ISSN: 2456–5474 RNI No.  UPBIL/2016/68367 VOL.- VII , ISSUE- XII January  - 2023
Innovation The Research Concept
Child Vaccination : A Sociological Study
Paper Id :  16883   Submission Date :  30/12/2022   Acceptance Date :  20/01/2023   Publication Date :  25/01/2023
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Manisha
Research Scholar
Sociology
Meerut College
,Meerut, Uttar Pradesh, India
Sujata Mainwal
Professor
Sociology
Meerut College
Meerut, Uttar Pradesh, India
Abstract Vaccination is the administration of a vaccine to help the immune system to develop protection from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins toxins from the organism. Methodology -The data for the present study will be collected from 100 respondents for the information. The data will be collected through interview schedule/guide and observation method. Data collection was done by interviewing the respondents using a predesigned, pretested interview schedule spherically designed for the study and reviewing vaccination cards of the children. Data will be selected by using the purposive sampling. Results- In this study majority of the respondents are muslims, married, homemaker females which belong to middle class. Most of their children got late vaccinated and only a very small number of respondents children got vaccinated at right time. The biggest reason of vaccination dropout is lack of awareness of respondents. Government health workers and other impressive persons are contributing their role in increasing vaccination level.
Keywords Vaccination, Childhood, Rural, Immunity, Health.
Introduction
Vaccination is the administration of a vaccine to help the immune system to develop protection from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins toxins from the organism. In stimulating the body’s adaptive immunity, they help to prevent sickness from an infectious disease. When a sufficiently large percentage of a population has been vaccinated, herd immunity protects those who may be immune compromised and unable to vaccine because even a weakened version would harm them.Vaccination's effectiveness has been widely studied and verified. Vaccination is the most effective method of preventing infectious diseases; widespread immunity due to is largely responsible for the worldwide eradication of smallpox and the elimination of disease for example tetanus from much of the world (Report of NHRM, 2003). The first disease people tried to prevent by inoculation was most likely smallpox, with the first recorded use of violation occurring in the 16th century in China. It was also the first disease for which a vaccine was produced. Although at least, six people had used the same principles year earlier. The smallpox vaccine was invented in 1796 by English physician Edward Jenner. He was the first to publish evidence that it was effective and provide advice on its production. Louis Pasteur furthered the concept vaccination through his work in microbiology. The immunization was called vaccination because it was derived from a virus affecting cows. Smallpox was a contagious and deadly disease, causing the deaths of 20-60% of infected adults and over 80% of infected children. When smallpox was finally eradicated in 1979, it had already killed an estimated 300-500 million people in the 20th century. The promotion of health is social and individual responsibility. It has been known that 5 million children were dying each year and another 5 million were disabled by infectious disease (Journal of WHO, 2001). The growth of children is a long term contribution of country as a whole. The key to attain the goal of health for all primary health care emphasizes on the preventive principles. One of the most cost effective health interventions is vaccine for all infectious disease. Immunization is a high priority area in care of infants and children. High immunization rates have almost eliminated many infectious diseases which used to decimate sizable of the population for countries. A number of deadly and disabling infectious diseases can be prevented by timely administration of vaccines. When child is effectively immunized at the right age, most of the diseases are either entirely prevented or at least modified so that child suffer from a mild disease without any disability (Wong’s, 2007). Immunization is one of the most effective, safest & efficient Public Health Interventions. While the impact of vaccination on childhood morbidity & mortality has been great, full potential, has not yet been reached. Still, Thousands of children die from Vaccine-preventable diseases each year (Haneef et al.,2006) Childhood Vaccination- Childhood vaccination is one of the important public health policies of the government of India, which has the potential to affect millions of lives. However, this important health aspect has only in recent times seen increased government investment. With the introduction of newer vaccines in several states, the nationwide UIP is about to be further expanded eventually to include these newer antigens. While the pros and cons of introduction of each new vaccine into the childhood immunization programme has been hotly debated, what is pertinent is that the government has chosen to increase the bouquet of vaccines being offered without trying to increase the bouquet of vaccines being offered without trying to increase the immunization coverage which is presently only around 44%. The proponents of a national vaccination policy have questioned the government’s move while also stressing on the importance of having quality data on disease burden and associated factors before pushing for the introduction of newer vaccines into the vaccination programme. Vaccination and immunization have a similar meaning in everyday language. This is distinct from inoculation, which uses unweakened live pathogens. Vaccination efforts have been met with some reluctance on scientific, ethical, political, medical safety, and religious grounds, although no major religions oppose vaccination, and some consider it an obligation due to the potential to save lives. In the United States, people may receive compensation for alleged injuries under the National Vaccine Injury Compensation Programme. Early success brought widespread acceptance, and mass vaccination campaigns have greatly reduced the incidence of many diseases in numerous geographic regions. Immunization Programme in India:- India introduced EPI programme in the year 1978 with only four vaccines (BCG, DTP, OPV, typhoid) but the access was limited to urban areas. The program was re-introduced in 1985under the banner of UIP and expanded the reach to the entire country and added one more vaccine measles. In spite of all positive changes, there are some ongoing challenges and short coming in the programme – NIP of India has only nine vaccines (BCG, Hepatitis B, OPV, DPT, IPV, DPT, TT, MR, JE & Rotavirus vaccine).
Aim of study 1. To assess the socio-economic profile of the respondents, 2. To explore the vaccination level of respondent's children. 3. To identify the reasons of vaccination dropout. 4. To know which sources are playing important role in making people aware about vaccination in village Ajrara, District Meerut (U.P.).
Review of Literature
1. Andre ...et al.(2008) studied that vaccination greatly reduces disease, disability, death and inequity worldwide.
2. Gust...et al.(2008) pointed why few people express hesitancy because they lack information about vaccination.
3.Sypsa...et al. (2009) studied about public perceptions in relation to intention to receive pandemic influenza vaccination.
4. Forster...et al. (2009), examined the prevalence and predictors of the belief that human papillomavirus (HPV) vaccination will result in “risk compensation,” that is, will increase risky sexual behavior .
5. S Pandav ...et al. (2010) determine the coverage of childhood immunization appropriate for age among socioeconomically disadvantaged rural-urban migrants.
6. Abhishek Kumar & Sanjay K Mohanty, (2011) examined to socio-economic differentials in coverage of basic childhood vaccination.
7. Leach and Fairhead, (2012) examined anxieties emerging as highly globalized vaccine technologies and technocracies encounter the deeply intimate personal and social worlds of parenting and childcare, and how these are part of transforming science-society relations.
8. Julie Leask ...et. al. (2012) examined a critical factor shaping parental attitudes to vaccination is the parent’s interactions with health professionals.
9. C. Zenobia ...et al. (2012) examined the women’s knowledge of an attitudes toward HPV vaccination.
10. Gafenaite ...et. al. (2012) aimed to identify the most important determinants of refusing the vaccination. Two thousand parents of girls born in 1996 targeted for HPV vaccination received an invitation letter to participate in a questionnaire study.
11. Cairns ...et al. (2013) conducted a systematic review that aimed to map current practice and identify effective practice in promotional communications for seasonal influenza vaccination in Europe.
12. P. Rossi...et al. (2013) designed to evaluate the knowledge, attitudes, and behavior of Italian mothers concerning the immunization of infants.
13. J. Mark...et al. (2014) described evidence about the broader economic benefits of vaccination and immunization programs were reviewed.
14. Reema Mukherji and Atul Kotwal (2017) carried out to estimate the awareness regarding newer vaccines introduced in the vaccination programme in the state of Delhi among parents attending the immunization clinic in a tertiary care hospital in Delhi and to assess the acceptability of the newer vaccines.
15. R. Jessica ...et al. (2018) studied to understand, from the perspective of the professional, the Permanent Education (PE) in the vaccination room in its real context.
16. Paolo Bonanni ...et. al. (2019) studied about childhood vaccination's impact of different public health policies.
17. Kevin Estep, PhD, assistant professor in the Department of Cultural and social studies in Creighton’s college of Arts and Science, and Pierce Greenberg, PhD, also an assistant professor in the department, published “Opting out: Individualism and vaccine Refusal in Pockets of socioeconomic Homogeneity” in the article appeared in print in reportthe journal’s December 2020 issue.
Methodology
The data for the present study will be collected from 100 respondents for the information. The data will be collected through interview schedule/guide and observation method. Data collection was done by interviewing the respondents using a predesigned, pretested interview schedule spherically designed for the study and reviewing vaccination cards of the children. Data will be selected by using the purposive sampling. Results- In this study majority of the respondents are muslims, married, homemaker females which belong to middle class. Most of their children got late vaccinated and only a very small number of respondents children got vaccinated at right time. The biggest reason of vaccination dropout is lack of awareness of respondents. Government health workers and other impressive persons are contributing their role in increasing vaccination level.
Sampling
Purposive sampling is used in data collection.
Result and Discussion

Socio Economic profile of the Respondents:

The socio-economic profile of the respondents plays an important role because it affects respondents day to day life. Different respondents belong to different socio-economic profile as shown in table 1:

Table 1

 

Socio-Economic Profile of the

Respondents

Count No.

Percentage %

1

Respondent's age

From 21-30

45

45%

 

 

From 31-40

40

40%

 

 

From 41-50

15

15%

2

Respondent's Sex

Female

72

72%

 

 

Male

28

28%

3

Respondent's

Muslim

78

78%

 

Religion

Hindu

22

22%

4

Category

Upper

18

18%

 

 

Middle

46

46%

 

 

Lower

36

36%

5

Education

Illiterate

14

14%

 

 

Intermediate

36

36%

 

 

Under Graduate

31

31%

 

 

above U.G.

13

13%

6

Respondent's Occupation

Farmer Home Maker Govt. Service Wages

Other

12

47

02

25

14

12%

47%

02%

25%

14%

7

Respondent's Income

0-10000

10,001-20,000

20,001-30,000

30,001-40,000

Above 40,000

41

16

18

10

15

41%

16%

18%

10%

15%

8

Types of the family

Joint

Nuclear

76

24

76%

24%

9

Respondent's Marital

Status

Married

Single

93

07

93%

07%

10

Condition of

residence

Kachcha House

Pakka House

16

84

16%

84%

 (Socio-economic status of respondents)

The above table shows that the majority of the respondents are Muslims, married and homemaker females belong to middle class living in pakka houses in joint family. Majority of the respondents have income group of 0-10,000.

Vaccination Level:- Vaccination is the administration of a vaccine to help the immune system to develop protection from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating the body’s adaptive immunity, they help to prevent sickness from an infectious disease. When a sufficiently large percentage of a population has been vaccinated, herd immunity results. Herd immunity protects those who may be immune compromised and cannot get a vaccine because even a weakened version would harm them. The effectiveness of vaccination has been widely studied and verified. Vaccination is the most effective method of preventing infectious diseases; widespread immunity due to vaccination is largely responsible for the worldwide eradication of smallpox and the elimination of disease. The level of vaccination of respondent’s children is follows:

Table 2

Vaccine

On Correct time

Late

Never

OPV-0

20

32

48

OPV-1

32

50

18

OPV-2

23

56

21

OPV-3

14

60

26

OPV-Booster

13

44

43

Hepatitis B

20

14

66

BCG

28

58

14

IPV-1

28

54

18

IPV-2

16

64

20

Penta-1

32

50

18

Penta-2

18

60

22

Penta-3

16

58

26

PCV-1

22

46

32

PCV-2

16

58

26

PCV Booster

20

44

36

Rotavirus-1

22

40

38

Rotavirus-2

16

44

40

Rotavirus-3

14

46

40

MR-1

20

52

28

MR-2

12

32

56

DPT Booster

12

36

52

Vita A-1

20

50

30

Vita A - 2

14

30

56

(Vaccination level of respondents children)

Table 2 shows vaccination level of respondents children as follows:

1. OPV-0 The majority (48%) of the respondents never got OPV-0 and small number (20%) of the respondents got OPV-0 to their children on correct time.

2. OPV-1 The majority (50%) of the respondents got late OPV-1 and small number (18%) of the respondents never got OPV-1 to their children.

3. OPV-2 The majority (56%) of the respondent got OPV-2 to their children at late and small number (21%) of the respondents never got OPV-2 to their children.

4. OPV-3 The majority (60%) of the respondents got late OPV-3 and small number (14%) of the respondents got OPV-3 to their children on correct time.

5. OPV-Booster The majority (44%) of the respondents got late OPV-Booster and small number (13%) of the respondents got OPV-Booster to their children on correct time.

6. Hepatitis-B The majority (66%) of the respondents never got Hepatitis-B and small number (14%) of the respondents got Hepatitis-B to their children at late.

7.  BCG The majority (58%) of the respondents got late BCG and small number (14%) of the respondents never got BCG to their children.

8. IPV-1 The majority (54%) of the respondents got late IPV-1 and small number (18%) of the respondents got IPV-1 to their children at late.

9. IPV-2 The majority (64%) of the respondents got late IPV-2 and small number (16%) of the respondents got IPV-2 to their children on correct time.

10. Penta-1 The half (50%) of the respondents got late Penta-1 and small number (18%) of the respondents never got Penta-1 to their children.

11. Penta-2 The majority (60%) of the respondents got late Penta-2 and small number (18%) of the respondents got Penta-2 to their children on correct time.

12. Penta-3 The majority (58%) of the respondents got late Penta-3 and small number (16%) of the respondents got Penta-3 to their children on correct time.

13. PCV-1 The majority (46%) of the respondents got late PCV-1 and small number (22%) of the respondents got PCV-1 to their children on correct time.

14. PCV-2 The majority (58%) of the respondents got late PCV-2 and small number (16%) of the respondents got PCV-2 to their children on correct time.

15. PCV-Booster The majority (44%) of the respondents got late PCV-Booster and small number (20%) of the respondents got PCV-Booster to their children on correct time.

16. Rota-1 The majority (40%) of the respondents got late Rota-1 and small number (22%) of the respondents got Rota-1 to their children on correct time.

17. Rota-2 The large number (44%) of the respondents got late Rota-2 and small number (16%) of the respondents got Rota-2 to their children on correct time.

18. Rota-3 The largest number (46%) of the respondents got late Rota-3 and small number (14%) of the respondents got Rota-3 to their children on correct time.

19. MR-1 The majority (52%) of the respondents got late MR-1 and small number (20%) of the respondents got MR-1 to their children on correct time.

20. MR-2 The majority (56%) of the respondents never got MR-2 and small number (12%) of the respondents got MR-2 to their children on correct time.

21. DPT-Booster The majority (52%) of the respondents never got DPT-Booster and small number (12%) of the respondents got DPT-Booster to their children on correct time.

22. Vita A-1 The majority (50%) of the respondents got late Vita A-1 and small number (20%) of the respondents got Vita A-1 to their children on correct time.

23. Vita A-2 The majority (56%) of the respondents never got Vita A-2 and small number (14%) of the respondents got Vita A-2 to their children on correct time.Table 3

 

Reasons of Vaccination Dropout

Per %

Rank

1.

Child's Personal

Disease

Disease

Out of Village

45%

60%

02

01

2.

Related to family

Lack of awareness

60%

1

 

 

Negative attitudes

35%

4

 

 

Afraid of Vaccination

50%

2

 

 

other

40%

3

3.

Related                        the

Not informed at Correct time Missing

50

1

 

Health-Staff

session at the right time

40

2

 

 

Session far away from home

35

3

 

 

Don't properly understood the advantage of

20

4

 

 

vaccination

 

 

(Reasons of vaccination dropout)

The table 3 shows that major reason of vaccination dropout is lack of awareness of respondents because of which they keep negative attitude about vaccination and most respondents agree that they are not informed at right time by health workers.

Table 4

S.No.

Sources of awareness

Percentage (%)

Rank

1

Self-knowledge

45

3

2

ANM/ASHA/AWW

55

1

3

Media

40

4

4

Other govt. Health workers

40

4

5

Others Impressive Person

50

2

(Sources of Awareness)

Conclusion The major findings in this study is that majority of the respondents are muslims, married, homemaker females which belong to middle class. Most of the respondents got late vaccine to their children and small number of respondents got vaccine at the right time. The biggest reason of vaccination dropout is lack of awareness of respondents. Govterment health workers and other impressive persons are contributing their role in increasing vaccination level.
References
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