TY - JOUR
T1 - Educational videos to address vaccine hesitancy in childhood immunization
AU - Lubis, Teti Adriana
AU - Gunardi, Hartono
AU - Herqutanto,
AU - Soedjatmiko, Soedjatmiko
AU - Satari, Hindra Irawan
AU - Alatas, Fatima Safira
AU - Pulungan, Aman Bhakti
N1 - Funding Information:
We would like to acknowledge all parents who participated in the study and community health centers in Koja, Cilincing, Tanjung Priuk for their support. We would also thank Jeslyn Tengkawan MD, MPH for her assistance in preparing the manuscript and statistical computation. The authors would like to thank Universitas Indonesia for funding this research (PUTI Grant No: NKB-1884/UN2.RST/HKP.05.00/2020).
Publisher Copyright:
© 2022 Elsevier Ltd
PY - 2022/9/29
Y1 - 2022/9/29
N2 - Background: As one of the essential programs that have been developed for decades, childhood immunizations are mandatory to protect children from vaccine-preventable diseases. Despite its availability and accessibility, immunization coverage has not reached the intended goals. Vaccine hesitancy and COVID-19 pandemic may threaten immunization coverage in children. This study aimed to evaluate the tailored educational videos to reduce vaccine hesitancy and analyze the changes in childhood routine immunization status. Methods: This was an interventional quasi-experimental study in three subdistricts of North Jakarta, Indonesia. Participants were allocated into educational videos exposures (intervention group, n = 116) or to the digital version of the maternal and child health handbook (control group, n = 104). We administered a pre- and post-intervention vaccine hesitancy survey using the Parent Attitudes about Childhood Vaccines (PACV) questionnaire with cut-off scores of 50. Results: A total of 220 parents were recruited in this study from June 18, 2021, to December 10, 2021. The pre-intervention PACV survey showed that 19 (8.6%) parents were vaccine-hesitant from both groups: 12 (10.3%) and 7 (6.7%) of parents among intervention and control groups. After the interventions, there were 8 (6.9%) and 8 (7.7%) vaccine-hesitant parents in the intervention and control groups, respectively. We found a significant difference in the post-intervention PACV median score between the intervention and control groups (17 vs 23; p = 0.035). Around 25% of parents have not completed their children's immunization status: 22.4% and 28.8% in the intervention and control groups, respectively. There was a significant difference between the proportion of PACV hesitancy on the immunization status within intervention and control groups (p = 0.001). Conclusion: There was a reduction in vaccine hesitancy after interventions. Educational videos intervention distributed through WhatsApp group was associated with lower vaccine hesitancy and can be used as health education tools among Indonesian parents in the community.
AB - Background: As one of the essential programs that have been developed for decades, childhood immunizations are mandatory to protect children from vaccine-preventable diseases. Despite its availability and accessibility, immunization coverage has not reached the intended goals. Vaccine hesitancy and COVID-19 pandemic may threaten immunization coverage in children. This study aimed to evaluate the tailored educational videos to reduce vaccine hesitancy and analyze the changes in childhood routine immunization status. Methods: This was an interventional quasi-experimental study in three subdistricts of North Jakarta, Indonesia. Participants were allocated into educational videos exposures (intervention group, n = 116) or to the digital version of the maternal and child health handbook (control group, n = 104). We administered a pre- and post-intervention vaccine hesitancy survey using the Parent Attitudes about Childhood Vaccines (PACV) questionnaire with cut-off scores of 50. Results: A total of 220 parents were recruited in this study from June 18, 2021, to December 10, 2021. The pre-intervention PACV survey showed that 19 (8.6%) parents were vaccine-hesitant from both groups: 12 (10.3%) and 7 (6.7%) of parents among intervention and control groups. After the interventions, there were 8 (6.9%) and 8 (7.7%) vaccine-hesitant parents in the intervention and control groups, respectively. We found a significant difference in the post-intervention PACV median score between the intervention and control groups (17 vs 23; p = 0.035). Around 25% of parents have not completed their children's immunization status: 22.4% and 28.8% in the intervention and control groups, respectively. There was a significant difference between the proportion of PACV hesitancy on the immunization status within intervention and control groups (p = 0.001). Conclusion: There was a reduction in vaccine hesitancy after interventions. Educational videos intervention distributed through WhatsApp group was associated with lower vaccine hesitancy and can be used as health education tools among Indonesian parents in the community.
KW - Health education
KW - Health promotion
KW - Indonesia
KW - Vaccination
KW - Vaccination hesitancy
UR - http://www.scopus.com/inward/record.url?scp=85137386918&partnerID=8YFLogxK
U2 - 10.1016/j.vaccine.2022.08.044
DO - 10.1016/j.vaccine.2022.08.044
M3 - Article
C2 - 36085255
AN - SCOPUS:85137386918
SN - 0264-410X
VL - 40
SP - 5965
EP - 5970
JO - Vaccine
JF - Vaccine
IS - 41
ER -
