Vaccination Status of Children (Under 5 Years) and Parents Perceptions in District Hangu, Khyber Pakhtunkhwa
DOI:
https://doi.org/10.37762/jfinph.43Keywords:
Children, Immunization, Pakistan, vaccinationAbstract
OBJECTIVES
The overarching aim of this study was to identify the vaccination status of children under five years of age and parents’ perceptions regarding vaccination in district Hangu, Khyber Pakhtunkhwa, Pakistan.
METHODOLOGY
A cross-sectional survey was carried out between April 1, 2017, to May 31, 2017, in Union Council Ganjano Kaley of district Hangu, Khyber Pakhtunkhwa. Ethics approval was obtained from the IRB of District Headquarter hospital, Hangu, Khyber Pakhtunkhwa. Data were collected from the parents of these 100 children through an adapted questionnaire. Descriptive statistics were calculated for the variables using SPSS version 20.
RESULTS
Out of 100 children, 43% were males and 57% were females. Among these, 18% were living in nuclear families while 82% were living in combined families. 77% of participants had immunization cards with them, while 23% had no immunization cards. Regarding immunization status, 80% of children were fully immunized, 19% were partially immunized and 1% were not immunized.
CONCLUSION
The overall immunization coverage rate was satisfactory. Parents showed confidence in the public sector vaccination services. In view of population expansion, more vaccinators need to be employed to achieve effective and sustainable vaccination coverage.
References
World Health Organization. Children: improving survival and well-being. fact sheets [Internet]. 2020 9:1-5
Ahmed Z, Kamal A, Kamal A. Statistical analysis of factors affecting child mortality in Pakistan. J Coll Physicians Surg Pakistan. 2016;26(6):543–4
Husain S, Omer SB. Routine immunization services in Pakistan: seeing beyond the number. Emhj. 2016;22(3):201–11.
Hermann JS, Featherstone RM, Russell ML, MacDonald SE. Immunisation coverage of children in the child welfare system: A systematic review protocol. BMJ Open. 2017;7(4):e014625
Helps C, Leask J, Barclay L, Carter S. Understanding non-vaccinating parents’ views to inform and improve clinical encounters: A qualitative study in an Australian community. BMJ Open. 2019;9(5):e026299
Kim YE. Determinants of childhood vaccination in Nagaland, India: A cross-sectional study with multilevel modelling. BMJ Open. 2021;11(4):e045070
Summan A, Nandi A, Schueller E, Laxminarayan R. Public health facility quality and child immunization outcomes in rural India: A decomposition analysis. Vaccine. 2022;40(16):2388–98
Riaz A, Husain S, Yousafzai MT, Nisar I, Shaheen F, Mahesar W, et al. Reasons for non-vaccination and incomplete vaccinations among children in Pakistan. Vaccine. 2018;36(35):5288–93
Paul AM, Nepal S, Upreti K, Lohani J, Rimal RN. The last stretch: Barriers to and facilitators of full immunization among children in Nepal’s Makwanpur District, results from a qualitative study. PLoS One. 2022;17(1):e0261905
Nozaki I, Hachiya M, Kitamura T. Factors influencing basic vaccination coverage in Myanmar : secondary analysis of 2015 Myanmar demographic and health survey data. BMC Public Health. 2019;19(1):1–8
Girmay A, Dadi AF. Full immunization coverage and associated factors among children aged 12-23 months in a hard-to-reach areas of Ethiopia. International journal of pediatrics. 2019
Khan S, Muhammad Z, Ahmad I, Gundapur AJ. Status of immunization in young children. Journal of Medical Sciences. 2016 1;24(1):36-40
Naeem M, Zia M, Islam U, Adil M, Hussain S, Khan MU, et al. Inequality in Childhood Immunization Between Urban and Rural Areas of Peshawar. J Ayub Med Coll Abbottabad. 2011;23(3):134–7
Jamison AF, McCormick BJJ, Hussain E, Thomas ED, Azam SI, Hansen CL, et al. Determinants of vaccine coverage and timeliness in a northern Pakistani village. PLoS One. 2022;17(2):e0263712
Musa N, Gul R, Mehmood Y, Afridi S. Frequency of Risk Factors Leading to Acute Respiratory Infections Among Children Under Two Year’s Age and their Gender and Age Wise Comparison. Journal of Gandhara Medical and Dental Science. 2016 Sep 1;3(01):16-21
Shaikh AR, Mehmood F, Hayat M. Immunization coverage in a rural area. J Rawalpindi Med Coll. 2016;20(1):48–52
Jani J V, Schacht C De, Jani I V, Bjune G. Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique. BMC Public Health. 2008;8(1):1–7
Yibeltal K, Tsegaye S, Zelealem H, Worku W, Demissie M, Worku A, et al. Trends, projection and inequalities in full immunization coverage in Ethiopia: in the period 2000-2019. BMC Pediatr. 2022;22(1):1–11
Imran H, Raja D, Grassly NC, Wadood MZ, Safdar RM, O’Reilly KM. Routine immunization in Pakistan: Comparison of multiple data sources and identification of factors associated with vaccination. Int Health. 2018;10(2):84–91
Rasheed M, Akram U, Asif N, Ahmed K, Zafar S, Mumtaz S. Expanded Programme of Immunization (EPI) Status among Children of Factory Workers. J Islam Med Dent Coll. 2014;3(2):62–6
Hobani F, Alhalal E. Factors related to parents’ adherence to childhood immunization. BMC Public Health. 2022;22(1):819