Abstract
Introduction: Immunization has shown major preventive aspects of infectious diseases, disability and death. Care giver is a person who provides direct care for children, elder people and chronically ill.
 Objectives: To assess the Knowledge, Attitude and Practice (KAP) of caregivers in Sunsari district about vaccination of under five children brought for vaccination at different private and government vaccination centers.
 Methodology: It is a cross sectional study that was carried out among 100 care givers from different places of Sunsari district for 3 months. The care givers completed a semi structured questionnaire that contains 4 different parts about the demographics, knowledge, attitude and practice of care givers toward immunization.
 Results: Most of the care givers have high level of awareness and importance of vaccination, which shows positive attitude and practice. The overall KAP was good among most of the caregivers (87.2%). The higher KAP level was positive associated with female gender, higher educational degree and having higher number of children.
 Conclusion: Most of caregivers from three different places of Sunsari districts had good KAP (in sense that most of the caregivers have awareness for quality and basic health standard) towards immunization which was associated with female gender and higher educational degrees. However, educational programs like community awareness and mobilizing Female Community Health Volunteers for providing appropriate knowledge of vaccination which increases the caregivers' knowledge, which might have change cognitive behavior. This study reflects the overall knowledge of caregivers towards immunization process which is very essential in childhood for prospective healthy future of the child.
Highlights
During the last few decades, the burden of the infec ous diseases has been reduced through immuniza on
The higher KAP level was posi ve associated with female gender, higher educa onal degree and having higher number of children
Most of caregivers from three different places of Sunsari districts had good KAP towards immuniza on which was associated with female gender and higher educa onal degrees
Summary
During the last few decades, the burden of the infec ous diseases has been reduced through immuniza on. The annual vaccina on ranged from 72.6% to 100% and es mated annual burden is 0 to 30.6% DALYs/100,000.1 Immuniza on is highly cost effec ve and play major role in impact of health of the individual in the society It reduces the hospital stay, treatment expenses & mortality.[1] it is important to give vaccina on to every child. The most common vaccine preventable diseases are Rubella, Measles, Diphtheria, Tetanus, Pertussis and Polio.[1, 2] Giving the child the appropriate vaccine would significantly decrease the costs of disease treatment and rates of disease enhance a good quality of life for children.[3] The WHO es mated a reduc on in the death rate from infec ous diseases between 2 and 3 million each year.[4] In Nepal, the vaccines for children are given between births to 5 years of age. Most of caregiver's knowledge was that vaccines can cause au sm and disabili es.[6]
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