Knowledge and Attitude of Mothers about Children Immunization and Barriers to Adherence the Program, in Erbil City

Authors

  • Suham Mir Hamad Abdullah Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Ibrahim Hasan Mustafa Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/ejnm.2022.06

Keywords:

Childhood immunization, Mothers, Knowledge, Attitude, Barriers

Abstract

Background and objective: Immunization programs are one of the most important methods to prevent infections and sickness among children. We can overcome many obstacles if mothers have the necessary knowledge and attitude regarding vaccines. The study aims to assess mothers’ knowledge, attitudes, and barriers related to immunization programs and associations related to socio-demographic characteristics.
Methods: A cross-sectional study design was carried out in Erbil city across six primary health care centers (Hawkari, Azadi, Runaki, Shadi, Mala Afandi, and Nazdar Bamarni) during the period of January 5, 2021, to April 8, 2021. Non-probability convenience sampling methods were used. The sample consisted of 410 mothers ages 18 and older. A questionnaire with four parts (socio-demographic characteristics, knowledge, attitude, and barriers to adherence immunization programs) was used to collect data. Statistical package for Social Science (version 23) was used for data analysis. Chi-square and Fisher exact tests were used to determine the association between socio-demographic characteristics and knowledge and attitudes. Frequency and percentage were used to identify barriers.
Results: The study findings showed a statistically significant association between the knowledge of mothers and their age, educational level, occupation, and socioeconomic status. Mothers have a high attitude regarding immunizations. The majority (69.3%) of mothers have not had any missed opportunities for not given immunizations. The most common reasons for not giving immunizations were mothers being busy and child sickness at the time of immunizations.
Conclusions: There was statistically significant association between mother’s knowledge and age, education, occupations, and socioeconomic status. A high level of attitude was recorded among mothers regarding immunizations. Mothers reported being busy on the day of the immunizations and child sickness as the most common barriers to receiving immunizations.

Metrics

Metrics Loading ...

References

Chris-Otubor GO, Dangiwa DA, Ior LD, and Anukam NC. Assessment of knowledge, attitudes and practices of mothers in Jos North regarding immunization. IOSR Jour-nal Of Pharmacy. 2015 Jun; 5(6):34-45.

Bergin N, Murtagh J, Philip RK. Maternal vaccination as an essential component of life-course immunization and its contribu-tion to preventive neonatology. Interna-tional Journal of Environmental Research and public health. 2018 May; 15(5):847.

Reporter DN. Bacterial meningitis. Guest Editor Executive Director’s Column. 39(2):3.

Yufika A, Wagner AL, Nawawi Y, Wahyuni-ati N, Anwar S, Yusri F, Haryanti N, Wi-jayanti NP, Rizal R, Fitriani D, Maulida NF. Parents’ hesitancy towards vaccination in Indonesia: A cross-sectional study in Indo-nesia. Vaccine. 2020 Mar 4;38(11):2592-9.

Dimala CA, Kika BT, Kadia BM, Blencowe H. Current challenges and proposed solu-tions to the effective implementation of the RTS, S/AS01 Malaria Vaccine Program in sub-Saharan Africa: A systematic re-view. PloS one. 2018 Dec 31;13(12):e0209744.

Al-Ansari NB. Pattern of Malocclusion in Iraqi Patients Seeking Orthodontic Treat-ment.

Kyprianidou M., Tzira E., Galanis P., Gian-nakou K. Knowledge of mothers regard-ing children’s vaccinations in Cyprus: A cross-sectional study. PLoS One. 2021; 16(9): e0257590. Doi: 10.1371/Journal.Pone.0257590.

Polit DF, Beck CT. Nursing research: Princi-ples and methods. Lippincott Williams & Wilkins; 2004.

Almutairi WM., Alsharif F., Khamis F., Sallam L., Sharif L., Alsufyani A., et al Assessment of Mothers’ Knowledge, Attitudes, and Practic-es Regarding Childhood Vaccination during the First Five Years of Life in Saudi Arabia. Nurses. Repots. 2021, 11, 506–516.

Ramadan HA, Soliman SM, El-Kader RG. Knowledge, attitude and practice of mothers toward children's obligatory vaccination. Journal of Nursing and Health Science. 2016 Jul;5(4):22-8.

Mahalingam S, Soori A, Ram P, Achappa B, Chowta M, Madi D. Knowledge, attitude and perceptions of mothers with children under five years of age about vaccination in Man-galore, India. Asian Journal of Medical Sci-ences. 2014 May 16;5(4):52-7.

Singh J, Deepti SS, Mahajan S, Lal M, Singh T, Neki NS. Assessment of Socio-demographic factors affecting Immunization status of chil-dren of age 0-2 years in Slums of Amritsar city. International Journal of Current Re-search in PubMed Science. 2018;4(3):17-25.

Gul S, Khalil R. Immunisation knowledge and practices among mothers attending a paedi-atric clinic in Karachi, Pakistan. International Journal of Advances in Medicine. 2016 Jul;3(3):656-1.

Awosan KJ, Ibrahim MT, Yunusa EU, Isah BA, Raji MO, Abubakar N. Knowledge, Attitude and Compliance with Full Immunization of Children Against Vaccine Preventable Dis-eases among Pregnant Mothers in Sokoto, Nigeria. International Journal Contemp Med Research. 2018; 5(6):F10-6.

Umeh CA, Ahaneku HP. The impact of declin-ing vaccination coverage on measles control: a case study of Abia state Nigeria. Pan Afri-can Medical Journal. 2013; 15(1).

Al-Lela, O. Q. B., Bahari, M. B., Al-Qazaz, H. K., Salih, M. R., Jamshed, S. Q., & Elkalmi, R. M. Are parents' knowledge and practice re-garding immunization related to pediatrics’ immunization compliance? a mixed method study. BMC Pediatrics, 2014. 14(1), 1-7.

Hasan BA. Malocclusion and orthodontic treatment need and demand among 13-18 years students in Erbil city. Ph.D. thesis, col-lege of Dentistry Hawler Medical University, Erbil, Iraq. (2010)

Downloads

Published

2022-05-30

How to Cite

1.
Abdullah SMH, Mustafa IH. Knowledge and Attitude of Mothers about Children Immunization and Barriers to Adherence the Program, in Erbil City. Erbil j. nurs. midwifery [Internet]. 2022 May 30 [cited 2024 Nov. 21];5(1):51-60. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/179

Issue

Section

Original Articles