Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study

BackgroundChildhood immunization is one of the most effective global public health interventions to reduce childhood morbidity and mortality. However, some children remain not fully vaccinated in developing countries due to defaulting from full vaccination, which can put them at risk of acquiring va...

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Main Authors: Ararso Hordofa Guye, Tadesse Nigussie, Mengistu Tesema, Dame Banti Shambi, Berhanu Senbeta Diriba, Esayas Mekonen Tefera, Yeabsira Girma
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1083358/full
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author Ararso Hordofa Guye
Tadesse Nigussie
Mengistu Tesema
Dame Banti Shambi
Berhanu Senbeta Diriba
Esayas Mekonen Tefera
Yeabsira Girma
author_facet Ararso Hordofa Guye
Tadesse Nigussie
Mengistu Tesema
Dame Banti Shambi
Berhanu Senbeta Diriba
Esayas Mekonen Tefera
Yeabsira Girma
author_sort Ararso Hordofa Guye
collection DOAJ
description BackgroundChildhood immunization is one of the most effective global public health interventions to reduce childhood morbidity and mortality. However, some children remain not fully vaccinated in developing countries due to defaulting from full vaccination, which can put them at risk of acquiring vaccine-preventable disease outbreaks. The barriers to full vaccination were well explored in Ethiopia using a qualitative approach. The study aimed to explore barriers to full childhood vaccination in Siraro District, West Arsi Zone, Oromia, Ethiopia.MethodsA qualitative study was conducted in Siraro District through 15 key informant health workers interviews and 6 in-depth interviews with children’s mothers from April 20 to May 15, 2022. Data were collected by semi-structured questionnaires and captured using audio tape recorders and field note-taking. A heterogeneous purposive sampling technique was used to select representative study participants. Data transcription and translation were done according to the respondents’ verbatim from the local language to English. Data coding and key categories were identified and analyzed using thematic analysis. Finally, data were presented in narrative forms using respondents' own words as an illustration.ResultTwenty-one study participants were interviewed and included in this study. Of the explored barriers to full childhood vaccination, the evidence from the respondents was integrated from subcategories and presented as a whole within each thematic area. Five thematic areas emerged from interviews of the participants through thematic analysis of the data. The identified barriers were forgetting the next vaccination schedule, migration of parents, work overload, lack of knowledge and awareness, rumors, and misinformation. Additionally, vaccination service delivery-related barriers such as vaccine vials not being opened for a few children, fear of vaccine side effects, closed health posts during visits by mothers for vaccination, and absence of health extension workers at health posts were the key barriers to full childhood vaccination.ConclusionForgetting vaccination schedule, migration of parents, work overload, rumors, and misinformation, fear of vaccine side effects, vaccine vial not opened for few children, closed health posts during visiting by mothers, absence of health extension workers from health posts were the key barriers to the full vaccination status of children. Thus, the district health office should work on barriers to full vaccination by strengthening vaccination service delivery and improving vaccination awareness through a health extension program.
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spelling doaj.art-1c3adbbb1e1a4ac5892f1666d32ac9022023-03-03T04:58:36ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.10833581083358Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative studyArarso Hordofa Guye0Tadesse Nigussie1Mengistu Tesema2Dame Banti Shambi3Berhanu Senbeta Diriba4Esayas Mekonen Tefera5Yeabsira Girma6Department of Public Health, College of Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health, College of Health Sciences, Salale University, Fiche, EthiopiaDepartment of Pediatrics and Child Health, College of Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health, College of Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health, College of Health Sciences, Salale University, Fiche, EthiopiaDepartment of Public Health, College of Health Sciences, Salale University, Fiche, EthiopiaDepartment of Maternal and Child Health, Center for Family Service Organization, Addis Ababa, EthiopiaBackgroundChildhood immunization is one of the most effective global public health interventions to reduce childhood morbidity and mortality. However, some children remain not fully vaccinated in developing countries due to defaulting from full vaccination, which can put them at risk of acquiring vaccine-preventable disease outbreaks. The barriers to full vaccination were well explored in Ethiopia using a qualitative approach. The study aimed to explore barriers to full childhood vaccination in Siraro District, West Arsi Zone, Oromia, Ethiopia.MethodsA qualitative study was conducted in Siraro District through 15 key informant health workers interviews and 6 in-depth interviews with children’s mothers from April 20 to May 15, 2022. Data were collected by semi-structured questionnaires and captured using audio tape recorders and field note-taking. A heterogeneous purposive sampling technique was used to select representative study participants. Data transcription and translation were done according to the respondents’ verbatim from the local language to English. Data coding and key categories were identified and analyzed using thematic analysis. Finally, data were presented in narrative forms using respondents' own words as an illustration.ResultTwenty-one study participants were interviewed and included in this study. Of the explored barriers to full childhood vaccination, the evidence from the respondents was integrated from subcategories and presented as a whole within each thematic area. Five thematic areas emerged from interviews of the participants through thematic analysis of the data. The identified barriers were forgetting the next vaccination schedule, migration of parents, work overload, lack of knowledge and awareness, rumors, and misinformation. Additionally, vaccination service delivery-related barriers such as vaccine vials not being opened for a few children, fear of vaccine side effects, closed health posts during visits by mothers for vaccination, and absence of health extension workers at health posts were the key barriers to full childhood vaccination.ConclusionForgetting vaccination schedule, migration of parents, work overload, rumors, and misinformation, fear of vaccine side effects, vaccine vial not opened for few children, closed health posts during visiting by mothers, absence of health extension workers from health posts were the key barriers to the full vaccination status of children. Thus, the district health office should work on barriers to full vaccination by strengthening vaccination service delivery and improving vaccination awareness through a health extension program.https://www.frontiersin.org/articles/10.3389/fped.2023.1083358/fullbarriers to full vaccinationexploring vaccination barriersimmunizationSiraro DistrictWest Arsi Zone
spellingShingle Ararso Hordofa Guye
Tadesse Nigussie
Mengistu Tesema
Dame Banti Shambi
Berhanu Senbeta Diriba
Esayas Mekonen Tefera
Yeabsira Girma
Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study
Frontiers in Pediatrics
barriers to full vaccination
exploring vaccination barriers
immunization
Siraro District
West Arsi Zone
title Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study
title_full Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study
title_fullStr Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study
title_full_unstemmed Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study
title_short Exploring barriers of childhood full vaccination among children living in Siraro District, West Arsi Zone, Oromia region, Ethiopia: A qualitative study
title_sort exploring barriers of childhood full vaccination among children living in siraro district west arsi zone oromia region ethiopia a qualitative study
topic barriers to full vaccination
exploring vaccination barriers
immunization
Siraro District
West Arsi Zone
url https://www.frontiersin.org/articles/10.3389/fped.2023.1083358/full
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