Vaccine hesitancy for childhood vaccinations in urban slums of Bengaluru rural district, Karnataka

Background:Immunization is one of the most cost-effective public health interventions to prevent the transmission of vaccine preventable disease and decrease childhood morbidity and mortality. OBJECTIVE : 1. To estimate the immunisation status among under 5 children. 2. To identify the prevalence of vaccine hesitant parents using Parental Attitudes towards Childhood Vaccinations (PACV) survey and analyse the demographic factors associated with vaccine hesitant parents. Methods and Analysis: Across sectional observational study was carried out in children aged 1 to 5 years attending Outpatient department (OPD) and Inpatient department (IPD) at RLJalappa Hospital , Kolar from May 2021 to July 2021. Data was collected by direct interview of parents by the primary investigator and review of medical records using internally validated pre designed questionnaire. Descriptive Data was analyzed for percentages and qualitative variables were tested using Fischer exact test. Results : Out of 200 cases, 85.5% of the cases were fully immunized, 14.5% of the cases were dropouts. Rate of vaccine hesitancy were 56% and 89% among fully immunized and dropout children. Overall vaccine hesitancy is 61%. Conclusion : 61% of parents were found to be vaccine hesitant using PACV15 scale. Vaccine hesitancy is high among dropouts (89%). Majority of Vaccine hesitancy was seen among mothers who are low educational qualications, unskilled laborers, poor socioeconomic status, female child, rst order child. Hence, focus on education of these high risk groups will help in improving the immunization status.

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Are we really hesitant toward routine immunization: Findings from a cross-sectional study in urban area in the tribal dominant state of India

Kiran,

Kujur,

Kumar

et al. 2024

Journal of Family Medicine and Primary Care

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Background: Vaccine hesitancy has been inching up and its root cause lies in the factors that influence the vaccination. The present study was conducted to find out the proportion and factors contributing to vaccine hesitancy for routine childhood vaccinations in the slum population. Methods: A community-based cross-sectional study was carried out among 210 children between the age group of 0 and 59 months residing in the urban slums of Ranchi in 2021. Data were collected during the household visit by interviewing the parents using a predesigned pretested interview schedule which was developed based on the validated version of the vaccine hesitancy survey questionnaire originally developed by the World Health Organization Strategic Advisory Group of Experts’ working group on vaccine hesitancy. Associations between variables were analyzed using logistic regression. Results: A total of 210 children whose parents had given consent were included in our study. The majority of the families, 188 (89.5%), were not hesitant while only 22 (10.5%) were vaccine hesitant. Tribal children and unreserved category children had adjusted odds ratio of 4.41 (95% CI, 1.61–45.46) and 7.75 (95% CI, 1.07–56.08) for the delay as against their reference category. Conclusions: Most of the children were vaccinated in our study area and the families have shown confidence in vaccines. Although there were delays in vaccination and the reasons for the delays must be addressed to prevent these vaccine-hesitant populations from turning into vaccine-refusal population. Uniformity in vaccination days in different health facilities in slum areas, appropriate antenatal information, and counseling regarding childhood vaccinations, widespread awareness, and improving mother’s education can help address the issue of vaccine hesitancy.

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Vaccine hesitancy for childhood vaccinations in urban slums of Bengaluru rural district, Karnataka

Cited by 3 publications

References 14 publications

Demography and determinants of incomplete immunization in children aged 1–5 years and vaccine-hesitancy among caregivers: An Eastern Indian perspective

Demography and determinants of incomplete immunization in children aged 1–5 years and vaccine-hesitancy among caregivers: An Eastern Indian perspective

Immunization Status Among Under 5 Children – Observational Study in a Tertiary Health Care Center.

Are we really hesitant toward routine immunization: Findings from a cross-sectional study in urban area in the tribal dominant state of India

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