Magnitude of Childhood Vaccine Hesitancy and Associated Individual/Social Group Factors among Parents in Degahbur Town, Somali Region, Ethiopia

Authors

  • Abibakar Sheikaden Department of Public Health, Jigjiga University, P.O.Box 1020, Jigjiga, Ethiopia
  • Berhanu Seyoum
  • Lemessa Oljira

Keywords:

Vaccine hesitancy, Childhood, Parents, Care givers, Somali Region, Degahbur.

Abstract

Since the introduction of effective and safe vaccines, vaccination has made enormous contributions to public health. Throughout its time, the effectiveness of vaccination programs were governed by multiple factors. Vaccine hesitancy is an emerging public health concern which gained more attention in recent years. Magnitude of vaccine hesitancy is not well known across many parts of the world. The objective of this study was to assess magnitude of childhood vaccine hesitancy and associated individual/social group factors among parents in Degahbur town. Community based cross-sectional study was undertaken in 422 households. Cluster sampling technique was employed to select six study units in Degahbur. Structured questionnaire was used for data collection. EPIDATA 3.02 was used for data entry and SPSS version 20 for data analysis. Bivariate and multivariate analysis was conducted to check the associations between outcome and explanatory variables using binary logistic regression model. Out of the total 422 households selected, 412 (97.6%) have responded to the interviews. From the 412 study participants, 46 (11.2%) were labelled as vaccine hesitant. Perceiving vaccination as not health beneficial (Adjusted Odds Ratio (AOR) = 3.84, 95% CI (1.2, 13.6)), Beliefs in other alternatives (AOR= 4.8, 95% CI (1.5, 15.4)), beliefs that vaccination can’t protect children from serious diseases (AOR= 5.82, 95% CI (1.3, 25.6)) and being daily laborer (AOR= 12.9, 95% CI (2.6, 63.5) were predictors of vaccine hesitancy.

Magnitude of childhood vaccine hesitancy in Degahbur is lower than that reported in other studies. In this study, negative perceptions and beliefs towards vaccines and occupation of parents are associated with vaccine hesitancy. Community based health education programs and vaccination surveillance system should be advocated and developed.

References

World Health Organization, Ed. (2013). “Vaccine preventable disease surveillance manual.”

World Health Organization and United Nations Children’s Fund (2005). "Global Immunization Vision and Strategy 2006-2015”.

The Royal College of Pathologists of Australia (2012). "Immunization and Vaccine Preventable Diseases. "

Global Immunization Vision and Strategy (2006). "Challenges in global immunization and the Global Immunization Vision and Strategy."

Novelli, V., Khalil, N., Metarwah, B., El-Baba, F., Nahar, R., Abu- Nahya, M. (1991). "Childhood immunization in the state of Qatar: Implications for improving coverage." Annals of Saudi Medicine 11(2): pp. 201-4.

Wiysonge, C., Uthman, O., Ndumbe, P., Hussey, G. (2012) "Individual and Contextual Factors Associated with Low Childhood Immunisation Coverage in Sub-Saharan Africa: A Multilevel Analysis." PLoS ONE 7, e37905 DOI: doi:10.1371/journal.pone.0037905.

Federal Ministry of Health, Ed. (2015). “Ethiopia national expanded programme on immunization.” Comprehensive multi-year plan 2016 – 2020. Addis Ababa.

Lafond, A. and L. Pensieres (2015). "Determinants of Vaccine Uptake in Low Resource Settings."

Dempsey, A., Schaffer, S., Singer, D., Butchart, A., Davis, M., Freed, GL. (2011). "Alternative vaccination schedule preferences among parents of young children." Pediatrics 128(5): 848:856.

Larson, H., Cooper, L., Eskola, J., Katz, S., Ratzan, S. (2011). "Addressing the vaccine confidence gap." 378(9790): 526–35.

Kennedy, A., LaVail, K., Nowak, G., Basket, M., Landry, S. (2011). "Confidence about vaccines in the United States: Understanding parent’s perceptions." Health Aff. 30(6): 1151-9.

Gellin, B., Maibach, E., Marcuse, E. (2000) "Do parents understand immunizations? A national telephone survey." 106, 1097–1102 DOI: http://dx.doi.org/10.1542/peds.106.5.1097.

Margaret, Y., Rebekah, M., Marcy, C. (2013). "Vaccine hesitancy among mothers of 3 years old children."

Larson, H., Jarret, C., Eckersberger, E., Smith, D., Peterson, P. (2012). "Understandingvaccine hesitancy around vaccines and vaccination from a global per-spective: a systematic review of published literature, 2007-2012 " Vaccine 32(19): 2150-9.

Judith, C., Cathy, J., Shirley, A., Cathy, E., Sue, M., Sharon, L. (2002). "Refusals and Delay of Immunization Within Southwest Alberta. Understanding Alternative Beliefs and Religious Perspectives." Canadian Journal of Public Health 109.

Philip, J., Sharon, G., Edgar K., Marcuse., Zhen, Z., Christina, G., Cynthia, H., Beth, H. (2011). "Parental Delay or Refusal of Vaccine Doses, Childhood Vaccination Coverage at 24 Months of Age, and the Health Belief Model." Public Health Reports 126.

Gowda, C. and A. Dempsey (2013). "The rise (and fall?) of parental vaccine hesitancy." Hum Vaccin Immunother 9(8): 1755-62.

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Published

2018-09-07

How to Cite

Sheikaden, A., Seyoum, B., & Oljira, L. (2018). Magnitude of Childhood Vaccine Hesitancy and Associated Individual/Social Group Factors among Parents in Degahbur Town, Somali Region, Ethiopia. International Journal of Sciences: Basic and Applied Research (IJSBAR), 41(1), 202–212. Retrieved from https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/9205

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