Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study

Background Rotavirus is a leading cause of hospitalized diarrhea cases in Indonesia. Despite the rotavirus vaccine being recom-mended by the Indonesian Pediatric Society since 2011, it has yet to be been included in the Indonesian national immunization program (NIP) schedule. Objective To explore ma...

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Main Authors: Sitaresmi, Mei Neni, Seale, Holly, Heywood, Anita E., Padmawati, Retna S., Soenarto, Yati, Macintyre, C. Raina, Atthobari, Jarir
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2022
Subjects:
Online Access:https://repository.ugm.ac.id/283354/1/47.pdf
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author Sitaresmi, Mei Neni
Seale, Holly
Heywood, Anita E.
Padmawati, Retna S.
Soenarto, Yati
Macintyre, C. Raina
Atthobari, Jarir
author_facet Sitaresmi, Mei Neni
Seale, Holly
Heywood, Anita E.
Padmawati, Retna S.
Soenarto, Yati
Macintyre, C. Raina
Atthobari, Jarir
author_sort Sitaresmi, Mei Neni
collection UGM
description Background Rotavirus is a leading cause of hospitalized diarrhea cases in Indonesia. Despite the rotavirus vaccine being recom-mended by the Indonesian Pediatric Society since 2011, it has yet to be been included in the Indonesian national immunization program (NIP) schedule. Objective To explore maternal knowledge of and attitudes towards rotavirus diarrhea, as well as barriers to vaccine acceptance in Yogyakarta, Indonesia. Methods We conducted 26 in-depth interviews in two districts (rural and urban areas) of Yogyakarta Province, Indonesia. Participants included women in their third trimester of pregnancy and mothers of infants younger than 14 weeks. We then proceeded with thematic analysis. Results Participants did not perceive diarrhea as being a priority health problem. Very few had heard of rotavirus diarrhea or were aware of vaccine availability. While participants would accept vaccinating their children against rotavirus, some key barriers impacted vaccine use. As the rotavirus vaccine is not included in the Indonesian NIP, parents perceived it as not essential. Parents were concerned about the safety and benefit of the vaccine due to its perceived newness. Other concerns were cost and halal status. Participants expressed a need for more information on the vaccine’s effectiveness and safety, with their primary healthcare providers (HCPs) considered to play the most important role in vaccine acceptance. Conclusions In Yogyakarta, Indonesia, awareness of the seriousness of rotavirus disease and the availability of the rotavirus vaccine is low. Its newness, safety, efficacy, and cost, and doubts about its halal status, were barriers to vaccine acceptance. Information and recommendations from HCPs play an essential role in vaccine acceptance. Paediatr Indones. 2022;62:333-40. © 2022, Indonesian Pediatric Society Publishing House. All rights reserved.
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spelling oai:generic.eprints.org:2833542023-11-20T07:16:46Z https://repository.ugm.ac.id/283354/ Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study Sitaresmi, Mei Neni Seale, Holly Heywood, Anita E. Padmawati, Retna S. Soenarto, Yati Macintyre, C. Raina Atthobari, Jarir Paediatrics Background Rotavirus is a leading cause of hospitalized diarrhea cases in Indonesia. Despite the rotavirus vaccine being recom-mended by the Indonesian Pediatric Society since 2011, it has yet to be been included in the Indonesian national immunization program (NIP) schedule. Objective To explore maternal knowledge of and attitudes towards rotavirus diarrhea, as well as barriers to vaccine acceptance in Yogyakarta, Indonesia. Methods We conducted 26 in-depth interviews in two districts (rural and urban areas) of Yogyakarta Province, Indonesia. Participants included women in their third trimester of pregnancy and mothers of infants younger than 14 weeks. We then proceeded with thematic analysis. Results Participants did not perceive diarrhea as being a priority health problem. Very few had heard of rotavirus diarrhea or were aware of vaccine availability. While participants would accept vaccinating their children against rotavirus, some key barriers impacted vaccine use. As the rotavirus vaccine is not included in the Indonesian NIP, parents perceived it as not essential. Parents were concerned about the safety and benefit of the vaccine due to its perceived newness. Other concerns were cost and halal status. Participants expressed a need for more information on the vaccine’s effectiveness and safety, with their primary healthcare providers (HCPs) considered to play the most important role in vaccine acceptance. Conclusions In Yogyakarta, Indonesia, awareness of the seriousness of rotavirus disease and the availability of the rotavirus vaccine is low. Its newness, safety, efficacy, and cost, and doubts about its halal status, were barriers to vaccine acceptance. Information and recommendations from HCPs play an essential role in vaccine acceptance. Paediatr Indones. 2022;62:333-40. © 2022, Indonesian Pediatric Society Publishing House. All rights reserved. Indonesian Pediatric Society Publishing House 2022 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/283354/1/47.pdf Sitaresmi, Mei Neni and Seale, Holly and Heywood, Anita E. and Padmawati, Retna S. and Soenarto, Yati and Macintyre, C. Raina and Atthobari, Jarir (2022) Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study. Paediatrica Indonesiana(Paediatrica Indonesiana), 62 (5). 333 -340. ISSN 2338-476X https://www.scopus.com/inward/record.uri?eid=2-s2.0-85141125377&doi=10.14238%2fpi62.5.2022.333-40&partnerID=40&md5=0f7c4c54ba175bf9190d62a29a39a315 10.14238/pi62.5.2022.333-40
spellingShingle Paediatrics
Sitaresmi, Mei Neni
Seale, Holly
Heywood, Anita E.
Padmawati, Retna S.
Soenarto, Yati
Macintyre, C. Raina
Atthobari, Jarir
Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study
title Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study
title_full Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study
title_fullStr Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study
title_full_unstemmed Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study
title_short Maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in Yogyakarta, Indonesia: a qualitative study
title_sort maternal knowledge and attitudes towards rotavirus diarrhea and vaccine acceptance in yogyakarta indonesia a qualitative study
topic Paediatrics
url https://repository.ugm.ac.id/283354/1/47.pdf
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