Abstract

ObjectiveSuccess of any vaccination program and uptake of children's vaccines largely depends upon the parents' perceptions and attitudes. This study provides a snapshot of parents' views towards vaccines included in the nationally-funded vaccination program, together with two unfunded vaccines in Kocaeli, Turkey.MethodsData were gathered from a convenience sample through a questionnaire that explored the socio-demographic factors of the parents and the vaccination status of their children. The survey content was based on Health Belief Model. Mann-Whitney test was used for comparisons as there is no prior information regarding data distribution and the dependent variable is represented on an ordinal scale. Out of 300 parents who brought their children into the pediatrics polyclinics, 262 parents responded positively and took part. The questionnaires were filled out by mothers alone 67.6 % (n=177), 28.6 % (n=75) by fathers and mothers (both present), 3.1% (n=8) by fathers alone and the remaining 0.8% (n=2) were filled by other relatives.ResultsWhile the majority of diseases prevented by the vaccines were perceived to be serious, pneumococcal infection and chickenpox were considered to be less serious and there was no strong opinion for the rotavirus vaccine. The main reasons that influenced parents' decisions towards unfunded vaccines were advice from a pediatrician and the cost. Lastly, demographic factors such as family income, mothers' education and job types of mothers were important in contrast to previously published studies.ConclusionsThe acceptance of a new vaccine depends on a complex interaction of factors, but parents' perceptions may vary considerably. The main factors influencing parental acceptance are the availability of information and the cost. Therefore, for a new vaccination program to succeed, it should be funded by the government and a specific public health education program should be undertaken.

Highlights

  • While the majority of diseases prevented by the vaccines were perceived to be serious, pneumococcal infection and chickenpox were considered to be less serious and there was no strong opinion for the rotavirus vaccine

  • The acceptance of a new vaccine depends on a complex interaction of factors, but parents' perceptions may vary considerably

  • For a new vaccination program to succeed, it should be funded by the government and a specific public health education program should be undertaken

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Summary

Introduction

Vaccines and vaccination programs are among the greatest public health accomplishments of the 20th century as they have made a significant impact on the morbidity and mortality of children worldwide [1,2,3]. The World Health Organization (WHO) recommends routine childhood immunization to be considered in countries where a given disease is a relatively important public health and socioeconomic problem, where the vaccine is available and affordable, and where high and sustained vaccine coverage can be achieved [4]. In Turkey, the decision for a vaccine to be included in the national immunization program is taken by the Ministry of Health, in consultation with an advisory board [5]. The routine childhood primary immunization schedule in Turkey currently includes eleven recommended infectious agents: hepatitis B, diphtheria, pertussis, tetanus, polio, Haemophilus influenza type b (Hib), tuberculosis (BCG), pneumococcus, measles, mumps, and rubella. The seven-valent, conjugated pneumococcal vaccine was added into the nationally funded vaccination program only for children born after May 2008

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