RESEARCH ARTICLE


Determinants of Parents’ Knowledge, Attitudes, and Practice toward Childhood Vaccination: A National Study



Omayah Nassar1
iD
, Sandi Alshahwan2
iD
, Rashed Alshahwan3, Suhaila Halasa1
iD
, Shereen Alashhab4, Malek Alnajar5, *
iD

1 Department of Maternal and Child Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan
2 Department of Health Sciences, Higher Colleges of Technology, Abu Dhabi, Abu Dhabi, United Arab Emirates
3 Department of General Surgery, Jordanian Royal Medical Services (JRMS), Amman, Jordan
4 Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan
5 The University of Utah, Salt Lake City, UT 84112, United States


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Creative Commons License
© 2023 Nassar et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the The University of Utah, Salt Lake City, UT 84112, United States; E-mail: m.alnajar@utah.edu


Abstract

Background:

Childhood vaccination is one of the World Health Organization's strategies to reduce vaccine-preventable diseases and children's mortality and morbidity rates. Adequate and accurate knowledge, as well as positive attitudes regarding vaccination, may increase parents’ compliance with their children’s vaccines.

Objective:

This study aimed to identify the determinants of parents’ knowledge, attitude, and practice toward childhood vaccination in Jordan.

Methods:

This is a descriptive cross-sectional study. The stratification method of sampling technique was used to split Jordan into three regions. The sample included 1477 participants. A total number of eleven Maternal and Child Health Care centers were selected as the study’s site.

Results:

Results showed that parents have sufficient knowledge regarding the importance of vaccines in maintaining a child’s health, with a mean percentage of correctly answered questions of 78.7%. However, they have inadequate knowledge regarding the adverse reactions (57.5%) and the contraindications of vaccines (61.8%). Parents had positive attitudes regarding the National Immunization Program where 97% agreed with it. However, 83% of parents had negative attitudes toward vaccine safety. Parents’ work, residency, income, and age are significant determinants of parents’ attitudes, knowledge, and practice regarding children's vaccines.

Conclusion:

The study may motivate nurses to implement more educational interventions regarding children’s vaccination to upgrade parents' knowledge with particular emphasis on parents with a low level of education and the residents of rural areas.

Keywords: Immunization, Vaccination, Children, Knowledge, Attitudes, Practice.