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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 6 Issue 5, July-August 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD50512 | Volume – 6 | Issue – 5 | July-August 2022 Page 747
Knowledge Regarding Immunization
among Mothers of Under Five Children
Ms. A. Dimri1
, Mr. A Bijalwan1
, Ms. A. Gurung1
, Ms. A Semwal1
, Ms. A. Kalura1
Mr. Atul Kumar2
, Mr. Suresh Chander3
1
B.Sc.(N) Student, Himalayan College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India
2
Assistant Professor, College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India
3
Nursing Tutor, College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India
ABSTRACT
Introduction:- Immunizations is one of the most successful and core
effective public health investigation to bring future generation
healthy. According to Health and Family welfare Dept of India, the
under five child mortality rate was 28 per 1000 live births (2021) and
six-killer disease are among the major cause for death of children.
Method and material:- A quantitative survey research design was
used to assess the knowledge regarding immunization among
mothers of under five children. The study was conducted in Doiwala
Block in Dehradun.108 under five children mothers were selected by
Non-probability Convenient sampling technique. Data was analysed
by using descriptive and inferential analysis method
Results: Research finding reveals that less than half (39.81%) of
mother’s had good knowledge, 33 (30.55% ) mothers had very good
knowledge, and very less (8.33%) had excellent knowledge regarding
benefits of immunization for children
Conclusion:- Based on the research findings it was concluded that
maximum mothers not have excellent knowledge regarding
advantages of child immunization in rural area, to achieve 100%
immunization of children, we have need awareness programme for
mothers in rural community areas.
KEYWORDS: knowledge, immunization, mothers of under-five child
How to cite this paper: Ms. A. Dimri |
Mr. A Bijalwan | Ms. A. Gurung | Ms. A
Semwal | Ms. A. Kalura | Mr. Atul
Kumar | Mr. Suresh Chander
"Knowledge Regarding Immunization
among Mothers of Under Five Children"
Published in
International Journal
of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-6 |
Issue-5, August
2022, pp.747-749, URL:
www.ijtsrd.com/papers/ijtsrd50512.pdf
Copyright © 2022 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Vaccines are the world's safest method to protect
children from life-threatening diseases like diphtheria,
tetanus, pertussis, influenza and measles. Vaccination
save more than five lives every minute – preventing
up to three million deaths in a year.(1)
Immunization is the process whereby a person is
made immune or resistance to an infectious disease.
Immunization is a key component of primary health
care.(2)
Immunization is one of the most effective,
safest and efficient Public Health Interventions for the
prevention from several disease among under five
children. (3)
India has the highest number of morbidity and
mortality rate among under five children and the
impact of Immunization on childhood morbidity &
mortality has been great, it’s full potential has yet to
be reached. Routine immunization is one of the most
cost effective public health interventions & it was
introduced in India in 1978. Yet despite the concrete
efforts of government & other health agencies, a large
proportion of vulnerable infants & children in India
remain unimmunized.(4)
According to UNICEF (2019)1.4 million children
were not vaccinated in India(5).
According to the ‘Health in India’ report recently
published by the National Statistical Organisation, 40
% of children were not fully vaccinated and only
59.2% of children under five years were fully
immunized. Report highlight that in India 5 lakh
deaths of children was due to vaccine-preventable
diseases (6)
IJTSRD50512
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD50512 | Volume – 6 | Issue – 5 | July-August 2022 Page 748
Vaccinating the children is a cost-effective method to
prevent communicable diseases and improve the
survival of children. Government of India is
implementing different strategies for full coverage of
immunization.(7)
Every country has included immunization in their
health system goals but still there are many children
who didn’t get immunized due to lack of
awareness(8).
According to the Ministry of Health and
Family welfare in 2016 the under-five child mortality
rate was 45 per 1000 live births in India and in
Uttarakhand it was 38per 1000 live birth and the six-
killer disease was the major causes of death among
children.(9)
Azmi f, Dr. Prakash R. have conduct non
experimental survey research study on knowledge
towards immunization among mothers in Moradabad,
UP. Thirty under five mothers were selected by
convenient sampling technique. Research result
revealed that 66.66% mothers had poor knowledge
regarding immunization and very less 10% mothers
had good knowledge. Researcher felt the need of
awareness among mothers about benefits of
Immunization so that we can achieve 100 %
immunization of under five children 3
.
Method:-
A quantitative research approach with cross sectional
survey research design was adopted to assess the
knowledge regarding immunization among mothers
of under five children. A total of 108 mothers residing
in Doiwala Block, Dehradun were selected by
Convenient sampling technique. The tools used for
data collection was structured knowledge
questionnaires Research data was collected from 12
June 2017- 20 June 2017. Ethical Committee
permission was obtained from the concerned
institutional authorities. Written consent was obtained
from study participants.
Results:-
Table -1 Demographic characteristic of mothers by frequency and percentages. (n =108)
S. No Demographic variables Frequency(f) Percentage (%)
1.
Age in years
• 18-30
• 31-42
87
21
80.55
19.44
2.
Educational status
• Educated
• Uneducated
94
14
87.03
12.96
3.
Occupation of Mother
• Housewife
• Working
91
17
84.25
15.74
4.
Monthly family income
• 1000-50000
• 50001-above
103
5
95.37
4.62
5.
Number of under five children in family
• 1-2
• 3-4
107
1
99.07
0.92
6.
Type of family
• Joint
• Nuclear
55
53
50.92
49.07
7.
Place of delivery
• Hospital
• Home
108
0
100
0
8.
Previous knowledge regarding immunization
• Yes
• No
104
4
96.29
3.70
9.
Source of previous knowledge
• Multi-media
• people
38
66
36.53
63.46
Table -1 shows that majority of (80.55%) mothers were aged between 18-30 years, Majority of mothers
(84.25%) were housewife. Majority of mothers (99.07%) have one-two under five child in family. Majority of
mothers (96.2%) have previous knowledge regarding immunization
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD50512 | Volume – 6 | Issue – 5 | July-August 2022 Page 749
Table No- 2 Frequency and percentage distribution of Knowledge score of mothers.
n=108
S. No Level of knowledge Frequency (f) Percentage (%)
1. Poor 3 2.77
2. Average 20 18.51
3. Good 76 70.37
4. Excellent 9 8.33
Table no-2 shows that maximum mothers (70.37%) have good knowledge regarding immunization of children.
Negligible number of mothers (8.33%) have excellent knowledge regarding immunization.
Discussion:-
The study finding highlight that most of mothers have
good knowledge regarding immunization of under
five children but very less (8.33%) mothers have
excellent knowledge regarding benefits of
immunization of under five children. When all the
mother should have excellent knowledge regarding
benefits of immunization then only we can achieve
full immunization coverage of under five children.
Limitation:-In this study no intervention were given
mothers, only the knowledge of mother’s were
assessed.
Recommendation:-
A comparative research study can be done
between rural and urban area mothers
Interventional research study can done for
upgrading knowledge of rural mother regarding
benefits of Immunization
Conclusion: - Based on the research finding it was
concluded that most of mother had good knowledge
regarding immunization, Therefore necessity for
awareness programme for mothers regarding benefits
of Immunization.
Conflict of Interest: - There is no conflict of interest
References:-
[1] https://www.unicef.org › immunization
[2] https://www.who.int/ immunization
[3] Farha Azmi RN RM, Dr. Ratna Prakash,
"Assessment of Knowledge towards
Immunization among Mothers of Under-Five ",
International Journal of Science and Research
(IJSR), https://www.ijsr.net, Volume 4 Issue 2,
February 2015, 1898 - 1900
[4] https://nhm.gov.in › Immunization Handbook
for Medical officers (2017); Department of
Health & Family Welfare, Govt. of India;
page10, 15
[5] https://data.unicef.org› Child health
Vaccination and Immunization Statistics
[6] https://www.insightsonindia.com› New
Articles:- Health in India' report: (2019)
[7] Rubleen Kaur, Diksha Jassal, Naveenta
Sharma, Kamaljeet Kaur, etc, Knowledge,
attitude, and practice of mothers regarding
immunization Indian J Pharmacol. 2021 Jul-
Aug; 53(4): 336–338.
[8] https://www.who.int › docs › wuenic_notes
“WHO UNICEF Immunization Coverage
Estimates”.
[9] https://censusindia.gov.in› SRS_Report_2016

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Knowledge Regarding Immunization among Mothers of Under Five Children

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 6 Issue 5, July-August 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD50512 | Volume – 6 | Issue – 5 | July-August 2022 Page 747 Knowledge Regarding Immunization among Mothers of Under Five Children Ms. A. Dimri1 , Mr. A Bijalwan1 , Ms. A. Gurung1 , Ms. A Semwal1 , Ms. A. Kalura1 Mr. Atul Kumar2 , Mr. Suresh Chander3 1 B.Sc.(N) Student, Himalayan College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India 2 Assistant Professor, College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India 3 Nursing Tutor, College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India ABSTRACT Introduction:- Immunizations is one of the most successful and core effective public health investigation to bring future generation healthy. According to Health and Family welfare Dept of India, the under five child mortality rate was 28 per 1000 live births (2021) and six-killer disease are among the major cause for death of children. Method and material:- A quantitative survey research design was used to assess the knowledge regarding immunization among mothers of under five children. The study was conducted in Doiwala Block in Dehradun.108 under five children mothers were selected by Non-probability Convenient sampling technique. Data was analysed by using descriptive and inferential analysis method Results: Research finding reveals that less than half (39.81%) of mother’s had good knowledge, 33 (30.55% ) mothers had very good knowledge, and very less (8.33%) had excellent knowledge regarding benefits of immunization for children Conclusion:- Based on the research findings it was concluded that maximum mothers not have excellent knowledge regarding advantages of child immunization in rural area, to achieve 100% immunization of children, we have need awareness programme for mothers in rural community areas. KEYWORDS: knowledge, immunization, mothers of under-five child How to cite this paper: Ms. A. Dimri | Mr. A Bijalwan | Ms. A. Gurung | Ms. A Semwal | Ms. A. Kalura | Mr. Atul Kumar | Mr. Suresh Chander "Knowledge Regarding Immunization among Mothers of Under Five Children" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-6 | Issue-5, August 2022, pp.747-749, URL: www.ijtsrd.com/papers/ijtsrd50512.pdf Copyright © 2022 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Vaccines are the world's safest method to protect children from life-threatening diseases like diphtheria, tetanus, pertussis, influenza and measles. Vaccination save more than five lives every minute – preventing up to three million deaths in a year.(1) Immunization is the process whereby a person is made immune or resistance to an infectious disease. Immunization is a key component of primary health care.(2) Immunization is one of the most effective, safest and efficient Public Health Interventions for the prevention from several disease among under five children. (3) India has the highest number of morbidity and mortality rate among under five children and the impact of Immunization on childhood morbidity & mortality has been great, it’s full potential has yet to be reached. Routine immunization is one of the most cost effective public health interventions & it was introduced in India in 1978. Yet despite the concrete efforts of government & other health agencies, a large proportion of vulnerable infants & children in India remain unimmunized.(4) According to UNICEF (2019)1.4 million children were not vaccinated in India(5). According to the ‘Health in India’ report recently published by the National Statistical Organisation, 40 % of children were not fully vaccinated and only 59.2% of children under five years were fully immunized. Report highlight that in India 5 lakh deaths of children was due to vaccine-preventable diseases (6) IJTSRD50512
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD50512 | Volume – 6 | Issue – 5 | July-August 2022 Page 748 Vaccinating the children is a cost-effective method to prevent communicable diseases and improve the survival of children. Government of India is implementing different strategies for full coverage of immunization.(7) Every country has included immunization in their health system goals but still there are many children who didn’t get immunized due to lack of awareness(8). According to the Ministry of Health and Family welfare in 2016 the under-five child mortality rate was 45 per 1000 live births in India and in Uttarakhand it was 38per 1000 live birth and the six- killer disease was the major causes of death among children.(9) Azmi f, Dr. Prakash R. have conduct non experimental survey research study on knowledge towards immunization among mothers in Moradabad, UP. Thirty under five mothers were selected by convenient sampling technique. Research result revealed that 66.66% mothers had poor knowledge regarding immunization and very less 10% mothers had good knowledge. Researcher felt the need of awareness among mothers about benefits of Immunization so that we can achieve 100 % immunization of under five children 3 . Method:- A quantitative research approach with cross sectional survey research design was adopted to assess the knowledge regarding immunization among mothers of under five children. A total of 108 mothers residing in Doiwala Block, Dehradun were selected by Convenient sampling technique. The tools used for data collection was structured knowledge questionnaires Research data was collected from 12 June 2017- 20 June 2017. Ethical Committee permission was obtained from the concerned institutional authorities. Written consent was obtained from study participants. Results:- Table -1 Demographic characteristic of mothers by frequency and percentages. (n =108) S. No Demographic variables Frequency(f) Percentage (%) 1. Age in years • 18-30 • 31-42 87 21 80.55 19.44 2. Educational status • Educated • Uneducated 94 14 87.03 12.96 3. Occupation of Mother • Housewife • Working 91 17 84.25 15.74 4. Monthly family income • 1000-50000 • 50001-above 103 5 95.37 4.62 5. Number of under five children in family • 1-2 • 3-4 107 1 99.07 0.92 6. Type of family • Joint • Nuclear 55 53 50.92 49.07 7. Place of delivery • Hospital • Home 108 0 100 0 8. Previous knowledge regarding immunization • Yes • No 104 4 96.29 3.70 9. Source of previous knowledge • Multi-media • people 38 66 36.53 63.46 Table -1 shows that majority of (80.55%) mothers were aged between 18-30 years, Majority of mothers (84.25%) were housewife. Majority of mothers (99.07%) have one-two under five child in family. Majority of mothers (96.2%) have previous knowledge regarding immunization
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD50512 | Volume – 6 | Issue – 5 | July-August 2022 Page 749 Table No- 2 Frequency and percentage distribution of Knowledge score of mothers. n=108 S. No Level of knowledge Frequency (f) Percentage (%) 1. Poor 3 2.77 2. Average 20 18.51 3. Good 76 70.37 4. Excellent 9 8.33 Table no-2 shows that maximum mothers (70.37%) have good knowledge regarding immunization of children. Negligible number of mothers (8.33%) have excellent knowledge regarding immunization. Discussion:- The study finding highlight that most of mothers have good knowledge regarding immunization of under five children but very less (8.33%) mothers have excellent knowledge regarding benefits of immunization of under five children. When all the mother should have excellent knowledge regarding benefits of immunization then only we can achieve full immunization coverage of under five children. Limitation:-In this study no intervention were given mothers, only the knowledge of mother’s were assessed. Recommendation:- A comparative research study can be done between rural and urban area mothers Interventional research study can done for upgrading knowledge of rural mother regarding benefits of Immunization Conclusion: - Based on the research finding it was concluded that most of mother had good knowledge regarding immunization, Therefore necessity for awareness programme for mothers regarding benefits of Immunization. Conflict of Interest: - There is no conflict of interest References:- [1] https://www.unicef.org › immunization [2] https://www.who.int/ immunization [3] Farha Azmi RN RM, Dr. Ratna Prakash, "Assessment of Knowledge towards Immunization among Mothers of Under-Five ", International Journal of Science and Research (IJSR), https://www.ijsr.net, Volume 4 Issue 2, February 2015, 1898 - 1900 [4] https://nhm.gov.in › Immunization Handbook for Medical officers (2017); Department of Health & Family Welfare, Govt. of India; page10, 15 [5] https://data.unicef.org› Child health Vaccination and Immunization Statistics [6] https://www.insightsonindia.com› New Articles:- Health in India' report: (2019) [7] Rubleen Kaur, Diksha Jassal, Naveenta Sharma, Kamaljeet Kaur, etc, Knowledge, attitude, and practice of mothers regarding immunization Indian J Pharmacol. 2021 Jul- Aug; 53(4): 336–338. [8] https://www.who.int › docs › wuenic_notes “WHO UNICEF Immunization Coverage Estimates”. [9] https://censusindia.gov.in› SRS_Report_2016