Home⇛The PCMC Journal⇛vol. 16 no. 1 (2020)

Parental Perception and Attitude on Childhood Immunization and Other Government Healthcare Programs after the Dengue Vaccine Controversy: A Hospital-Based-Cross-Sectional Study dengue-associated liver injury

Elaine Diane Santos | Michael Resurreccion

Discipline: medicine by specialism

 

Abstract:

BACKGROUND: The dengue vaccine controversy in the Philippines caused significant public anxiety affecting childhood vaccines, as well as other healthcare programs. An assessment of parental perception and attitude on childhood immunization and other government healthcare programs after the dengue vaccine controversy is lacking OBJECTIVE: To determine the perception and attitude of parents on childhood immunization and other government health care programs after the dengue vaccine controversy at a tertiary pediatric hospital. METHODOLOGY: A hospital-based cross-sectional survey was done at a tertiary pediatric hospital. A total of 96 subjects participated in the study. Parents with children ages 9 to 18 years old whose child was either vaccinated or non-vaccinated with dengue vaccine seen in the dengue clinic, outpatient department and private clinics were invited to answer the structured questionnaire. Proportional stratified sampling was employed. Mann Whitney U-test compared the perception and attitude scores between parents of children who were recipients and nonrecipients of dengue vaccine. A p-value of <0.05 was considered as significant. RESULTS: The overall perception and attitude of parents on childhood immunization, deworming and vitamin A supplementation did not differ significantly between parents of nondengue vaccinated children and dengue-vaccinated children. Sociodemographic factors such as gender, marital status, educational attainment, employment, and economic status did not differ significantly in their perception and attitude in terms of childhood immunization, deworming and vitamin A supplementation. CONCLUSIONS: The overall perception and attitude of parents in both groups showed no significant difference toward childhood immunization, deworming and vitamin A supplementation. There is no association with the overall perception and attitude of parents on childhood immunization, deworming and vitamin A supplementation and their sociodemographic factors. RECOMMENDATIONS: Future similar studies may be conducted in other regions to determine parental perception and attitude towards the government‘s immunization program and other health care programs.



References:

  1. World Health Organization. (2018, September 13). Dengue and severe dengue
  2. Wilder-Smith, A., Murray, & Quam, M. (2013). Epidemiology of dengue: past, present and future prospects. Clinical Epidemiology, 299.
  3. Undurraga,  E.  A.,  Edillo,  F.  E., Erasmo, J. V., Alera, M. P., Yoon, I., Largo,F. M., & Shepard, D. S. (5, April). Disease Burden of Dengue in the Philippines: Adjusting for Underreporting by Comparing Active and Passive Dengue Surveillance in Punta Princesa, Cebu City
  4. Gubler, D. J. (2015). The partnership for dengue control – A new global alliance for the prevention and control of dengue. Vaccine, 33(10), 1233.
  5. Dengue Prevention and Control Program | Department of Health website. (n.d.
  6. World Health Organization. (2017, December 5). Dengue vaccine research.
  7. Gatell, H., Alpuche-Aranda, C. M., Santos-Preciado, J. I., & Avila, M. H. (2016, November 1). Dengue vaccine: local decisions, global consequences.
  8. Bonalos, P. (2016, April 4). DOH starts dengue vaccination program. CNN Philippines.
  9. Lardizabal, C. (2017, December 8). DOH: More than 800,000 children vaccinated with Dengvaxia. CNN Philippines.
  10. Drug firm warns of 'severe disease' from dengue vaccine for people with no prior infection. (2017, November 30). CNN Philippines.
  11. Fatima, K., & Syed, N. I. (2018, October 31). Dengvaxia controversy: impact on vaccine hesitancy.
  12. Alshammari, T. M., Subaiea, G. M., Hussain, T., Moin, A., & Yusuff, K. B. (2018). Parental perceptions, attitudes and acceptance of childhood immunization in          Saudi Arabia: A cross sectional study. Vaccine, 36(1), 23-28.
  13. Braczkowska, B., Kowalska, M., Barański, K., Gajda, M., Kurowski, T., & Zejda, J. (2018). Parental Opinions and Attitudes about Children‘s Vaccination Safety in          Silesian Voivodeship, Poland
  14. Noakes, K., Yarwood, J., & Salisbury,D. (2006). Parental Response to the Introduction of a Vaccine Against Human Papilloma Virus. Human Vaccines, 2(6), 243-248.
  15. Harapan, H., Fajar, J. K., Sasmono, R. T., & Kuch, U. (2016). Dengue vaccine acceptance and willingness to pay. Human Vaccines & Immunotherapeutics, 13(4)  786-790
  16. Larson, H. J., Go, K. H., & De Figueiredo, A. (2018, October 12). Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness.
  17.  Vaccine Confidence Project. (2018, November 11). Philippines: We are Turning Into a Nation of Anti-Vaxxers After the Dengvaxia Controversy: The Vaccine  Confidence Project.
  18.  Altmann, T. K. (2008, August 03). Attitude: A Concept Analysis - Altmann -  2008 – Nursing Forum - Wiley Online Library.
  19.   McDonald, S. M. (2012, February). Perception: A concept analysis.
  20.   Immunization. (2018, February 23). Retrieved from https://www.who.int/topics/immunization/en/
  21. UptoDate, Thomas, S. J., Rothman, A. L., Srikiatkhachorn, A., & Kalayanarooj, S. (2018, 24). Dengue virus infection: Clinical manifestations and diagnosis.
  22.   Kirstein, J., Douglas, W., Thakur, M., Boaz, M., Papa, T., Skipetrova, A., &  Plennevaux, E. (2018). Immunogenicity of the CYD tetravalent dengue vaccine  using an accelerated schedule: randomized phase II study in US adults. BMC  Infectious Diseases, 18(1).
  23. Leheny, S. (2017, February 21). 'Adverse Event,' Not the Same as 'Side Effect'.
  24. National Statistics Office. 2012. 2012 Family income and expenditure survey. Retrieved from http://psa.gov.ph. Accessed 28July 2018.
  25. Larson, H. J., Go, K. H., & De Figueiredo, A. (2018, October 12). Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness.
  26. World Health Organization Regional Office for Europe. (2017). Vaccination and Trust: How Concerns arise and the Role of Communication in Mitigating crises. Copenhagen.
  27. King, C., & Leask, J. (2017, January 23). The impact of a vaccine scare on Parental  views,  Trust  and  InformationNeeds: A Qualitative Study in Sydney, Australia.
  28. Taylor. (n.d.). Vaccine Confidence Plummets in the Philippines Following Dengue          Vaccine Scare: Why it Matters to Pandemic Preparedness.
  29. Bults, M., Beaujean, D. J. M. A., Richardus, J. H., Steenbergen, J. E. van, & Voeten,  H.  A.  C.  M.  (2011,  July  5). Pandemic influenza A (H1N1) vaccination in The Netherlands: Parental reasoning underlying child vaccination choices.
  30. Valido, E. M., Laksanawati, I. S., & Utarini, A. (2018, September 10). Acceptability of the Dengue Vaccination Among Parents in Urban Poor Communities of Quezon City, Philippines Before and After Vaccine Suspension.
  31. Parental Vaccine Knowledge and Behaviours: a survey of ... (n.d.).
  32. Vaccine acceptance: A model of determinants of vaccine ... (n.d.).
  33. King, C. (2017, January 23). The impact of a vaccine scare on parental views, trust and information needs: a qualitative study in Sydney, Australia.
  34. Damnjanović, K., Graeber, J., Ilić, S., Lam, W. Y., Lep, Ž., Morales, S., …Vingerhoets, L. (2018, June 13). Parental Decision-Making on Childhood vaccination.
  35. Braczkowska, B., Kowalska, M., Braczkowski, R., & Barański, K. (2017). Determinants of vaccine hesitancy.
  36. Brown, K. F., Kroll, J. S., Hudson, M.J., Ramsay, M., Green, J., Long, S.J.,Sevdalis, N. (2010). Factors underlying parental decisions about combination childhood vaccinations including MMR: A systematic review. Vaccine, 28(26), 4235–4248. doi: 10.1016/j.vaccine.2010.04.052

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