Factors Associated with Basic Immunization Status in Children with Congenital Heart Disease

Juliana Hariandja^1, , Kusnandi Rusmil¹ and Sri Endah Rahayuningsih¹

¹Departement of Child Health, Faculty of Medicine Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Jl. Pasteur no. 38 Bandung, Indonesia

Cite this paper:
Juliana Hariandja, Kusnandi Rusmil and Sri Endah Rahayuningsih. Factors Associated with Basic Immunization Status in Children with Congenital Heart Disease. American Journal of Clinical Medicine Research. 2017; 5(1):10-14. doi: 10.12691/ajcmr-5-1-3

Abstract

Background: Children with congenital heart disease are susceptible to infection that could be prevented by immunization. Information about factors associated with immunization in children with congenital heart disease is lacking. Objective: To determine factors associated with the basic immunization in children with congenital heart disease. Methods: This is a sequence explanatory mixed method study which combined quantitative analytic study on 90 subjects and qualitative study using focus group discussion. Parents of children with congenital heart disease aged 12-60 months who posses immunization card were included. Independent variables were mother’s age, education, occupation, child’s age at diagnosis, congenital heart disease type, information and source of information, knowledge and attitude, while basic immunization status served as dependent variable. Outcome of quantitative study was used as initial topics discussed at the focus group discussion. Results: The percentage of fully immunized children in this study was 83.3%. Knowledge and information have significant association with basic immunization status. Counseling by health workers and the information about vaccines’ safety gave confidence to participants of focus group discussion to provide immunizations. The biggest concern came from midwives who worried about the children’s condition so they refused to give the immunization. Conclusion: Knowledge and information are factors associated with basic immunization status in children with congenital heart disease. Midwives concern about children condition made them refuse to give the immunization. It is necessary to provide councelling for midwives about immunization in children with congenital heart disease.

Keywords:
children congenital heart disease immunization

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References:

[1]	Djer MM, Madiyono B. Tatalaksana Penyakit Jantung Bawaan. Sari Pediatri. 2000; 2(3). 155-162
[2]	Devkota S, Simkhada P, Teijlingen Ev, Rai LD. Parents’ knowledge and practices to childhood immunisation in nepal: implications for health policy. Health Sci J. 2013;7 (4): 370-83.
[3]	Falagasa ME, Zarkadoulia E. Factors associated with suboptimal compliance to vaccinations in children in developed countries: a systematic review. Curr Med Res Opin. 2008; 24: 1719-41.
[4]	Yaiphakonbi L, Thapa R, Parmar N, Siddhpuria K. Assessment of the level of knowledge on immunization schedule among the mothers of under five children with a view to develop an information booklet. PIJR. 2015; 4: 34-7
[5]	Okoro J, Ojinnaka N, Ikefuna A, Onyenwe N. Sociodemographic influences on immunization of children with chronic neurological disorders in enugu, nigeria. Trials Vaccinol . 2015; 4: 9-13.
[6]	Leask J, Kinnersley P, Jackson C, Cheater F, Bedford H, Rowles6 G. Communicating with parents about vaccination: a framework for health professionals. BMC Pediatrics. 2012; 12(154). 1-11.
[7]	Raithatha N, Holland R, Gerrard S, Harvey I. A qualitative investigation of vaccine risk perception amongst parents who immunize their children: a matter of public health concern J Public Health Med.. 2003; 2: 161-4.
[8]	Benin AL, Wisler-Scher DJ, Colson E, Shapiro ED, Holmboe ES. Qualitative analysis of mothers’ decision-making about vaccines for infants: the importance of trust. Pediatrics. 2006; 117: 1532-41.
[9]	Harmsen IA, Mollema L, Ruiter RA, Paulussen TG, Melker HEd, Kok AG. Why parents refuse childhood vaccination: a qualitative study using online focus groups. BMC Public Health.2013; 13: 1-8.
[10]	Satgas Imunisasi Ikatan Dokter Anak Indonesia. Imunisasi upaya pencegahan primer. In: Pedoman imunisasi di Indonesia. Ranuh IG, Suyitno H, Hadinegoro SRS, Kartasasmita CB, Ismoedijanto, Soedjatmiko, editor. Jakarta. 2014.
[11]	Awadh AI, Hassali MA, Al-lela OQ, Bux SH, Elkalmi RM, Hadi H. Immunization knowledge and practice among malaysian parents: a questionnaire development and pilot-testing. BMC Public Health. 2014; 14: 1-7.
[12]	Abdulraheem IS, Onajole AT, Jimoh AAG, R. AROA. Reasons for incomplete vaccination and factors for missed opportunities among rural nigerian children. J. Public Health Epidemiol. 2011; 34: 194-203.
[13]	Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A study of knowledge, attitude and practices on immunization of children in urban slums of bijapur city, karnataka, india. J Clin Diagn Res. 2013; 7: 2803-6.
[14]	Borràs E, Domínguez À, Fuentes M, Batalla J, Cardeñosa N, Plasencia A. Parental knowledge of paediatric vaccination. BMC Public Health. 2009; 9: 1-7.
[15]	Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. Pediatrics. 2008; 122: 718-25.
[16]	Kennedy A, Basket M, Sheedy aK. Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 health styles survey. Pediatrics. 2011; 127: S92-8.