Knowledge of Primiparous Mothers on Immunization of Children under three Years in Rawalakot, Azad Kashmir

Primiparous Mothers' Knowledge on Immunization

Authors

  • Shugafta Iltaf Department of Nursing, Armed Forces Post Graduate Medical Institute, National University of Medical Sciences, Rawalpindi, Pakistan
  • Rehana Khadim Department of Pakistan Armed Forces Medical Journal, Army Medical College, Rawalpindi, Pakistan
  • Shagufta Parveen Department of Nursing, College of Nursing, Armed Forces Post Graduate Medical Institute, Rawalpindi, Pakistan
  • Nadia Shabnum Department of Health Professions Education, National University of Medical Sciences, Rawalpindi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i10.2239

Keywords:

Immunization Gaps, Primiparous Mothers, Vaccine Coverage, Knowledge Factors, Awareness Boost

Abstract

Immunization was crucial aspect of preventing infectious diseases in early childhood. However, lack of knowledge among parents especially primiparous mothers, can hinder optimal immunization coverage. Objective: To assess and evaluate the knowledge level of primiparous mother regarding immunization and the factor influencing immunization status in children under three years. Methods: A cross-sectional study was conducted with a sample of 210 mothers at Combined Military Hospital, Rawalakot, Azad Kashmir, from April 2023 to February 2024, using consecutive sampling. Data were collected using an adapted questionnaire, which included a demographic section and 37 knowledge items. Analysis was done by using SPSS version 26.0, using descriptive statistics (frequency and percentage) and inferential statistics (Chi-Square test). Results: There was gap in literature about primiparous mothers’ knowledge and this study results showed that 27.6% had low, 50% had moderate, and 22.4% had high knowledge. Complete immunization was achieved for 60.5% of children, highlighting the need for improved awareness, especially among primiparous mothers. Higher education and employment were significantly linked to better knowledge (P < 0.001), with healthcare professionals being the main source (56.6%). The study provided crucial insights for the Ministry of Health and policymakers, demonstrating the need to enhance immunization campaigns by improving primiparous mothers' knowledge for better vaccine coverage. Conclusions: A significant portion of primiparous mothers had moderate to low knowledge about child immunization, contributing to incomplete vaccination rates. Enhanced education and awareness programs, particularly for less informed mothers, were essential to improve immunization coverage in Azad Kashmir.

References

Centers for Disease Control and Prevention. Fast facts on global immunization. Centers for Disease Control and Prevention. Retrieved November. 2022; 9: 2022.

Mallick BL, Pati SS, Murmu MC, Singh M, Soren NN. Study of knowledge, attitude and practice of mothers of children under 5 years on immunization status attending a tertiary care hospital: A cross-sectional study. Panacea Journal of Medical Sciences. 2023 Jul 31;13(2): 455-63.doi.org/10.18231/j.pjms.2023.086

S YASMEEN, NAWAZ R, BASHIR S. Knowledge and perception of mothers regarding child immunization in a tertiary care hospital Punjab, Pakistan. Biological and Clinical Sciences Research Journal. 2023 Aug 14;2023(1):389–9. https://doi.org/10.54112/bcsrj.v2023i1.389

Corben P and Leask J. Vaccination hesitancy in the antenatal period: a cross-sectional survey. BioMed Central Public Health. 2018 Dec; 18: 1-3. doi: 10.1186/s12889-018-5389-6.

Ahmed M, Sharif M, Sufyan A, Bhatti MS, Asghar RM. Immunization Status of Children and Its Association with Maternal Education. Journal of Rawalpindi Medical College. 2018; 22(S-2): 57-60.

Otsuka-Ono H, Hori N, Ohta H, Uemura Y, Kamibeppu K. A childhood immunization education program for parents delivered during late pregnancy and one-month postpartum: a randomized controlled trial. BioMed Central Health Services Research. 2019 Dec; 19: 1-0. doi: 10.1186/s12913-019-4622-z.

GebreEyesus FA, Tarekegn TT, Amlak BT, Shiferaw BZ, Emeria MS, Geleta OT et al. Knowledge, attitude, and practices of parents about immunization of infants and its associated factors in Wadla Woreda, North East Ethiopia, 2019. Pediatric Health, Medicine and Therapeutics. 2021 May: 223-38. doi: 10.2147/PHMT.S295378.

Alhomayani F, Alwuthaynani MT, Alshehri HA, Mohammed N, Alghamdi DI, Mohammed R et al. Mother's awareness about immunization. 2022 Nov.

Verulava T, Jaiani M, Lordkipanidze A, Jorbenadze R, Dangadze B. Mothers' knowledge and attitudes towards child immunization in Georgia. The Open Public Health Journal. 2019 May; 12(1). doi: 10.2174/1874944501912010232.

Lestiani L, Hilda H, Putri RA. The Relationship Between Mother's Attitude and Giving Complete Basic Immunization to Infants Aged 12-24 Months. KESANS: International Journal of Health and Science. 2023 Oct 20;3(1):55-62. ://doi.org/10.54543/kesans.v3i1.238

Almutairi WM, Alsharif F, Khamis F, Sallam LA, Sharif L, Alsufyani A et al. Assessment of mothers' knowledge, attitudes, and practices regarding childhood vaccination during the first five years of life in Saudi Arabia. Nursing Reports. 2021 Jul; 11(3): 506-16. doi: 10.3390/nursrep11030047.

Adedire EB, Ajumobi O, Bolu O, Nguku P, Ajayi I. Maternal knowledge, attitude, and perception about childhood routine immunization program in Atakumosa-west Local Government Area, Osun State, Southwestern Nigeria. The Pan African Medical Journal. 2021 Nov; 40(1): 8. doi: 10.11604/pamj.supp.2021.40.1.30876.

Saleh A, Alrashidi AA, Bukhari MA, Habib RF, Alsubhi RA, Saadawi DW et al. Assessment of knowledge, attitude and practice of parents towards immunization of children in Saudi Arabia, 2018. The Egyptian Journal of Hospital Medicine. 2018 Apr; 71(2): 2585-9. doi: 10.12816/0045660.

Adefolalu OA, Kanma-Okafor OJ, Balogun MR. Maternal knowledge, attitude and compliance regarding immunization of under five children in Primary Health Care centres in Ikorodu Local Government Area, Lagos State. Journal of Clinical Sciences. 2019 Jan; 16(1): 7-14. doi: 10.4103/jcls.jcls_55_18.

Šeškutė M, Tamulevičienė E, Levinienė G. Knowledge and attitudes of postpartum mothers towards immunization of their children in a Lithuanian tertiary teaching hospital. Medicina. 2018 Mar; 54(1): 2. doi: 10.3390/medicina54010002.

Šeškutė M, Tamulevičienė E, Levinienė G. Knowledge and attitudes of postpartum mothers towards immunization of their children in a Lithuanian tertiary teaching hospital. Medicina. 2018 Mar 12;54(1):2. http://dx.doi.org/10.3390/medicina54010002

Asif AM, Akbar M, Tahir MR, Arshad IA. Role of maternal education and vaccination coverage: evidence from Pakistan demographic and health survey. Asia Pacific Journal of Public Health. 2019 Nov; 31(8): 679-88. doi: 10.1177/1010539519889765.

Hussain A, Zahid A, Malik M, Ansari M, Vaismoradi M, Aslam A, Hayat K, Gajdács M, Jamshed S. Assessment of parents’ perceptions of childhood immunization: a cross-sectional study from Pakistan. Children. 2021 Nov 4;8(11):1007. https://doi.org/10.3390/children8111007

Ali A, Zar A, Wadood A. Factors associated with incomplete child immunization in Pakistan: findings from Demographic and Health Survey 2017-18. Public Health. 2022 Mar; 204: 43-8. doi: 10.1016/j.puhe.2022.01.003.

ALAmri ES, Horaib YF, Al-anazi WR. Knowledge and Attitudes of Parents on ChildhoodImmunization in Riyadh, Saudi Arabia. The Egyptian Journal of Hospital Medicine. 2018 Jan; 70(2): 251-6. doi: 10.12816/0043085.

Gelagay AA, Worku AG, Bashah DT, Tebeje NB, Gebrie MH, Yeshita HY et al. Complete childhood vaccination and associated factors among children aged 12-23 months in Dabat demographic and health survey site, Ethiopia, 2022. BioMed Central Public Health. 2023 May; 23(1): 802. doi: 10.1186/s12889-023-15681-0.

Sunny A, Ramesh S, Shankar BK. A study to assess and correlate the knowledge, attitude and practices of vaccination among mothers with educational status in a teaching hospital in South India. Primary Health Care. 2018 Jan; 8(1): 1-6. doi: 10.4172/2167-1079.1000290.

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Published

2024-10-31
CITATION
DOI: 10.54393/pjhs.v5i10.2239
Published: 2024-10-31

How to Cite

Iltaf, S., Khadim, R., Parveen, S., & Shabnum, N. (2024). Knowledge of Primiparous Mothers on Immunization of Children under three Years in Rawalakot, Azad Kashmir: Primiparous Mothers’ Knowledge on Immunization. Pakistan Journal of Health Sciences, 5(10), 08–13. https://doi.org/10.54393/pjhs.v5i10.2239

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