Socio-Cultural Influencing Factors Among Mothers Knowledge About Immunization Dropout of Children Under Five Years at Rural and Urban Area: A Comparative Study
DOI:
https://doi.org/10.52783/jns.v14.1893Abstract
Background: Vaccination of children is a vital part of worldwide health systems because it is the most successful and cost-effective preventive clinical service for children's health and for the maintenance of public health. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or disease. The aims: to identify the Socio-cultural factors influencing immunization dropout among mothers of children under five years, and to compare between the rural and urban area with regards to the factors influencing immunization dropout among children under five years
Methods: A cross-sectional descriptive study design, conducted in Babylon province from October 4, 2023, to July 1, 2024. Non Probability " convenience " sample of (303) mothers who have children under five years were selected from unit of immunization at primary health care centers (PHCCs), from Babylon province.
Result of the study: Overall, urban mothers had good knowledge about immunization, whereas rural mothers had poor knowledge, and the comparison between mother’s Socio-cultural- knowledge Influencing of Immunization Dropout of both group (urban and rural) the recorder mean score shows high significant differences between the responses.
Conclusion & recommendation: Most mothers in both groups received information about childhood immunization from healthcare workers. The findings revealed that overall assessment of mothers live in urban had good knowledge about immunization, whereas rural mothers had poor knowledge. Regarding to the recommendation, develop and expand SMS reminder systems to improve vaccination adherence. Conduct future studies on a larger sample and at a national level to improve postnatal care services.
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Mboussou, F., Kada, S., Danovaro-Holliday, M. C., Farham, B., Gacic-Dobo, M., Shearer, J. C., ... & Impouma, B. (2024). Status of Routine Immunization Coverage in the World Health Organization African Region Three Years into the COVID-19 Pandemic. Vaccines, 12(2), 168.
Omara, A. A., Hossainb, M. S., Abdic, H. A., & Mohamuda, I. A. (2019). Prevalence of dysmenorrhea among female students attending salaam university in mogadishu, Somalia and factors associated with it. Education, 2019.
Tolera, M., Birhanu, A., Regassa, L. D., Getachew, T., Negash, A., Jibro, U., ... & Mussa, I. (2023). Determinants of routine immunizations dropout among children less than five years of age in Ethiopia: A further multilevel analysis from mini 2019 EDHS.
Chung, Y., Schamel, J., Fisher, A., & Frew, P. M. (2017). Influences on immunization decision-making among US parents of young children. Maternal and child health journal, 21, 2178-2187.
Jawad, F. A., & Al-Tawil, N. G. (2023). Implementation And Role Of Health Education Program In Improving The Knowelege About Vaccination Among The Mothers Of Under Five Years Old Children In Erbil Governorate. Mosul Journal of Nursing, 11(2), 337-348.
Singhal, G., Mathur, H., Dixit, M., & Khandelwal, A. (2016). Factors affecting immunization among children of rural population of block Malpura, district Tonk, Rajasthan, India. Int J Community Med Public Heal.[Internet], 3, 641-6.
Mmanga, K., Mwenyenkulu, T. E., Nkoka, O., & Ntenda, P. A. (2022). Tracking immunization coverage, dropout and equity gaps among children ages 12–23 months in Malawi–bottleneck analysis of the Malawi Demographic and Health Survey. International Health, 14(3), 250-259.
Hailu, C., Fisseha, G., & Gebreyesus, A. (2022). Determinants of measles vaccination dropout among 12− 23 months aged children in pastoralist community of Afar, Ethiopia. BMC Infectious Diseases, 22(1), 376.
Kassa BG and Lul NC (2023) Missed opportunities for immunization among children 0 to 11 months of age that were attended to at debre tabor comprehensive specialized hospital, south gondar zone, Ethiopia. Front. Pediatr. 11:1169328. doi: 10.3389/fped.2023.1169328.
Dhalaria, P., Kapur, S., Singh, A. K., Priyadarshini, P., Dutta, M., Arora, H., & Taneja, G. (2023). Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis. Vaccines, 11(4), 836.
Chanie, M. G., Ewunetie, G. E., Molla, A., & Muche, A. (2021). Determinants of vaccination dropout among children 12-23 months age in north Gondar zone, northwest Ethiopia, 2019. Plos one, 16(2), e0246018.
Jammeh, A., Muhoozi, M., Kulane, A., & Kajungu, D. (2023). Comparing full immunisation status of children (0–23 months) between slums of Kampala City and the rural setting of Iganga District in Uganda: a cross-sectional study. BMC Health Services Research, 23(1), 856.
Sibeudu, F. T., Uzochukwu, B. S., & Onwujekwe, O. E. (2019). Rural–urban comparison of routine immunization utilization and its determinants in communities in Anambra states, Nigeria. SAGE open medicine, 7, 2050312118823893.
Molan, J. A. S. (2020). Factors influencing compliance with immunization regimen among mothers in Basrah, Iraq. The Medical Journal of Basrah University, 38(1), 37-46.
Asresie, M. B., Fekadu, G. A., & Dagnew, G. W. (2023). Urban-rural disparities in immunization coverage among children aged 12–23 months in Ethiopia: multivariate decomposition analysis. BMC Health Services Research, 23(1), 969.
Shahjahan, M. (2018). Study on Determinants of the Immunization Dropout Status among under five children in Mogadishu, Somalia (Doctoral dissertation, Daffodil International University).
Eze P, Agu UJ, Aniebo CL, et al. (2021). Factors associated with incomplete immunisation in children aged 12–23 months at subnational level, Nigeria: a cross- sectional study. BMJ Open. 11:e047445. doi:10.1136/ bmjopen-2020-047445.
Gawade, S. A., Gore, H. D., & Mane, A. B. (2020). Determinants of Immunization Status Among Children Between 13-24 Months of Age in Maharashtra, India–A Community Based Cross-Sectional Study. Vaccine Research, 7(2), 28-33.
Tawfik, E. H. , Arafat, W. A. , Ghattas, V. N. , (2023). Factors Associated with Pregnant Women’s Dropout from Antenatal Care Visits in Primary Health Care Facilities. Assiut Scientific Nursing Journal. Vol , (11 ) No, (43 ): pp (301 – 416).
Kaur, R., Kumari, K. N., & Kaur, L. (2020). An exploratory study to assess the immunization coverage and factors leading to dropout among mothers of children in selected rural areas of district Mohali, Punjab with a view to develop an information booklet. Asian Journal of Nursing Education and Research, 10(2), 121-126.
Kadim MA, Abdulhasan AF, Abdulrasol ZA, Obaid AF. Dropout of vaccination among Iraqi children. South Asian J Soc Sci Human. 2022;3(6):163-171.
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