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Factors related to vaccine hesitancy during the implementation of Measles-Rubella campaign 2017 in rural Puducherry-A

Yuvaraj Krishnamoorthy1, Sivaranjini Kannusamy1, Gokul Sarveswaran1

  • 1Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Journal of Family Medicine and Primary Care
|December 28, 2019
PubMed

Insights

Vaccine hesitancy for the Measles-Rubella (MR) campaign affected 14.1% of parents in rural Puducherry. Key factors included misinformation and inadequate planning, highlighting the need for healthcare worker training.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Measles significantly contributes to child morbidity and mortality globally, with India bearing a substantial burden.
  • The Measles-Rubella (MR) vaccination campaign targets children aged 9 months to 15 years to mitigate these risks.

Purpose of the Study:

  • To determine the prevalence of MR vaccine hesitancy in rural Puducherry.
  • To identify factors associated with MR vaccine hesitancy during the 2017 campaign.

Main Methods:

  • A mixed-method approach combining a cross-sectional survey and in-depth interviews.
  • Survey involved 461 parents of children aged 9 months to 15 years.
  • Interviews explored barriers and facilitators of vaccine hesitancy.

Main Results:

  • The prevalence of MR vaccine hesitancy was 14.1% (95% CI: 11-17.6%).
  • Mother's age was a significant predictor of vaccine hesitancy (aPR=2.27).
  • Facilitators included doctor's role in awareness and parental trust; hindering factors were inadequate knowledge, vaccine safety rumors, and poor health system preparedness.

Conclusions:

  • Nearly one-fifth of parents exhibited hesitancy towards childhood vaccinations.
  • Social media rumors, parental knowledge gaps, and insufficient planning time were primary drivers of hesitancy.
  • Training healthcare workers is crucial to effectively address and manage vaccine hesitancy.
Abstract

Keywords:
Measles vaccineRubella vaccinequalitative research

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