i
Report an error   
Advanced Search


Knowledge and compliance to expanded program on immunization (EPI) among mothers in Barangay Santa Cruz Cebu City: Basis to enhance compliance to EPI.

Author

Nikki G. De Castro,
Roselle Anne V. Tigley,
Obed Joseph S. Villahermosa,
Chique Dorothy C. Yap,
Gia  C. Yeo,
Nina Marie A. Seno

Related Institution

College of Nursing - Cebu Doctors' University

Publication Information

Publication Type
Thesis/Dissertations
Thesis Degree
BS
Specialization
Nursing
Publication Date
September 2018

Abstract

This study utilized a descriptive-correlation design to determine the level of knowledge and compliance to Expanded Program on Immunization (EPI) among the respondents. Two hundred mothers with children registered under the EPI of Barangay Santa Cruz, Cebu City were part in the study. The Modified Immunization KP (Knowledge Practices) Questionnaire was used to measure the knowledge of the participants about EPI vaccination. A checklist was also made based from the mothers' Immunization Record to determine compliance to EPI. Data were processed using IBM SPSS version 22.


Majority number of the respondents attained high school level (n=75, 37.5%), were unemployed (n=127, 63.5%) and had up to three children (n=162, 81%). Findings revealed that 161 (80.5%) of the respondents were less knowledgeable on EPI and 156 (78%) were non-compliant to the program. Phi Coefficient showed a strong positive association (θ=0.896) between the level of knowledge on EPI and compliance to the program. Higher level of knowledge and better compliance to EPI is associated with higher educational status, employment and more children. The majority number of respondents who had an educational attainment at the elementary, high school, vocational and post-graduate were all less knowledgeable (100%). An educational attainment of college had both less knowledgeable and highly knowledgeable respondents, with the majority number of the respondents being highly knowledgeable (66.1%). For the employment status, the respondents who were unemployed were all less knowledgeable (100%). The majority number of the employed respondents were highly knowledgeable (53.4%). For parity, the majority number of the respondents that have one to three children were less knowledgeable (93.8%). The majority number of the respondents with more than three children were highly knowledgeable (76.3%). Majority number of the respondents who had an educational attainment at the elementary, high school, vocational and post-graduate were all non-compliant (100%). The educational attainment of the college had noncompliant and compliant respondents; with the majority number of the respondents being compliant (74.6%). For the employment status, the respondents who were unemployed were all non-compliant (100%). The majority number of the respondents that were employed were compliant (60.3%). For parity, the majority number of the respondents that have one to three children were non-compliant (93.2%). The majority number of the respondents with more than three children were compliant (86.8%).


The study presented a strong positive relationship between knowledge and compliance to the EPI program. The researchers conducted an information dissemination campaign to create awareness about the immunization program in the community through printed materials such as pamphlets.

References

1. Abdulraheem, I. S. , Onajole, A. T. , Jimoh, A. A. G. , Oladipo, A. R. . "Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children" Journal of Public Health and Epidemiology 3(4): 194-203, 2011. Retrieved from: http://www.academicjournals.org/app/webroot/article/article1379427155_Abdulraheem%20et%20al.pdf
2. Adebiyi, F. . Determinants of full child immunization among 12-23 months old in Nigeria. University of Witwatersrand. 2013. (MA) . Retrieved from: http://wiredspace.wits.ac.za/bitstream/handle/10539/13039/ADEBIYI%20THESIS.pdf?sequence=2
3. Adenike, O. B. , Adejumoke, J. , Olufunmi, O. , Ridwan, O. . "Maternal characteristics and immunization status of children in North Central of Nigeria" Pan African Medical Journal 26(159): 2017. Retrieved from: http://doi:10.11604/pamj.2017.26.159.11530
4. Al-lela, O. Q. , Bahari, M. B. , Al-Qazaz, H. K. , Salih, M. , Jamshed, S. , Elkalmi, R. . "Are parents’ knowledge and practice regarding immunization related to pediatrics’ immunization compliance? a mixed method study" BMC Pediatrics 14(20): 2014. Retrieved from: http://doi: 10.1186/1471-2431-14-20
5. Al-lela, O. Q. , Bahari, M. B. , Baderden, S. K. , Basher, A. Y. , Hamoodi, H. K. . "Factors affecting on immunization compliance: Iraq" Journal of Pharmacy Practice and Community Medicine 3(4): 246-253, 2017. Retrieved from: http://doi: 10.5530/jppcm.2017.4.67
6. Andrade, D. R. , Lorenzini, E. , da Silva, E. F. . "Mothers’ knowledge regarding the vaccination program and factors which lead to delaysin infant vaccination" Cogitare Enferm 19(1): 96-102, 2013. Retrieved from: http://https://revistas.ufpr.br/cogitare/article/download/35964/22418
7. Angadi, M. , Jose, A. , Udgiri, R. , Masali, K. , Sorganvi, V. . "A study of knowledge, attitude and practices on immunization of children inurban slums of Bijapur City, Karnataka, India" Journal of Clinical &Diagnostic Research 7(12): 2803-2806, 2013. Retrieved from: http://doi:10.7860/JCDR/2013/6565.3763
8. Atienza, B. A. , Abing, B. R. , Calibugar, V. L. . "Maternal constraints towards compliance to expanded program on immunization" Journal of Nursing and Health Care 3(2): 2016. Retrieved from: http://dl6.globalstf.org/index.php/jnhc/article/view/369
9. Awadh, A. I. , Hassali, M. A. , Al-lela, O. Q. , Bux, S. H. , Elkalmi, R. M. , Hadi, H. . "Does an educational intervention improve parents’ knowledge about immunization? Experience from Malaysia" BMC Pediatrics 14(254): 2014. Retrieved from: http://doi: 10.1186/1471-2431-14-254.
10. Awareness. Merriam-Webster’s online dictionary . Retrieved from: http://https://www.merriamwebster.com/dictionary/awareness
11. Baghel, P.S. , Bezboruah, G. , Das, I. , Bhunia, N.S. . "A study to assess immunization status in 12-23 months children coming to pediatrics OPD of Gmch" IOSR Journal of Dental and Medical Sciences 15(8): 16-20, 2016. Retrieved from: http://doi: 10.9790/0853-1508111620
12. Bhattacharya, L. K. , Gerbie, M. , Tan, T. Q. . "Knowledge and utilization of recommended preventive vaccines among young adults" Journal of Vaccines & Vaccination 4(179): 2013. Retrieved from: http://doi:10.4172/2157-7560.1000179
13. Bosch, B. . Women who study: Balancing the dual roles of post graduate student and mother. Edith Cowan University. 2013. (MA) . Retrieved from: http://https://ro.ecu.edu.au/cgi/viewcontent.cgi?referer=https://www.google.com/&httpsredir=1&article=1593&context=theses
14. Caingles, S. E. , Lobo, J. J. . "Survey on the knowledge, attitudes and practices of parents in Barangay 8A, District 1, Davao City regarding their children’s immunization" Pediatric Infectious Disease Society of the Philippines Journal 12(1): 46-52, 2011. Retrieved from: http://ww.w.pidsphil.org/pdf/Journal_06302011/jo38_ja06.pdf
15. Carr, J. E , Martin, R.M. , Clements, C.J. , Ritchie, P.L.J. . (). Behavioral factors in immunization. . Retrieved December 19, 2017, from: http://https://apps.who.int/iris/handle/10665/66540
16. Castillo, M.A.C. , Comple, R. , Cuadra, r. , Dela Cruz, M.L. . "Extent of compliance to immunization: Reasons for non-continuity and its consequences" CAM Research Journal 2(1): 46-71, 2014. Retrieved from: http://lpulaguna.edu.ph/wpcontent/uploads/2016/08/3.-Extent-of-Compliance-to-Immunization-Reasons-for-Non-Continuity-and-Its-Consequences.pdf
17. Cherry, K. . (). Experiential learning theory of David Kolb. . Retrieved December 18, 2017, from: http://https://www.verywellmind.com/experiential-learning-2795154
18. Chris-Otubor, G.O. , Dangiwa, D.A. , Ior, L. D. , Anukam, N.C. . ".Assessment of knowledge, attitudes and practices of mothers in Jos North regarding immunization" IOSR Journal of Pharmacy 5(6): 34-45, 2015. Retrieved from: http://iosrphr.org/papers/v5i6/H0506034045.pdf
19. Cuevas, F.P. , Reyala, J. , Cruz-Earnshaw, R. , Bonito, S. , Sitioco, J. , Serafica, L. . Public health nursing in the Philippines Manila: National League of Philippine Government Nurses,Incorporated, 2007.
20. da Silva, Lima E.J., Caminha, M. , da Silva, A.T. , Rodriguez Filho, E. , dos Santos, C. . "Compliance with the vaccination schedule in children hospitalized with pneumonia and associated factors" Revista de Saude Publica 52(38): 2018. Retrieved from: http://doi: 10.11606/s1518-8787.2018052006888.
21. de Oliveira, M. , Martinez, E. , Rocha, J. . "Factors associated with vaccination coverage in children " Revista deSaude Publica 48(6): 906-915, 2014. Retrieved from: http://doi: 10.1590/S0034-8910.2014048005284
22. Department of Health.(). Expanded program on immunization. . Retrieved December 19, 2017, from: http://https://www.doh.gov.ph/expanded-program-on-immunization
23. Department of Health(). Annual report 2015: Department of Health Philippines. . Retrieved December 20, 2017, from: http://https://www.doh.gov.ph/sites/default/files/publications/DOH_Annual_Report_2015_07132016.compressed.pdf
24. Education. Merriam Webster’s online dictionary . Retrieved from: http://https://www.merriamwebster.com/dictionary/education
26. Feinstein, L. , Sabates, R. , Anderson, T. , Sorhaindo, A. , Hammond, C. . "What are the effects of education on health?" Proceedings of the Copenhagen Symposium, 2006. . Retrieved from: http://www.oecd.org/education/innovation-education/37437718.pdf
27. Gonzalo, A. . (). Theoretical foundations of nursing: Nola Pender, the Health Promotion Model. . Retrieved December 17, 2017, from: http://https://nursingtheories.weebly.com/nola-pender.html
28. Goodman, N. . (). The impact of employment on the health status and health care costs of working-age people with disabilities. . Retrieved December 19, 2017, from: http://www.leadcenter.org/system/files/resource/downloadable_version/impact_of_employment_health_status_health_care_costs_0.pdf
29. Gaunt, M. . (). . Ambiguous and dangerous abbreviations. . Retrieved December 15, 2017, from: http://https://www.pharmacytimes.com/publications/issue/2012/march2012/ambiguous-and-dangerous-abbreviations-
30. Gutierrez, M. . "Maternal practices related to childhood immunization in rural community" Journal of the Philippine Medical Women’s Association 41, 9-18, 2004. Retrieved from: http://www.herdin.ph/index.php?view=research&cid=36573
31. Holipah, H. , Maharani, A. , Kuroda, Y. . "Determinants of immunization status among 12- to 23-month-old children in Indonesia (2008-2013): a multilevel analysis." BMC Public Health 18(1): 288, 2018. Retrieved from: http://doi: 10.1186/s12889-018-5193-3.
32. Ilusanya, T. , Oladosun, M. . "Socio-economic factors influencing health behavior of women and immunization status of children in Nigeria" Paper presented at the 3rd International Conference onAfrican Development Issues (CU-ICADI 2016),, Otta, Nigeria: 2016. . Retrieved from: http://D:/My%20Documents/Downloads/FactorsInfluencingHealthBehavior.pdf
33. Kahisay, M.H. , Fenta, T.G. , Boon, H. . "Beliefs and perception of ill-health causation: A socio-cultural qualitative study in rural North-Eastern Ethiopia" BMC Public Health 17(1): 124, 2017. Retrieved from: http://doi:10.1186/s12889-017-4052-y.
34. Minh An, D.T. , Lee, J.K. , Van Minh,, H. , Trang, N.T.H. , Thu Huong,, N.T. , Nam, Y.S. , Van Dung, D. . "Timely immunization completion among children in Vietnam from 2000 to 2011: A multilevel analysis of individual and contextual factors" Global Health Action 29(9): 2016. Retrieved from: http://doi: 10.3402/gha.v9.29189
35. National Statistics Office(). Philippines national demographic and health survey 2008.. . Retrieved December 13, 2017, from: http://https://dhsprogram.com/pubs/pdf/FR224/FR224.pdf
36. Nicholls, A.C. . (). Doctors: Parents refusing vaccines due to Dengvaxia scare. . Retrieved December 19, 2017, from: http://cnnphilippines.com/news/2018/02/03/doctors-parentsrefusing-vaccines-dengvaxia.html
37. Odera-Ojwang, P. . Prevalence and factors associated with missed opportunities for immunization among children below 60 months at Siaya County referral hospital. University of Nairobi. 2016. (MD) . Retrieved from: http://erepository.uonbi.ac.ke/bitstream/handle/11295/98295/OderaOjwang%20_Prevalence%20And%20Factors%20Associated%20With%20Missed%20Opportunities%20For%20Immunization%20Among%20Children%20Below%2060%20Months%20At%20Siaya%20County%20Referral%20Hospital..p
38. Omole, M.k , Owodunni, K.O. . "Mothers’ knowledge of immunization programme and factors influencing their compliance at a children hospital in South West Nigeria" Journal of Pharmaceutical and Biomedical Sciences 21(21): 2012. Retrieved from: http://D:/My%20Documents/Downloads/Omole%20%20and%20Owodunni.pdf
39. Panesar, K. . "Patient compliance and health behavior models" US Pharmacist 37(4): 12-14, 2012. Retrieved from: http://https://www.uspharmacist.com/article/patient-compliance-andhealth-behavior-models
40. Patel, T. , Pandit , N. . "Why infants miss vaccination during routine immunization sessions? Study in a rural area of Anand District,Gujarat" Indian Journal of Public Health 55(4): 321-323, 2011. Retrieved from: http://doi:10.4103/0019-557X.92417
41. Paul, C.L. , Redman, S. , Sanson-Fisher, W. . "Print material content and design: Is it relevant to effectiveness?" Health Education Research 18(2): 2003. Retrieved from: http://doi.org/10.1093/her/18.2.181
42. Regmi, J. . Socio-cultural influences on vaccination-vaccinators perspective, study from Nepal. Institute of Public Health and Clinical Nutrition. 2014. (MA) . Retrieved from: http://epublications.uef.fi/pub/urn_nbn_fi_uef-20140607/urn_nbn_fi_uef-20140607.pdf
43. Tai, C.M. . Full immunization status: Its association with maternal education and decision-making autonomy in the Philippines. College of Public Health. 2010. (MA) . Retrieved from: http://upmcphresearchoffice.weebly.com/fullimmunization-status-its-association-with-maternal-education-anddecision-making-autonomy-in-the-philippines.html
44. University of Twente(). Health communication: explaining health behaviors. . Retrieved December 23, 2017, from: http://https://www.utwente.nl/en/bms/communication-theories/sorted-bycluster/Health-Communication/Health-Belief-Model/
45. Ventola, C.L. . "Immunization in the United States:Recommendations, barriers, and measures to improve compliance" Pharmacy and Therapeutics 41(7): 426-436, 2016. Retrieved from: http://https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927017/
46. Vonasek, B. , Bajunirwe, F. , Jacobson, L. , Twesigye, L. , Dahm, J. , Grant, M. , Conway, J. . "Do maternal knowledge and attitudes towards childhood immunizations in rural Uganda correlate with complete childhood vaccination?" PLoS ONE 11(2): 2016. Retrieved from: http://doi:10.1371/journal.pone.0150131
47. Yomi Alfred, S. D. , Alfred, B.E. . "Rural households’ perception of the Expanded Programme on Children Immunization (EPI) in the Southwest of Nigeria" Greener Journal of Medical Sciences 2(1): 012-018, 2012. Retrieved from: http://https://pdfs.semanticscholar.org/a306/6e2f7fe2c06f1b24043088f432a9703d5bde.pdf

Physical Location

LocationLocation CodeAvailable FormatAvailability
Cebu Doctors' University - Main Library U5 K76d 2018 Fulltext Print Format

 
Loading…
©2022 HERDIN PLUS. All rights reserved. | Contact Us | Keep up to date