far less than the desired outcome. Parental decisions regarding vaccination are very vital for increasing the vaccination rate and parent compliance to the immunization schedule.Objective: To analyze the extent of parents' Knowledge, Attitude and Practice(KAP) about child vaccination in rural areas such that it can be correlated with the immunization status of their child amongst native participants of Bangalore.Methodology: A prospective cross-sectional study was carried out on 110 Parents residing in rural areas of Bangalore who had children below 5 years of age. The sociodemographic details of the parents were collected and they were made to fill a KAP Questionnaire. Each question under Knowledge and Attitude was scored to assess their KAP level regarding child vaccination. The immunization status of the child was assessed by counting on the parents' word for it.Results: A total of 110 parents participated in the study from different rural clusters of Bangalore. Assessment of the extent of Knowledge, attitude and practice about child vaccination showed that a majority of them (72.7 %,) had good knowledge score followed by average (21.8%) and poor (5.4%) whereas 85.4% of the respondents were found to have good attitude towards child vaccination. The immunization status of the child was assessed by counting on the parents' word for it and.68.1% children were completely immunized whereas 7.2 % received incomplete immunization. The immunization status of the remaining 24.5% of the children was uncertain as assessment was not possible due to lack of surety in the parents part regarding the immunization status of their child. Although parental knowledge was not found to be significantly associated with the immunization status of their child, there was a significant association between the attitude of parents towards child vaccination and the immunization status of their child. A very significant correlation was also seen between the parental knowledge and attitude score with p?0.0001.Conclusion: The parental Knowledge, Attitude and Practice about child vaccination are important determinants of the immunization status of their child. A combined effort from the members of the healthcare team and social health workers can definitely make the attainment of the targeted immunization coverage rate in the country possible.
References
- Vaccines [Internet]. South-East Asia Regional Office [cited 8 July 2015]. Available from: http://www.searo.who.int/topics/vaccines/en.
- National Vaccine Policy [Internet] [cited 14 July 2015]. Available from:http://mohfw.nic.in/Write ReadData/l892s/1084811197NATIONAL%20 VACCINE%20POLICY%20BOOK.pdf.
- Introduction [Internet]. UNICEF [cited 8 July 2015]. Available from: http://www.unicef.org/ immunization/index_2819.html
- Summary- Report On Causces Of Death: 2001-03 In India.: Office of the RGI, Pg No.1-7.
- Universal Immunization Program [Internet]. 1st ed. India: Ministry of Health and Family Welfare; 2015 [cited 6 August 2015]. Available from: http://www.mohfw.nic.in/WriteReadData/l892s/5628564789562315.pdf.
- Patra N. Universal Immunization Programme in India: The Determinants of Childhood Immunization. SSRN Electronic Journal.
- Mathew J. Inequity in childhood immunization in India: A systematic review. Indian Pediatr. 2012;49(3):203-223.
- International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06, India: Key Findings. Mumbai, Pageno.9.
- Hamid S, Andrabi SAH, Fazli A, Jabeen R. Immunization of Children in a Rural Area of North Kashmir, India: A KAP Study. Online J Health Allied Scs. 2012;11(1):10.
- K.Ravishankar, M.Vinodkumar, E.Surendra and G.Aasrtiha Williams; Knowledge, attitude and practices of rural mothers with children under five years of age about vaccination: a non experimental study, ISSN: 2230 � 7583. IJAPR /April. 2015/ Vol. 6/Issue.04/ 88 � 93.
- American Society of Health-System Pharmacists. ASHP guidelines on the pharmacist�s role in immunization. Am J Health-Syst Pharm. 2003; 60:1371�7.
- Vashishtha V. Status of immunization and need for intensification of routine immunization in India. Indian Pediatr. 2012;49(5):357-361.
- Micro Planning for Immunization Activities [Internet]. [cited 10 October 2015]. Available from:http://www.undp.org/content/dam/india/docs/NIPI/Resources_CapacityBuildi ngMaterials_ImmunizationModule2.pdf.
- 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 Journal of Medical Sciences. 2014;5(4).
- Nath B, Singh JV, Awasthi S, Bhushan V, Kumar V, Singh SK. KAP Study on Immunization of Children in a City of North India � A 30 Cluster Survey. Online J Health Allied Scs. 2008;7(1):2
- Qutaiba B Al-lela O, Bahari M, Al-Qazaz H, Salih M, Jamshed S, Elkalmi R. Are parents' knowledge and practice regarding immunization related to pediatrics� immunization compliance? A mixed method study. BMC Pediatrics. 2014;14(1):20.
- Kadri AM, Singh A, Jain S, Mahajan RG, Trivedi A. Study on immunization coverage in urban slums of Ahmedabad city. Health and Population: Perspective and issues . 2010; 33 (1): 50-54.
- Bofarraj M. Knowledge, attitude and practices of mothers regarding immunization of infants and preschool children at Al-Beida City, Libya 2008. Egypt J Pediatr Allergy Immunol. 2011;9(1):29-34.
- Mereena MR, A study on knowledge and attitude regarding vaccines among mothers of under five children attending pediatric OPD in a selected Hospital at Mangalore. IOSRJNHS. 2014;3(5):39-46.
- Al-Zaharani J. Knowledge , Attitude and Practice of Parents Towards Childhood Vaccination. MJHS. 2013;1(1):23-32.
- Zelaya- Bonilla JE, Mata- Gamarra JI, Mills-Booth E. Ia perception de la vaccination Par les meres au Honduras-.Carnets de I�enfance 1985;69/72:457470.
- Angadi M. A Study of Knowledge, Attitude and Practices on Immunization of Children in Urban Slums of Bijapur City, Karnataka. JCDR. 2013.
- Hu Y. Knowledge, Attitude and Practice on Immunization among Migrant Mothers: A Questionnaire Development and Field Application. Int J Vaccine Immunizat. 2015;2(1).
- Avinash Kumar B, Unnikrishnan, Rekha T, Prasanna Mithra, Nithin Kumar, Vaman Kulkarni,Ramesh Holla, and Darshan B.B., Awareness and Attitude Regarding Breastfeeding and Immunization Practices Among Primigravida Attending a Tertiary Care Hospital in Southern India; JCDR 2015 Mar, Vol-9(3): LC01-LC05