More support for mothers: a qualitative study on factors affecting immunisation behaviour in Kampala, Uganda
More support for mothers: a qualitative study on factors affecting immunisation behaviour in Kampala, Uganda
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DOI：
10.1186/1471-2458-11-723
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发表时间：
2011-09-25
影响因子：
4.5
通讯作者：
Engebretsen, Ingunn M. S.
中科院分区：
文献类型：
--
作者：
Babirye, Juliet N.;Rutebemberwa, Elizeus;Engebretsen, Ingunn M. S.
背景：多年来，乌干达儿童充分接种疫苗的比例有所不同。了解疫苗接种行为对于免疫规划的成功非常重要。本研究使用态度-社会影响-自我效能模型检验了对免疫行为的影响。方法：我们与母亲和父亲进行了九次焦点小组讨论（FGD）。对负责免疫接种社区动员的人员、父亲和母亲进行了八次关键知情人访谈 (KII)。使用内容分析对数据进行分析。结果：对母亲免疫行为的影响包括男性伴侣的不支持作用（有时会导致亲密伴侣暴力）、缺乏体面的衣服使母亲容易受到欺凌、日程安排和时间限制不方便，以及对疫苗接种等疫苗导致身体残疾和/或死亡的怀疑。结论：免疫规划应定位于解决社会背景。需要一项社区计划，赋予妇女经济权力，并帮助男性认识到妇女在儿童健康决策中的作用。增加看护者中男性的参与和对免疫概念的了解可以改善免疫接种。
Background: The proportion of Ugandan children who are fully vaccinated has varied over the years. Understanding vaccination behaviour is important for the success of the immunisation programme. This study examined influences on immunisation behaviour using the attitude-social influence-self efficacy model.Methods: We conducted nine focus group discussions (FGDs) with mothers and fathers. Eight key informant interviews (KIIs) were held with those in charge of community mobilisation for immunisation, fathers and mothers. Data was analysed using content analysis.Results: Influences on the mother's immunisation behaviour ranged from the non-supportive role of male partners sometimes resulting into intimate partner violence, lack of presentable clothing which made mothers vulnerable to bullying, inconvenient schedules and time constraints, to suspicion against immunisation such as vaccines cause physical disability and/or death.Conclusions: Immunisation programmes should position themselves to address social contexts. A community programme that empowers women economically and helps men recognise the role of women in decision making for child health is needed. Increasing male involvement and knowledge of immunisation concepts among caretakers could improve immunisation.