Parents' views about pre-school immunization: an interview study in southern England

Area of Science:

• Pediatric Health
• Immunization Programs
• Public Health Policy

Background:

• Uptake of pre-school boosters (diphtheria, tetanus, polio, pertussis) and the second dose of measles, mumps, and rubella (MMR) vaccine is lower than primary courses in England.
• Qualitative study to explore parental views on pre-school immunization and reasons for lower uptake.

Purpose of the Study:

• Investigate parental perspectives on pre-school immunizations.
• Identify factors contributing to reduced attendance for pre-school booster vaccinations compared to primary courses.

Main Methods:

• Conducted semi-structured interviews with 21 parents of children aged 2-5 years.
• Recruited participants from nine playgroups and pre-schools across three locations in southern England.
• Employed a modified Grounded Theory approach for data collection and analysis.

Main Results:

• Most parents recognized the importance of pre-school immunization but some questioned necessity based on primary course duration.
• Parents reported receiving minimal information about pre-school doses and limited contact with healthcare professionals.
• Barriers included child's minor illness, apprehension about vaccinating older children, and work/childcare commitments.

Conclusions:

• Parental uncertainties, anxieties, and time constraints impact pre-school immunization attendance.
• Timely information on booster doses and the two-dose MMR program is crucial.
• Involving playgroups/pre-schools and enhancing communication strategies are recommended to improve immunization rates.