Jasmine Aliya
Department of Community Medicine, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2019 Jun;8(6):1884-1888. doi: 10.4103/jfmpc.jfmpc_319_19.
In Tamil Nadu, where health indicators are above the national average and routine immunization coverage is >95%, the tepid response to Measles-Rubella (MR) mass vaccination campaign was unexpected. Several parents refused MR vaccine for their children, due to false news claiming inefficiency and adverse effects due to the vaccine.
This study was conducted to assess the Measles-Rubella (MR) mass vaccination coverage and to know the motivating factors and barriers for vaccination.
A cross-sectional study was conducted in a rural area immediately following the mass vaccination campaign. Using a pre-tested structured questionnaire, data was collected on awareness of MR vaccination campaign, MR vaccination status, motivating factors and reasons for non-acceptance of the vaccine.
Vaccine coverage among the 616 children surveyed was 80.2%. Factors that motivated acceptance of vaccine among the immunized participants were easy access to immunization (85%), support and motivation from school teachers (41.1%) and community level health workers (25.5%). Barriers reported among the unimmunized participants were rumours of adverse effects (47.5%), fear of adverse effects (53.3%), and no faith in immunization (18.9%). Risk factors for vaccine refusal included female child (OR = 1.7, 95%CI = 1.1-2.6), Children not attending school (OR = 3.32, 95%CI = 2.1-5.1), Mothers with higher education (OR = 4.3, 95%CI = 1.2-15.2).
An effective communication strategy addressing the needs and concerns of the public/parents should be in place and started early on before initiation of the mass vaccination programme.
在泰米尔纳德邦，该地区的健康指标高于全国平均水平，常规免疫接种覆盖率超过95%，但麻疹风疹（MR）大规模疫苗接种运动的反应却不热烈，这出乎意料。一些家长拒绝为孩子接种MR疫苗，原因是有虚假消息称该疫苗无效且有不良反应。
本研究旨在评估麻疹风疹（MR）大规模疫苗接种覆盖率，并了解疫苗接种的驱动因素和障碍。
在大规模疫苗接种运动结束后，立即在一个农村地区进行了一项横断面研究。使用预先测试的结构化问卷，收集了关于MR疫苗接种运动的知晓情况、MR疫苗接种状况、驱动因素以及不接受疫苗的原因的数据。
在接受调查的616名儿童中，疫苗接种覆盖率为80.2%。在已接种疫苗的参与者中，促使他们接受疫苗的因素包括免疫接种便捷（85%）、学校教师（41.1%）和社区卫生工作者（25.5%）的支持与推动。在未接种疫苗的参与者中报告的障碍包括不良反应谣言（47.5%）、对不良反应的恐惧（53.3%）以及对免疫接种缺乏信心（18.9%）。拒绝接种疫苗的风险因素包括女童（OR = 1.7，95%CI = 1.1 - 2.6）、未上学儿童（OR = 3.32，95%CI = 2.1 - 5.1）、母亲受教育程度较高（OR = 4.3，95%CI = 1.2 - 15.2）。
在大规模疫苗接种计划启动之前，应尽早制定并实施一项有效的沟通策略，以满足公众/家长的需求并解决他们的担忧。
