Prevalence and associated factors of parental refusal rates for routine immunisation: a cross-sectional study in Peshawar, Khyber Pakhtunkhwa, Pakistan-2024
BMC Public Health,
Год журнала:
2025,
Номер
25(1)
Опубликована: Янв. 29, 2025
Vaccine
hesitancy
is
a
serious
public
health
problem
globally,
particularly
in
low-
and
middle-income
countries
like
Pakistan.
This
study
aims
to
determine
the
vaccination
refusal
rate,
associated
factors
perceptions
of
parents
who
refused
routine
immunisation
within
Peshawar,
Khyber
Pakhtunkhwa,
A
cross-sectional
conducted
July-2024,
among
340
children
aged
0–59
months.
Data
was
collected
using
structured
vaccine
Survey
Tool
Strategic
Advisory
Group
Experts(SAGE).
Multistage
stratified
cluster
sampling
employed
ensure
representative
sample
tehsils
district
Peshawar.
Chi-squared
tests
multivariable
logistic
regression
were
used
identify
with
refusal.
Among
participants,
22%
(n
=
74)
vaccines
for
their
children.
total
15%
mothers
compared
only
4.5%
unemployed
(p
0.004).
The
highest
rate
tehsil
Shaheen
Muslim
Town
where
41%
0.035).
Parents
less
inclined
believe
that
protect
from
preventable
diseases
(77%
vs.
98%,
p
<
0.001)
expressed
higher
rates
(47%
29%,
0.003).
Multivariable
revealed
over
three
times
more
refuse
(AOR:
3.11,
95%
CI:
1.25,
7.67),
while
depression
score
not
significantly
0.13).
Barriers
including
distance
facility
cost,
1.82,
CI:1.10,3.02),
concerns
about
necessity
2.50,
1.45,
4.30)
high
immunization
Peshawar
maternal
employment,
logistical
challenges
such
as
services,
safety
vaccines.
It
recommended
deploy
mobile
units
outreach
sessions
improve
access,
targeted,
evidence-based
education
address
concerns.
Язык: Английский
Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review
Human Vaccines & Immunotherapeutics,
Год журнала:
2024,
Номер
20(1)
Опубликована: Окт. 29, 2024
Maternal
immunization
(MI)
is
an
emerging
strategy
to
combat
infant
mortality
in
low-income
(LIC)
and
lower-middle
income
countries
(LMIC).
We
conducted
a
systematic
review
identify
the
facilitators
barriers
MI
strategies
that
improve
uptake
LICs
LMICs.
searched
PubMed,
Cochrane
Library,
Scopus
for
quantitative,
qualitative,
mixed-methods
studies
published
English
from
January
1,
2011,
October
31,
2021,
all
Data
was
appraised
using
Mixed
Methods
Appraisal
Tool.
55
were
included.
The
major
low
knowledge
concern
of
vaccine
safety
among
pregnant
women
healthcare
providers
(HCP).
HCP's
recommendation,
maternal
knowledge,
confidence
≥4
antenatal
care
(ANC)
visits
facilitated
uptake.
key
encompassed
health
financing,
reminders,
intersectoral
coordination,
integration,
community
engagement,
capacity
building,
education.
Community-based
delivery
models
effective.
Tailored
programs
are
needed
ANC
access,
educate
HCPs.
Язык: Английский