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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53352#.VL3NMizQrzE
Affiliation(s)
1Department of Paediatrics, University of Nigeria Enugu Campus, Enugu, Nigeria.
2Institute of Child Health/Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria.
3Division of Paediatrics, Providence Hospital, Ikoyi, Lagos, Nigeria.
2Institute of Child Health/Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria.
3Division of Paediatrics, Providence Hospital, Ikoyi, Lagos, Nigeria.
ABSTRACT
Background:
Introduction of inactivated polio vaccine is imminent and may encounter
the challenges that face new vaccines especially vaccine hesitancy. The
study evaluated factors that may contribute to hesitancy towards IPV.
Methods: Questionnaire adapted from the model developed by the Strategic
Advisory Group of Experts Working Group (SAGE WG) was used to assess
the factors among 408 parents. The evaluation was under the 3 Cs:
Confidence, Complacency and Convenience. Questions were scored on Likert
4-unit-scale system. The data were analyzed using SPSS and,
multivariate analysis was used to further test individual significant
variables. Results: Overall, Complacency (2.29) and Convenience (2.11)
domains were more pro-vaccine hesitant, than Confidence (1.83) domain.
However, none was significantly associated with likelihood of a parent’s
hesitancy towards IPV vaccination. But certain individual questions:
competence of vaccinators (p = 0.04), confidence that their child will
not to be infected with poliomyelitis even when not vaccinated (p =
0.03) and, willingness to vaccinate with IPV when OPV is still in use (p
= 0.01) were significantly associated with vaccine hesitancy.
Conclusions: None of the factors can individually influence acceptance
of IPV. However, competence of vaccinators, parental belief and
availability of close alternative influenced parental decision to
vaccinate.
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