Coverage and social and behavioural drivers of routine childhood immunisation in selected regions in the Philippines: a cross-sectional study
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View abstract on PubMed
Summary
This summary is machine-generated.In the Philippines, only 65% of children are fully vaccinated, with access and acceptance barriers hindering routine immunisation. Improving vaccine accessibility and caregiver education is crucial for increasing childhood vaccination rates.
Area Of Science
- Public Health
- Epidemiology
- Health Behavior
Background
- Childhood immunisation coverage in the Philippines falls below targets, exacerbated by the COVID-19 pandemic, leading to vaccine-preventable disease outbreaks.
- Identifying social and behavioural drivers is essential to enhance routine childhood immunisation uptake.
Purpose Of The Study
- To determine the social and behavioural factors influencing routine childhood immunisation in the Philippines.
- To identify preferred information sources for caregivers regarding childhood vaccinations.
Main Methods
- A quantitative, cross-sectional study was conducted in three low-coverage regions in the Philippines in 2023.
- Data on Behavioural and Social Drivers (BeSD) of immunisation, caregiver information preferences, and vaccination status of children under five were collected and analyzed using the WHO BeSD framework.
Main Results
- Only 65% of children were fully immunised; key reasons for complete vaccination included perceived protection, healthcare worker recommendations, and free services.
- Barriers to partial or zero vaccination included intercurrent illness, inaccessible sites, and age-related beliefs.
- Older caregiver age and lower vaccine safety concerns predicted complete immunisation, while affiliation with non-Catholic Christian denominations was associated with lower coverage.
Conclusions
- Significant gaps in childhood immunisation persist in the Philippines, influenced by both access and acceptance factors.
- Enhancing service accessibility, educating healthcare workers on vaccine specifics, and implementing targeted public health messaging are recommended to boost vaccine uptake.
- Findings offer globally applicable insights for improving childhood immunisation programs.
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