American Journal of Nursing Research
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American Journal of Nursing Research. 2018, 6(6), 658-667
DOI: 10.12691/ajnr-6-6-37
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Effect of Health Instructional Guidelines for Mothers about Their Children Vaccination

Sahar Mahmoud S. El Awady1, , Azza El-Sayed Ali Hegazy2 and Taghreed Talaat3

1Lecturer of Community Health Nursing, Faculty of Nursing, Helwan University

2Lecturer of Pediatric Nursing, Faculty of Nursing, El-Fayoum University

3Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Helwan University, Egypt

Pub. Date: October 28, 2018

Cite this paper:
Sahar Mahmoud S. El Awady, Azza El-Sayed Ali Hegazy and Taghreed Talaat. Effect of Health Instructional Guidelines for Mothers about Their Children Vaccination. American Journal of Nursing Research. 2018; 6(6):658-667. doi: 10.12691/ajnr-6-6-37


Background: Vaccination means giving a vaccine to a child for activating immune system to resistant an infectious disease, by administration of a vaccine. These vaccines help to stimulate the body's own immune system to protect the children against subsequent diseases. Aim of this study is to evaluate the effect of instructional guidelines for mothers about children vaccination. Design: Quasi-experimental research design was used. Sample: purposive sample equal 375 mothers who having children and attending the routine immunization in centers. Settings: study was conducted at two Maternal-Child Health Centers (in-Helwan and Ezbat Elwalda) at, Ain-Helwan District and Helwan City, Cairo, Egypt. Tool: one tool used; Interview questionnaire sheet composed of 3 parts (Socio-demographiccharacteristics, mothers' knowledge & mothers' reported practice regarding children vaccination). Results: the mean age of mothers was 29.5±7.1 years. Mothers' total knowledge was improved post instructional guidelines than pre. Also, satisfactory reported practices of mothers regarding vaccination was 75% at the post than pre the instructional guidelines. Conclusion: the study denoted that there was an improvement of mothers' knowledge and reported practice after applying the instructional guidelinesthan before with statistically significant differences. Recommendations: provide mothers by health instructional guideline and vaccination booklets which include the importance of vaccination, side effects and how to manage its complications, obligatory vaccine schedule and non-obligatory vaccine schedule in centers.

vaccination instructional guidelines Maternal-Child Health Centers (MCH)

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[1]  Haneef, SM., Maqbool, S., Arif, MA. (2014): Immunization general considerations. Textbook of pediatrics, 1st ed. Pakistan Pediatric Association, International Book Bank, pp. 341.
[2]  Usman, HR., Akhtar, S., Habib, F., Jehan,I. (2016). Redesigned immunization card and Centerbased instructional to reduce childhood immunization dropouts in urban Pakistan: a randomized controlled trial. Vaccine, pp. 467-472.
[3]  Hong, R., Banta,JE. (2015). Effects of extra immunization efforts on routine immunization
[4]  Wong’s, DL. (2015). Nursing care of infants and children (7th edition). India: Elsevier publishers.
[5]  Al-Lela OQ, Bahari MB, Salih MR, Al-Abbassi MG, Elkalmi RM, Jamshed SQ: Factors underlying inadequate parents’ awareness regarding pediatrics immunization: findings of cross-sectional study in Mosul-Iraq. BMC Pediatr 2014, 14(1): 29.
[6]  Expanded program on Immunization. UNICEF program in South and Center of Iraq. UNICEF response to prevent child deaths, diseases and disabilities from the six preventable disease June 2015 last update. [Cited 2002 July 24]. Available from: URL: .
[7]  Jose J, Roshni M &Nisha K., et al (2013): Awareness on immunization among mothers of under-five children, international journal of innovative research & development, 2 (6); 621. Journal of Health Research, 3, (1); 8-12.
[8]  Khalil, I., Troeger, C.,Awosika, BahariMB., Al-Qazaz HK., Salih, MR., Jamshed, SQ., Elkalmi, RM. (2015). Are parents’ knowledge and practice regarding immunization related to pediatrics’ immunization compliance? a mixed method study. BMC Pediatr.
[9]  Rachna Kapoor, and Sheetal Vyas. (2013): Awareness and knowledge of mothers of under five children regarding immunization in Life Science Journal 10(4) http:/ / 1232 Ahmedabad. Healthline Journal, JuleDesember (1); 12-15.
[10]  Mabrouka, A.M., (2015). Knowledge, attitude and practices of mothers regarding immunization of infants and preschool children at Al-Beida City, Libya, Egypt J Pediatr Allergy Immunol; pp.29-34.
[11]  Kaljee, L., Pach, A., Garrett, D., Bajracharya, D., Karki, K., & Khan, I. (2017): Determinants of Childhood Vaccination Coverage in Kazakhstan a qualitative study. The Journal of infectious diseases, pp.243-249.‏
[12]  Adeyinka,D. (2016).Nursing care of infants and children in India. The Internet Journal of Epidemiology, 7; Number 2: pp.54-66
[13]  Bofarraj,Awasthi, S., Nath, B., Singh, BhushanV.,Kumar, V., Singh, SK.. (2018): Study on Immunization coverage and knowledge and practices of mothers regarding immunization in rural area in Indian a 30 Cluster Survey. OJHAS 7(1): 2-10.
[14]  Hamid,Q., Zeng, H., Chen, B. (2013).“Immunization of Children in a Rural Area in China “BMC Public Health pp.203.
[15]  Roos, M.,Bernsen, Fatmah, R., Al-Zahmi, Noura, A., Al-Ali, Rowayah O.,Hamoudi, Noura A. Ali, John Schneider, Jamal Al-Mutawa. (2016). Knowledge, Attitude and Practice towards Immunizations among Mothers in a Traditional City in the United Arab Emirates. Journal of Medical Sciences, pp. 114- 121.
[16]  Sharma &Bhasin. (2014).“Factors associated with immunization coverage of children in Assam, India"pp. 83-103.
[17]  Singleton. (2014).Impact of immunizations on the disease burden of American Indian and Alaska native children" Publishers, India, p.p.249-250.
[18]  Glass, R., Parashar,UD,Bresee,JS, J G., Turcios, R., JB. (2014):Rotavirus and acute diarrheal disease in children in Alexandria. Egypt., Washington DC. Pan American Health Organization, 111-119. Scientific and Technical Publication 593
[19]  Stefanelli, P., Rezza, G. (2015). Impact of vaccination on meningococcal epidemiology in Italy. Hum Vaccine Immunotherapy.
[20]  Frazier &Bankole, A. (2014). Vaccination resistance, religion and attitudes to science in Nigeria published thesis, p. 50.
[21]  Ahmed, S.M., Abd-El Rahman, T.A., &Masoed, E.S (2013): Mothers' awareness and knowledge of under-five years’ children regarding immunization in Minia City Egypt, Life Science Journal; 10: 4.
[22]  Shah B, Bresee JS, J G, TurciosR. (2013).“practice of immunization in an urban educated population, Indian”, pp. 28
[23]  Quaiyum MA, Tunon C, Hel Baqui A, Quayyum Z, Khatun J. (2015). Impact of national Immunization days on polio-related knowledge and practice of urban mothers' in Bangladesh, Health Policy Plan; pp. 363-71.