More support for mothers: a qualitative study on factors affecting immunisation behaviour in Kampala, Uganda

BMC Public Health

Research Article

Ingunn MS Engebretsen¹  Fred Nuwaha²  Juliet Kiguli²  Elizeus Rutebemberwa²  Henry Wamani²  Juliet N Babirye³ 

[1] Centre for International Health, University of Bergen, Bergen, Norway;School of Public Health, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda;School of Public Health, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda;Centre for International Health, University of Bergen, Bergen, Norway;

关键词: Intimate Partner Violence;    Young Mother;    Immunisation Coverage;    Childhood Immunisation;    Routine Immunisation;   

DOI  :  10.1186/1471-2458-11-723

 received in 2011-05-17, accepted in 2011-09-25,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsWe 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.ResultsInfluences 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.ConclusionsImmunisation 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.

【 授权许可】

CC BY   
© Babirye et al; licensee BioMed Central Ltd. 2011