Determinants of Vaccine Hesitancy and Refusal in Children of District Swabi Khyber Pakhtunkhwa, Pakistan
DOI:
https://doi.org/10.37762/jgmds.9-2.176Keywords:
Vaccination, Vaccine Hesitancy, Vaccine Refusal, MythsAbstract
OBJECTIVES:
The objective of the study was to evaluate factors associated with vaccine hesitancy and refusal at District Swabi, Khyber Pakhtunkhwa.
METHODOLOGY:
This cross-sectional study was conducted at a teaching hospital of Khyber Pakhtunkhwa District Swabi over a period of four months. Children between the ages of 9 months to 10 years from the local population admitted to the children ward/daycare centre were included in the study. Parents were inquired about vaccination status and in case of no vaccination or partial vaccination; then the reason was inquired after proper informed consent. Data were collected by using a structured proforma and analyzed using SPSS-24.
RESULTS:
A total of 828 children were included in this study. Out of these 492 (59.4%) were male and 336 (40.6%) were females. Of the total 828 children, 753 (90.9%) were vaccinated up to date, 48 (5.8%) were not vaccinated and 27 (3.3%) were partially vaccinated. Under vaccinated were 75 patients, 52% were left out due to misconception/beliefs, 6% patients were having issues due to living far away, 2.7% patients could not be vaccinated due to presence of other diseases and 37.3% due to lack of knowledge regarding vaccination. A significant correlation was found between the vaccination status of children and aforementioned reasons (p-value ≤0.001).
CONCLUSION:
The most common cause of not vaccinating children with polio vaccines was misconceptions/beliefs and lack of knowledge of the parents.
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Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016;388(10063):3027-35
Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, et al. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015;385(9966):430-40
Geoghegan S, O'Callaghan KP, Offit PA. Vaccine safety: myths and misinformation. Front Microbiol. 2020;11:372
Wessel L. Vaccine myths. Science. 2017;356(6336):368-72
Perera PJ. Facts and myths about BCG vaccination. Sri Lanka J Child Health. 2018;47(2):186
Horne Z, Powell D, Hummel JE, Holyoak KJ. Countering antivaccination attitudes. PNAS. 2015;112(33):10321-4
Davidson. Vaccination and autism-myths and controversies. Dialogues Clin Neurosci. 2017;19:403-7
Hu Y, Chen Y, Liang H, Wang Y. Reliability and validity of a survey to identify vaccine hesitancy among parents in Changxing county, Zhejiang province. Hum Vaccines Immunother. 2019;15(5):1092-9
World Health Organization. Meeting of the Strategic Advisory Group of Experts on Immunization, April 2019: conclusions and recommendations. Wkly Epidemiol Rec. 2019;94(22/23):261-79
Bradshaw AS, Treise D, Shelton SS, Cretul M, Raisa A, Bajalia A, Peek D. Propagandizing anti-vaccination: Analysis of Vaccines Revealed documentary series. Vaccine. 2020 Feb 18;38(8):2058-69
Dubé E, Gagnon D, MacDonald NE. Strategies intended to address vaccine hesitancy: review of published reviews. Vaccine. 2015;33(34):4191-203
Noh JW, Kim YM, Akram N, Yoo KB, Park J, Cheon J, et al. Factors affecting complete and timely childhood immunization coverage in Sindh, Pakistan; a secondary analysis of cross-sectional survey data. PLoS One. 2018;13(10):e0206766
Ali A, Ali L, Shah M, Khan N, Shafee M, Jan SK. Polio vaccination; an analysis of cultural and traditional barriers. Prof Med J. 2018;25(1):67-72
Paterson P, Chantler T, Larson HJ. Reasons for non-vaccination: parental vaccine hesitancy and the childhood influenza vaccination school pilot programme in England. Vaccine. 2018;36:5397-401
Khan S, Muhammad Z, Shah SI, Sher J, Ahmed I, Haider Z. Non-vaccination of children under five years of age. J Med Sci. 2018;26(3):215-20
Murtaza F, Mustafa T, Awan R. Determinants of non immunization of children under 5 years of age in Pakistan. J Fam Community Med. 2016;23(1):32-7
Adongo CA, Amenumey EK, Kumi-Kyereme A, Dubé E. Beyond fragmentary: A proposed measure for travel vaccination concerns. Tourism management. 2021 Apr 1;83:104180
Bulama AA, Goodman-Brown J. Polio eradication in Nigeria and India: a systematic review of challenges and successes. International Journal of Translational Medical Research and Public Health. 2019 Oct 9;3(2):83-94
Ittefaq M, Baines A, Abwao M, Shah SF, Ramzan T. “Does Pakistan still have polio cases?”: Exploring discussions on polio and polio vaccine in online news comments in Pakistan. Vaccine. 2021 Jan 15;39(3):480-6
Butt M, Mohammed R, Butt E, Butt S, Xiang J. Why have immunization efforts in Pakistan failed to achieve global standards of vaccination uptake and infectious disease control?. Risk Manage Healthcare Policy. 2020;13:111-24
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Copyright (c) 2022 Syed Sajid Hussain Shah, Bibi Aalia, Mubarak Zeb, Ihsan Ullah
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