NON-VACCINATION OF CHILDREN UNDER FIVE YEARS OF AGE
Keywords:
vaccine, vaccination, pediatric, children, inpatient, outpatientAbstract
Objectives: To identify the reasons for non-vaccination of children under five years of age coming to tertiary care
hospital from various districts of KPK and FATA.
Material and Methods: This observational, cross sectional study was conducted from January 2012 to December 2014
at inpatient and outpatient setting, department of child health, Khyber teaching hospital Peshawar through a questionnaire
prepared according to objectives of the study. Convenience sampling was employed, as the parents coming with
children 1-5 years ages were interviewed regarding reasons fornon-vaccination of their children.
Results: Total 432 children ages 1-5 years were included in the study. 276(63.8%) were male and 156(36.1%) were
female. Most of the children i.e.373(86.3%) were from rural areas while 59 children (13.6%) belonged to urban areas.Out
of 432 children only 205(47.4%) were fully vaccinated, 227(52.6%) children were under vaccinated (non-vaccinated +
partially vaccinated). The main reason given by most of the parents 128(56.4%)was lack of knowledge about vaccination
and its benefits followed by accessibility to vaccine centers 76(33.5%). The third common reason[58(25.6%)] was
inability of the parents to take out time from their busy schedule and lastly 53(23.3%) was non-availability of vaccines
in nearest center.
Conclusion: The most common reason of Pediatric under-vaccination is 1) Decrease awareness of parents about the
preventive benefits of vaccination followed by; 2) Decrease accessibility to health facility (and vaccination centers); 3)
Parents could not spare time from busy schedule and 4) Non-availability of vaccines in the nearest center.
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