Rates of childhood vaccine refusal in Turkey during 2016–2017: Regional causes and solutions

Yalçın, S. Songül; Tan, Ayça Komürlüoğlu; Topaç, Osman

doi:10.1016/j.arcped.2022.06.005

Cited by 6 publications

(8 citation statements)

References 30 publications

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“…Healthcare workers here found during interviews that education about vaccines and interpersonal communication skills can increase patient information with informative recommendations to solve non-compliance vaccine parents, this view is consistent with other works (e.g. Turkey studied by Yalcin et al, 2022) [22].…”

Section: Discussionsupporting

confidence: 91%

Vaccination schedules, parental concerns and under-five deaths are associated with lower adherence and inadequate coverage in a small city in Peru

Castro-Fuentes,

Mugruza-Vassallo,

Anchante-Rojas

2023

Preprint

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Background A descriptive correlational non-experimental cross-sectional study was carried out in the Sunampe district on the Peruvian coast to enhance parental adherence to childhood vaccinations. The study aimed to answer the research question of whether there is a correlation between non-compliance with vaccination and an increased risk of vaccine-preventable disease outbreaks in children under five years old, particularly in the context of low coverage in Sunampe. Methods To conduct the study, vaccination status, 123 family interviews, reported illnesses and deaths of children aged 1 to 5 years in the district of SUNAMPE were considered. Preventable diseases were reviewed in the medical history of each child. Deaths in Sunampe were accessed through the SINADEF database. Results Out of the 123 families surveyed, the primary discoveries indicated that neighbouring districts have a higher number of health facilities whereas the families interviewed felt that one solitary health facility was insufficient for the entire district's requirements. No children were affected by the reported cases of illness in Sunampe. However, data extracted from SINADEF between 2017 and 2022 revealed that 10 children under the age of five died in Sunampe. These deaths occurred at a rate of one per year during the pandemic and more than one per year during the pre- and post-pandemic periods. Discussion The susceptibility of children was examined in this study, considering factors like vaccination coverage, diseases contracted in Sunampe, and deaths in the area. Although there are few deaths per year, the prevalence of illness and incomplete immunisation, as well as increased rates of anemia in Peru, pose potential risks regarding vaccines such as DPT and the use of mercury in policies, especially for the economically active population in the future. Conclusion As anticipated, mothers tend not to adhere to their children's vaccination schedule due to insufficient knowledge about vaccines and concerns regarding post-vaccination reactions, which are commonly reported. On the contrary, the surprising outcome was that most parents claimed to not have undergone any severe reactions. We were able to determine that this was due to risks associated with vaccinations, rather than the vaccine itself.

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Section: Discussionsupporting

confidence: 91%

Vaccination schedules, parental concerns and under-five deaths are associated with lower adherence and inadequate coverage in a small city in Peru

Castro-Fuentes,

Mugruza-Vassallo,

Anchante-Rojas

2023

Preprint

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“…This study highlighted concerns about the vaccine content, perceived harmfulness, and fears about adverse effects as the most common reasons underlying vaccine refusal. 45 …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of cocoon strategy vaccination on prevention of influenza-like illness in young infants

Oguz,

Senel

2024

Human Vaccines & Immunotherapeutics

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During the initial half-year of their existence, infants cannot receive the influenza vaccine, yet they face the greatest susceptibility to severe influenza complications. In this study, we seek to determine whether influenza vaccination of maternal and household contacts is associated with a reduced risk of influenza-like illness (ILI) and severe acute respiratory infection (SARI) in infants. This work was prospectively conducted during the influenza season. A total of 206 infants were included in this study. The percentage of infants with only the mother vaccinated is 12.6% (n:26), and the percent of infants with all household contacts vaccinated is 16% (n:33). Among the infants with only the mother vaccinated, the effectiveness of influenza vaccine is estimated as 35.3% for ILI and 41.3% for SARI. Among infants with all household contacts vaccinated, the effectiveness is estimated as 48.9% for ILI and 76.9% for SARI. Based on the results of multivariate logistic regression analysis, all-household vaccination is a protective factor against SARI (OR: 0.07 95% CI [0.01–0.56]), household size (OR: 1.75, 95% CI [1.24–2.48]) and presence of secondhand smoke (OR: 2.2, 95% CI [1.12–4.45]) significant risk factors for SARI in infants. The mother alone being vaccinated is not a statistically significant protective factor against ILI (OR: 0.46, 95% CI [0.19–1.18]) or SARI (OR: 0.3, 95% CI [0.11–1.21]). Along with the obtained results and analysis, this study provides clear evidence that influenza vaccination of all household contacts of infants aged 0–6 months is significantly associated with protecting infants from both ILI and SARI.

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“…Vaccines that parent with vaccine hesitancy do not want to be administered to their positive approaches [25][26][27]. In Türkiye, at family health centers, family physicians and family health workers monitor infant, child, and individual vaccinations [21,25,28]. Families who do not keep their vaccination appointments are contacted and invited to the family health center.…”

Section: Figurementioning

confidence: 99%

“…Healthcare professionals are the primary influencer and source of information about vaccines for parents and caregivers, so receiving immunization training and having competent knowledge for vaccines and immunization practices is a critical determinant of achieving and maintaining vaccination goals [25,29]. In our study, when a comparison was made between the groups according to the answers given by the participants to some questions, 57.1% of the group with a good average and 43.6% of the group with an inadequate average received training on vaccines and their properties, and the difference was found to be statistically significant (p=0.008).…”

Section: Figurementioning

confidence: 99%

“…In a study conducted in Türkiye revealed that the vaccine refusal cases continue to increase; it was determined that there were 8,977 cases of vaccine refusal (refusal rate 3.5 per thousand) in 2016, and 14,779 cases (refusal rate 5.9 per thousand) in 2017 (p<0.001) [25]. Fears about adverse effects have been reported as the most common underlying reason for vaccine refusal in the same study [25]. For example, MMR vaccine may be rejected by parents considering it to have poor effectiveness and adverse effects [15,32].…”

Section: Figurementioning

confidence: 99%

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Vaccination Approaches of Primary Healthcare Personnel and Their Communication Levels with Parents Having Childhood Vaccine Hesitancy

Şirin,

Şimşek,

Birinci

et al. 2023

jmvi

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Vaccines have saved more lives than any other health development in the 20th century. One of the most cost-effective programs for reducing infant/child morbidity and mortality is the vaccination of children against common vaccine-preventable diseases. Türkiye is one of the countries that has managed to achieve a significant reduction in the incidence of vaccine-preventable diseases by increasing immunization rates. Currently, 13 different antigens are included in the vaccination calendar of the Ministry of Health of the Republic of Türkiye, and all vaccines to be administered (vaccination calendar) are determined and continuously updated by the Immunization Advisory Board of the Ministry of Health of the Republic of Türkiye. Our study is a cross-sectional descriptive study. A total of 410 family physicians and family health workers were included in the study. An interactive training meeting on vaccines, vaccine hesitancy, communication, and counseling was organized in 18 groups (including the study participants) in May-June 2019. A questionnaire form consisting of 24 topics was applied to the participants before the training presentation. When comparisons between groups were analyzed according to the answers given by the participants to some questions, it was found that 57.1% of the group with a good average of knowledge, attitude and behavior score reflecting the level of communication with parents with vaccine hesitancy had received training on vaccines and their characteristics, while 43.6% of the group with a poor average had received this training, and the difference was statistically significant (p=0.008). Parents with vaccine refusal were most hesitant about Measles-Mumps-Rubella (MMR) vaccine (87.7%). Healthcare professionals play a very important role in the provision of healthcare services and in the decision-making of families about vaccination with the counseling they provide all over the world. To reduce vaccine hesitancy, continuous education activities on vaccination for health professionals, the creation of educational materials for public education, the use of mass media, and legal regulations can be made.

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Rates of childhood vaccine refusal in Turkey during 2016–2017: Regional causes and solutions

Cited by 6 publications

References 30 publications

Vaccination schedules, parental concerns and under-five deaths are associated with lower adherence and inadequate coverage in a small city in Peru

Vaccination schedules, parental concerns and under-five deaths are associated with lower adherence and inadequate coverage in a small city in Peru

Effectiveness of cocoon strategy vaccination on prevention of influenza-like illness in young infants

Vaccination Approaches of Primary Healthcare Personnel and Their Communication Levels with Parents Having Childhood Vaccine Hesitancy

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