Factors causing vaccine hesitancy among parents in Bulacan

Published: Dec 16, 2021

Abstract:

Purpose: This study aimed to determine the significant factors that cause vaccine hesitancy among parents in Bulacan

Research methodology: A non-experimental quantitative descriptive research study was used as a research design by using a formulated questionnaire based on the developed tool created by the World Health Organization-Strategic Advisory Group on Experts (SAGE) on Immunization and distributed among the 400 respondents in Bulacan. The respondents were purposively chosen.

Results: The result showed that the majority of the parents are hesitant to vaccinate their child, considering that the most common factor causing their decision to have vaccine hesitancy is the scientific evidence of the risk and benefits of vaccination. In addition, there is a weak negative correlation (-0.103) between the economic status of the parents and their vaccine hesitancy regarding the cost of the vaccine. Furthermore, the correlation analysis between the educational attainment of the parents and their vaccine hesitancy is interpreted as a negligible correlation (0.098).

Limitations: By COVID-19, the survey questionnaire was conducted through the online platform called Google Form which the study was only limited to parents who have access to the internet.

Contribution: The findings of the study are beneficial to the province of Bulacan for them to further assess and evaluate the vaccination programs in the province, and this also helps in developing plans on how to reduce vaccine hesitancy among parents in Bulacan.

Keywords:
1. Parents
2. Vaccine
3. Vaccine hesitancy
4. Awareness
5. Bulacan
Authors:
1 . Ma. Kyla Wee
2 . Jomar Cabantog
3 . Danica Dominique Magpayo
4 . Nina Leslie Sabido
5 . Emmanuel Samson
6 . Penuel David
How to Cite
Wee, M. K., Cabantog, J., Magpayo, D. D. ., Sabido, N. L. ., Samson, E., & David, P. (2021). Factors causing vaccine hesitancy among parents in Bulacan. Studies in Medicine and Public Health, 1(1), 15–29. https://doi.org/10.35912/simph.v1i1.715

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References

    Barack, C. O., & Munga, G. B. (2021). Covid-19 and border restriction policies: the dilemma of trans-border truck drivers in East Africa. Journal of Governance and Accountability Studies, 1(1), 55-67. https://doi.org/10.35912/jgas.v1i1.466

    Basta, N., & Moodie, E. (2021). Philippines – COVID19 vaccine tracker. https://covid19.trackvaccines.org/ country/philippines/

    Bertoncello, C., Ferro, A., Fonzo, M., Zanovello, S., Napoletano, G., Russo, F., Baldo, V., & Cocchio, S. (2020). Socioeconomic Determinants in Vaccine Hesitancy and Vaccine Refusal in Italy. Vaccines, 8(2), 1–9. https://doi.org/10.3390/vaccines8020276

    Business Research Methodology (2020). Descriptive Research. https://research-methodology.net/descriptive-research/

    Capuyan, J. (2020). Expanded program on immunization. Department of Health Cordillera Center for Health Development. http://caro.doh.gov.ph/expanded-program-on-immunization/

    Center for Disease Control. (2014). Vaccine testing and The Approval Process.https://www.cdc.gov/vaccines/basics/test-approve.html

    Damnjanović, K., Graeber, J., Ilić, S., Lam, W. Y., Lep, Ž., Morales, S., Pulkkinen, T., & Vingerhoets, L. (2018). Parental decision-making on childhood vaccination. Frontiers in Psychology, 9(JUN), 1–14. https://doi.org/10.3389/fpsyg.2018.00735

    Delgado, K., Venero, J., Vu, T. (2021) Vaccine Hesitancy: Characteristics of the Refusal of Childhood Vaccination in a Peruvian Population. Cureus 13(3). https://doi.org/10.7759/cureus.14105

    Department of Health. (2020). DOH CONDUCTS HOUSE-TO-HOUSE PATAK POLIO IN CALABARZON.https://ro4a.doh.gov.ph/transparency/140-featured-article/702-doh-conducts-house-to-house-patak-polio-in-calabarzon

    Department of Health. (2020). DOH IDENTIFIES VACCINE HESITANCY AS ONE OF THE REASONS FOR MEASLES OUTBREAK.https://www.doh.gov.ph/node/16721

    Department of Health. (2020). EXPANDED PROGRAM ON IMMUNIZATION. https://www.doh.gov.ph/expanded-program-on-immunization

    Desmon, S. (2021). How to convince the COVID-19 vaccine hesitant. Johns Hopkins Center for Communication Programs. http://ccp.jhu.edu/2021/01/21/covid-19-vaccine-hesitant/

    Facciola, A., Visalli, G., Orlando, A., Bertuccio, M. P., Spataro, P., Squeri, R., Picerno, I., & Di Pietro, A. (2019). Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal. Journal of Public Health Research, 8(1), 13–18. https://doi.org/10.4081/jphr.2019.1436

    Fatima, K. & Syed, N. (2018). Dengvaxia controversy: Impact non vaccine hesitancy. Journal of Global Health, 8(2),8-12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214489/

    Glen, S. (2016). Tukey Test / Tukey Procedure / Honest Significant Difference. https://www.statisticshowto.com/tukey-test-honest-significant-difference/?fbclid=IwAR3QS2K_OCYp6HvT8H6wGuSIOCxvp2ABO-vW457_mTzFt8zrNRDFhXuV8V0

    Harmsen, I. A., Ruiter, R. A. C., Paulussen, T. G. W., Mollema, L., Kok, G., & de Melker, H. E. (2012). Factors That Influence Vaccination Decision-Making by Parents Who Visit an Anthroposophical Child Welfare Center: A Focus Group Study. Advances in Preventive Medicine. https://doi.org/10.1155/2012/175694

    Khan, M. M. R., & Al Amin, M. M. H. (2021). A study on digital transformation in the healthcare sector of Bangladesh: Current scenario and the future roadmap. Journal of Governance and Accountability Studies, 1(2), 163-176. https://doi.org/10.35912/jgas.v1i2.747

    Lane, Sarah., Dumolard., L. (2018). Vaccine Hesitancy around the Globe: Analysis of Three years of WHO/ UNICEF joint Reporting Form Data-2015-2017. 36(26), 3861-3867. https://doi.org/10.1016/j.vaccine.2018.03.063

    Larson, H. J., Hartigan-Go, K., & de Figueiredo, A. (2019). Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness. Human Vaccines and Immunotherapeutics, 15(3), 625–627.https://doi.org/10.1080/21645515.2018.1522468

    Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., Wilson, R., Eskola, J., Liang, X., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Duclos, P., Guirguis, S., & Hickler, B. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/j.vaccine.2015.04.036

    Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., El-Mohandes, A. (2020). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine. https://doi.org/10.1038/s41591-020-1124-9

    MacDonald, N. E., Eskola, J., Liang, X., Chaudhuri, M., Dube, E., Gellin, B., Schuster, M. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164. https://doi.org/10.1016/j.vaccine.2015.04.036

    McCombes, S. (2020). Descriptive Research Design | Definition, Methods and Examples. https://www.scribbr.com/methodology/descriptive-research/

    McGee MD, Li., & Suh JD, J. (2019). Communication Strategies to Address Vaccine Hesitancy in Healthcare Settings and on Social Media. Journal of Applied Research on Children: Informing Policy for Children at Risk, 10(2), 7. https://digitalcommons.library.tmc.edu/cgi/viewcontent.cgi?article=1397&context=childrenatrisk

    McNeil, D. A., Mueller, M., MacDonald, S., McDonald, S., Saini, V., Kellner, J. D., & Tough, S. (2019). Maternal perceptions of childhood vaccination: Explanations of reasons for and against vaccination. BMC Public Health, 19(1), 1–12. https://doi:10.1186/s12889-018-6338-0

    Migriño, J., Jr, Gayados, B., Birol, K., De Jesus, L., Lopez, C. W., Mercado, W. C., Tolosa, J. C., Torreda, J., & Tulagan, G. (2020). Factors affecting vaccine hesitancy among families with children 2 years old and younger in two urban communities in Manila, Philippines. Western Pacific surveillance and response journal: WPSAR, 11(2), 20–26. https://doi.org/10.5365/wpsar.2019.10.2.006

    Mwesigwa, D. (2021). Towards enhancing local citizen participation in Uganda. Dynamics of Politics and Democracy, 1(1), 15-28. https://doi.org/10.35912/dpd.v1i1.449

    Mwesigwa, D., Wahid, K. A., & Sohheng, N. (2021). A case study on the quality of healthcare in Uganda: Examining the effectiveness, safety, patient-centred and timeliness of district healthcare facilities. Journal of Governance and Accountability Studies, 1(2), 133-144. https://doi.org/10.35912/jgas.v1i2.741

    Nicomedes, C., & Avila, R. (2020). An analysis on the panic during COVID-19 pandemic through an online form. Journal of affective disorders, 276, 14–22. https://doi.org/10.1016/j.jad.2020.06.046

    Paul, E., Steptoe, A., Fancourt, D. (2021). Attitude towards Vaccine and Intention to Vaccinate against COVID-19: Implication for Public Health Communications. The Lancet Regional Health, 1(100012). https://doi.org/10.1016/j.lanepe.2020.100012

    Philippine Statistics Authority. (2018.). Bulacan Quickstat - june 2018. https://psa.gov.ph/content/bulacan-quickstat-june -2018

    Republic Act No. 10152 | GOVPH. (2011). https://www.officialgazette.gov.ph/2011/06/21/republic-act-no-10152/

    SAGE Research Methods Databasets. (2014). Learn to Use the Eta Coefficient Test in R With Data From the NIOSH Quality of Worklife Survey (2014). https://methods.sagepub.com/base/download/DatasetStudentGuide/eta-coefficient-niosh-qwl-2014-r

    Shen, S., & Dubey, V. (2019). Addressing vaccine hesitancy. Canadian Family Physician, 65(3), 175–181. https://doi.org/10.7812/tpp/20.216

    United Nations International Children’s Emergency Fund. (2019). #VaccinesWork: UNICEF stresses importance of immunization on World Immunization Week. https://www.unicef.org/philippines/press-releases/vaccineswork-unicef-stresses-importance-immunization-world-immunization-week

    World Health Organization. (2014). Considerations regarding consent in vaccinating children and adolescents between 6 and 17 years old. 1–8. https://www.who.int/immunization/programmes_systems/policies_strategies/consent_note_en.pdf?fbclid=IwAR1IUKIk-

    World Health Organization. (2014). Considerations regarding consent in vaccinating children and adolescents between 6 and 17 years old. 1–8. https://www.who.int/immunization/programmes_systems/policies_strategies/consent_note_en.pdf?fbclid=IwAR1IUKIk-EJ6GFtbkAi32QC0uDYWgRJbVpnRym_Qq3-CwciuIr9v80Xgkn8

    World Health Organization. (2014). Report of the Sage Working Group on. 64. https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf

    World Health Organization. (2016). Smallpox vaccines. https://www.who.int/news-room/feature-stories/detail/smallpox-vaccines

    World Health Organization. (2019). Overcoming challenges in the immunization programme with vaccine heroes. https://www.who.int/philippines/news/feature-stories/detail/overcoming-challenges-in-the-immunization-programme-with-vaccine-heroes

    World Health Organization. (2020). WHO vaccine-preventable diseases: monitoring system. 2020 global summary. https://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria[country][]=PHL#

    Young, J. (2020). Frequency Distribution. https://www.investopedia.com/terms/f/frequencydistribution.asp

  1. Barack, C. O., & Munga, G. B. (2021). Covid-19 and border restriction policies: the dilemma of trans-border truck drivers in East Africa. Journal of Governance and Accountability Studies, 1(1), 55-67. https://doi.org/10.35912/jgas.v1i1.466
  2. Basta, N., & Moodie, E. (2021). Philippines – COVID19 vaccine tracker. https://covid19.trackvaccines.org/ country/philippines/
  3. Bertoncello, C., Ferro, A., Fonzo, M., Zanovello, S., Napoletano, G., Russo, F., Baldo, V., & Cocchio, S. (2020). Socioeconomic Determinants in Vaccine Hesitancy and Vaccine Refusal in Italy. Vaccines, 8(2), 1–9. https://doi.org/10.3390/vaccines8020276
  4. Business Research Methodology (2020). Descriptive Research. https://research-methodology.net/descriptive-research/
  5. Capuyan, J. (2020). Expanded program on immunization. Department of Health Cordillera Center for Health Development. http://caro.doh.gov.ph/expanded-program-on-immunization/
  6. Center for Disease Control. (2014). Vaccine testing and The Approval Process.https://www.cdc.gov/vaccines/basics/test-approve.html
  7. Damnjanovi?, K., Graeber, J., Ili?, S., Lam, W. Y., Lep, Ž., Morales, S., Pulkkinen, T., & Vingerhoets, L. (2018). Parental decision-making on childhood vaccination. Frontiers in Psychology, 9(JUN), 1–14. https://doi.org/10.3389/fpsyg.2018.00735
  8. Delgado, K., Venero, J., Vu, T. (2021) Vaccine Hesitancy: Characteristics of the Refusal of Childhood Vaccination in a Peruvian Population. Cureus 13(3). https://doi.org/10.7759/cureus.14105
  9. Department of Health. (2020). DOH CONDUCTS HOUSE-TO-HOUSE PATAK POLIO IN CALABARZON.https://ro4a.doh.gov.ph/transparency/140-featured-article/702-doh-conducts-house-to-house-patak-polio-in-calabarzon
  10. Department of Health. (2020). DOH IDENTIFIES VACCINE HESITANCY AS ONE OF THE REASONS FOR MEASLES OUTBREAK.https://www.doh.gov.ph/node/16721
  11. Department of Health. (2020). EXPANDED PROGRAM ON IMMUNIZATION. https://www.doh.gov.ph/expanded-program-on-immunization
  12. Desmon, S. (2021). How to convince the COVID-19 vaccine hesitant. Johns Hopkins Center for Communication Programs. http://ccp.jhu.edu/2021/01/21/covid-19-vaccine-hesitant/
  13. Facciola, A., Visalli, G., Orlando, A., Bertuccio, M. P., Spataro, P., Squeri, R., Picerno, I., & Di Pietro, A. (2019). Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal. Journal of Public Health Research, 8(1), 13–18. https://doi.org/10.4081/jphr.2019.1436
  14. Fatima, K. & Syed, N. (2018). Dengvaxia controversy: Impact non vaccine hesitancy. Journal of Global Health, 8(2),8-12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214489/
  15. Glen, S. (2016). Tukey Test / Tukey Procedure / Honest Significant Difference. https://www.statisticshowto.com/tukey-test-honest-significant-difference/?fbclid=IwAR3QS2K_OCYp6HvT8H6wGuSIOCxvp2ABO-vW457_mTzFt8zrNRDFhXuV8V0
  16. Harmsen, I. A., Ruiter, R. A. C., Paulussen, T. G. W., Mollema, L., Kok, G., & de Melker, H. E. (2012). Factors That Influence Vaccination Decision-Making by Parents Who Visit an Anthroposophical Child Welfare Center: A Focus Group Study. Advances in Preventive Medicine. https://doi.org/10.1155/2012/175694
  17. Khan, M. M. R., & Al Amin, M. M. H. (2021). A study on digital transformation in the healthcare sector of Bangladesh: Current scenario and the future roadmap. Journal of Governance and Accountability Studies, 1(2), 163-176. https://doi.org/10.35912/jgas.v1i2.747
  18. Lane, Sarah., Dumolard., L. (2018). Vaccine Hesitancy around the Globe: Analysis of Three years of WHO/ UNICEF joint Reporting Form Data-2015-2017. 36(26), 3861-3867. https://doi.org/10.1016/j.vaccine.2018.03.063
  19. Larson, H. J., Hartigan-Go, K., & de Figueiredo, A. (2019). Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness. Human Vaccines and Immunotherapeutics, 15(3), 625–627.https://doi.org/10.1080/21645515.2018.1522468
  20. Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., Wilson, R., Eskola, J., Liang, X., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Duclos, P., Guirguis, S., & Hickler, B. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/j.vaccine.2015.04.036
  21. Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., El-Mohandes, A. (2020). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine. https://doi.org/10.1038/s41591-020-1124-9
  22. MacDonald, N. E., Eskola, J., Liang, X., Chaudhuri, M., Dube, E., Gellin, B., Schuster, M. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164. https://doi.org/10.1016/j.vaccine.2015.04.036
  23. McCombes, S. (2020). Descriptive Research Design | Definition, Methods and Examples. https://www.scribbr.com/methodology/descriptive-research/
  24. McGee MD, Li., & Suh JD, J. (2019). Communication Strategies to Address Vaccine Hesitancy in Healthcare Settings and on Social Media. Journal of Applied Research on Children: Informing Policy for Children at Risk, 10(2), 7. https://digitalcommons.library.tmc.edu/cgi/viewcontent.cgi?article=1397&context=childrenatrisk
  25. McNeil, D. A., Mueller, M., MacDonald, S., McDonald, S., Saini, V., Kellner, J. D., & Tough, S. (2019). Maternal perceptions of childhood vaccination: Explanations of reasons for and against vaccination. BMC Public Health, 19(1), 1–12. https://doi:10.1186/s12889-018-6338-0
  26. Migriño, J., Jr, Gayados, B., Birol, K., De Jesus, L., Lopez, C. W., Mercado, W. C., Tolosa, J. C., Torreda, J., & Tulagan, G. (2020). Factors affecting vaccine hesitancy among families with children 2 years old and younger in two urban communities in Manila, Philippines. Western Pacific surveillance and response journal: WPSAR, 11(2), 20–26. https://doi.org/10.5365/wpsar.2019.10.2.006
  27. Mwesigwa, D. (2021). Towards enhancing local citizen participation in Uganda. Dynamics of Politics and Democracy, 1(1), 15-28. https://doi.org/10.35912/dpd.v1i1.449
  28. Mwesigwa, D., Wahid, K. A., & Sohheng, N. (2021). A case study on the quality of healthcare in Uganda: Examining the effectiveness, safety, patient-centred and timeliness of district healthcare facilities. Journal of Governance and Accountability Studies, 1(2), 133-144. https://doi.org/10.35912/jgas.v1i2.741
  29. Nicomedes, C., & Avila, R. (2020). An analysis on the panic during COVID-19 pandemic through an online form. Journal of affective disorders, 276, 14–22. https://doi.org/10.1016/j.jad.2020.06.046
  30. Paul, E., Steptoe, A., Fancourt, D. (2021). Attitude towards Vaccine and Intention to Vaccinate against COVID-19: Implication for Public Health Communications. The Lancet Regional Health, 1(100012). https://doi.org/10.1016/j.lanepe.2020.100012
  31. Philippine Statistics Authority. (2018.). Bulacan Quickstat - june 2018. https://psa.gov.ph/content/bulacan-quickstat-june -2018
  32. Republic Act No. 10152 | GOVPH. (2011). https://www.officialgazette.gov.ph/2011/06/21/republic-act-no-10152/
  33. SAGE Research Methods Databasets. (2014). Learn to Use the Eta Coefficient Test in R With Data From the NIOSH Quality of Worklife Survey (2014). https://methods.sagepub.com/base/download/DatasetStudentGuide/eta-coefficient-niosh-qwl-2014-r
  34. Shen, S., & Dubey, V. (2019). Addressing vaccine hesitancy. Canadian Family Physician, 65(3), 175–181. https://doi.org/10.7812/tpp/20.216
  35. United Nations International Children’s Emergency Fund. (2019). #VaccinesWork: UNICEF stresses importance of immunization on World Immunization Week. https://www.unicef.org/philippines/press-releases/vaccineswork-unicef-stresses-importance-immunization-world-immunization-week
  36. World Health Organization. (2014). Considerations regarding consent in vaccinating children and adolescents between 6 and 17 years old. 1–8. https://www.who.int/immunization/programmes_systems/policies_strategies/consent_note_en.pdf?fbclid=IwAR1IUKIk-
  37. World Health Organization. (2014). Considerations regarding consent in vaccinating children and adolescents between 6 and 17 years old. 1–8. https://www.who.int/immunization/programmes_systems/policies_strategies/consent_note_en.pdf?fbclid=IwAR1IUKIk-EJ6GFtbkAi32QC0uDYWgRJbVpnRym_Qq3-CwciuIr9v80Xgkn8
  38. World Health Organization. (2014). Report of the Sage Working Group on. 64. https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf
  39. World Health Organization. (2016). Smallpox vaccines. https://www.who.int/news-room/feature-stories/detail/smallpox-vaccines
  40. World Health Organization. (2019). Overcoming challenges in the immunization programme with vaccine heroes. https://www.who.int/philippines/news/feature-stories/detail/overcoming-challenges-in-the-immunization-programme-with-vaccine-heroes
  41. World Health Organization. (2020). WHO vaccine-preventable diseases: monitoring system. 2020 global summary. https://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria[country][]=PHL#
  42. Young, J. (2020). Frequency Distribution. https://www.investopedia.com/terms/f/frequencydistribution.asp