Rate of and factors associate with parents’ refusal to give birth dose vaccines against Hepatitis B and Tuberculosis, Alamudun district, Kyrgyzstan, Jan–April 2019

  • Vaccine preventable diseases
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Background:
Kyrgyzstan public health authorities contributed the countrywide measles outbreaks that occurred in 2015 (~17,000 cases) and in 2018 (~3,000 cases) to low vaccine coverage, partially caused by parental refusal to vaccinate children (PRV). As a proxy measure of PRV in general, we studied the level and determinants of parental refusal regarding Hepatitis B and Tuberculosis birth-dose vaccination in a cohort of newborns in Alamudin District of Bishkek, Kyrgyzstan capital city.

Methods:
We prospectively monitored hospital births that occurred during Dec 2018-April 2019 (99% of deliveries occur in hospitals). We enrolled in our study all live births without medical contraindication for vaccinating (n=530). We reviewed maternity records and interviewed mothers within three days of delivery to ascertain PRV. We also collected information on mothers’ socio-demographic characteristics, knowledge and attitudes towards vaccination; and access to health information on vaccination. We used conditional logistical regression to study the vaccination refusal-determinant associations

Results:
Overall, there was 5% (25/530) PRV in the study group. 22% (118/530) of mothers believed vaccines are nonessential and had the highest PRV: 15% (18/118). Relatively high PRV rate was observed among mothers with only school education 9% (11/120). The lowest PRV rate was 1.7% (7/405) among women who acknowledged the need to vaccinate newborns. In multivariate analysis, mothers’ belief that vaccines are nonessential (OR=15.3; 95% CI=4.8-48.8) and probably school education ((OR=2.7; 95% CI=0.9-7.8) were associated with higher PRV

Conclusion:
The rate of PRV is high among mothers who believe the vaccines are nonessential, or with only school education. We believe mother who refuse birth-dose vaccines because of their beliefs will probably refuse other childhood vaccines—this can lead to increase in the pool of susceptible and vaccine-preventable disease outbreaks. PRV can be reduced if health care providers address parental vaccine concerns and stress the benefits and safety of vaccination

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