Parents' knowledge and practices to childhood immunisation in Nepal: Implications for health policy
Authors: Devkota, S., Simkhada, P., van Teijlingen, E. and Rai, L.D.
Journal: Health Science Journal
Background: Parental misperceptions have been identified as major barriers towards immunizations in children. Lack of information or incorrect information has been associated with parents' anxieties or concerns about childhood immunisation. Aim: The main aim of the present study was to examine the sources of information for parents on childhood immunisation in Kathmandu Valley; and these parents' knowledge and practices on childhood immunisation. Methods and Materials: Primary data were collected from 120 parents using stratified quota sampling with three different urban populations in Kathmandu Valley using structured questionnaire. Results: Immunisation coverage was good and 91.7% children were fully immunized in the study areas. There are positive attitudes towards immunisation. The local health workers are the main source of health information followed by TV. Respondents' gender, ethnicity, education level, occupation, having radio, TV and mobile phone at home were statistically significant on knowledge level. But respondents' age, religion and living in own home or rented home were not significant. Similarly, Ethnicity, Occupation living condition and education were statistically significant for immunisation practice. Conclusions: The Majority of respondents have a positive opinion about the important of childhood immunisation in study areas. However, some respondents had insufficient knowledge on this issue. For high coverage, communication efforts should focus on clarifying correct parental beliefs about immunisation. Vaccines for child should be reimbursed on the same basis as other medical treatment. Childhood immunization related messages should be emphasized in the national vaccination programme.