ASSESSMENT OF MOTHERS' KNOWLEDGE REGARDING IMMUNIZATION OF CHILDREN UNDER 5 YEARS

Authors

  • A ZAIB Ittefaq College of Nursing, Lahore, Pakistan
  • QUA ANJUM Ittefaq College of Nursing, Lahore, Pakistan
  • G ANWAR Ittefaq College of Nursing, Lahore, Pakistan
  • H SADDIQUE Ittefaq College of Nursing, Lahore, Pakistan
  • I YASIN Ittefaq College of Nursing, Lahore, Pakistan

DOI:

https://doi.org/10.54112/pjicm.v6i01.238

Keywords:

Childhood Immunization, Maternal Knowledge, Vaccination, Under-Five Children

Abstract

Background: Childhood immunization is among the most effective public health interventions for preventing vaccine-preventable diseases and reducing childhood morbidity and mortality. Maternal knowledge substantially influences the timely uptake and completion of routine childhood vaccination. In Pakistan, inadequate awareness and persistent misconceptions about vaccine safety and contraindications may contribute to suboptimal immunization practices. Objective: To assess mothers’ knowledge regarding immunization of children under five years of age. Study Design: Descriptive cross-sectional study. Settings: Ittefaq Hospital Trust, Lahore, Pakistan. Duration of Study: March 2025 to August 2025. Methods: A total of 153 mothers with children under five years of age were enrolled through convenience sampling. Data were collected using an adopted and translated structured questionnaire comprising demographic characteristics and 13 knowledge-based items related to childhood immunization. Data were analyzed using SPSS. Descriptive statistics were computed as frequencies, percentages, mean, and standard deviation. Knowledge was categorized as low, average, or high based on predefined scoring criteria. Results: Among 153 participants, the mean age was 30.4 ± 6.8 years, and most mothers were aged 26–35 years (58.2%). The majority were married (90.2%), while 41.8% had a bachelor 's-level education. Overall, 69 (45.1%) mothers had low knowledge, 56 (36.6%) had average knowledge, and 28 (18.3%) had high knowledge regarding childhood immunization. Although most participants acknowledged the importance of vaccination and its protective role against infectious diseases, notable misconceptions persisted regarding vaccine contraindications and safety. Conclusion: Maternal knowledge regarding childhood immunization was suboptimal, with most mothers demonstrating low to average knowledge. Targeted health education and clearer communication by healthcare professionals may improve maternal awareness and support better immunization coverage in children.

References

Nassar O, Alshahwan S, Alshahwan R, Halasa S, Alashhab S, Alnajar M. Determinants of parents’ knowledge, attitudes, and practice toward childhood vaccination: a national study. Open Nurs J. 2023;17(1). https://doi.org/10.2174/18744346-v17-230223-2022-88

Azhar S, Rashid L, Islam T, Akhtar S, Hopkins K, Sommers T, et al. Knowledge, attitudes, and practices of vaccinators about expanded programs on immunization: a cross-sectional study. Front Public Health. 2024;12. https://doi.org/10.3389/fpubh.2024.1366378

Parsekar S, Vadrevu L, Jain M, Menon S, Taneja G. Interventions addressing routine childhood immunization and its behavioral and social drivers. Front Public Health. 2024;12. https://doi.org/10.3389/fpubh.2024.1364798

Ndaki P, Kinyonga M, Mwita S. Self-reported provision of preconception care and associated factors. East Afr Health Res J. 2024;8(1):58-66. https://doi.org/10.24248/eahrj.v8i1.752

Sebastian J, Parthasarathi G, Ravi M. A cross-sectional study to assess the impact of knowledge, attitude, and practice (KAP) of parents on immunization coverage of their children. Indian J Public Health Res Dev. 2020. https://doi.org/10.37506/ijphrd.v11i6.9802

Habib A, Tabassum F, Hussain I, Khan T, Syed N, Shaheen F, et al. Exploring knowledge and perceptions of polio disease and its immunization in polio high-risk areas of Pakistan. Vaccines (Basel). 2023;11(7):1206. https://doi.org/10.3390/vaccines11071206

Khan E, Panezai M, Shahid B, Shahabuddin A, Akber S. Increasing the demand for vaccination through mHealth in Quetta City, Balochistan, Pakistan. J Glob Health Rep. 2021;5. https://doi.org/10.29392/001c.28999

Khan M, Khan Z, Khan A. Parental knowledge, attitudes, and practices regarding antibiotic use in pediatric respiratory infections: a qualitative study. 2024. https://doi.org/10.1101/2024.11.12.24317173

Ataullahjan A, Khan A, Islam M, Tahir R, Anwar S, Ahmed I, et al. NAUNEHAL; integrated immunization and MNCH interventions: a quasi-experimental study-protocol. PLoS One. 2023;18(6):e0287722. https://doi.org/10.1371/journal.pone.0287722

Hussain A, Zahid A, Malik M, Ansari M, Vaismoradi M, Aslam A, et al. Assessment of parents’ perceptions of childhood immunization: a cross-sectional study from Pakistan. Children (Basel). 2021;8(11):1007. https://doi.org/10.3390/children8111007

Soofi S, Vadsaria K, Mannan S, Habib A, Tabassum F, Hussain I, et al. Factors associated with vaccine refusal (polio and routine immunization) in high-risk areas of Pakistan: a matched case-control study. Vaccines (Basel). 2023;11(5):947. https://doi.org/10.3390/vaccines11050947

Fadl N, Awaidy S, Elshabrawy A, Makhlouf M, Ibrahim S, Abdel-Rahman S, et al. Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: a cross-sectional study. Front Public Health. 2023;11. https://doi.org/10.3389/fpubh.2023.1132798

Noh J, Kim Y, Akram N, Yoo K, Park J, Cheon J, et al. Factors affecting complete and timely childhood immunization coverage in Sindh, Pakistan: a secondary analysis of cross-sectional survey data. PLoS One. 2018;13(10):e0206766. https://doi.org/10.1371/journal.pone.0206766

Faisal S, Zahid F, Kamal S, Shahzad K, Seidu A, Ahinkorah B. Modeling the factors associated with incomplete immunization among children. Math Probl Eng. 2022;2022:1-7. https://doi.org/10.1155/2022/8460837

Atteraya M, Song I, Ebrahim N, Gnawali S, Kim E, Dhakal T. Inequalities in childhood immunisation in South Asia. Int J Environ Res Public Health. 2023;20(3):1755. https://doi.org/10.3390/ijerph20031755

Desalew A, Semahegn A, Birhanu S, Tesfaye G. Incomplete vaccination and its predictors among children in Ethiopia: a systematic review and meta-analysis. Glob Pediatr Health. 2020;7. https://doi.org/10.1177/2333794X20968681

Khalil H, Alseraty W, El-Adham N. Effect of health education on mothers’ knowledge and practices of children under five years regarding immunization in rural areas. Egypt J Health Care. 2022;13(2):1180-1201. https://doi.org/10.21608/ejhc.2022.239364.

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Published

2026-02-04

How to Cite

ZAIB , A., ANJUM , Q., ANWAR , G., SADDIQUE , H., & YASIN, . I. (2026). ASSESSMENT OF MOTHERS’ KNOWLEDGE REGARDING IMMUNIZATION OF CHILDREN UNDER 5 YEARS. Pakistan Journal of Intensive Care Medicine, 6(01), 238. https://doi.org/10.54112/pjicm.v6i01.238

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Original Research Articles