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


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 Degree
Publication Date
September 2018


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.


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