Role of Healthcare Practitioners in Rotavirus disease awareness and vaccination – Insights from a survey among caregivers (original) (raw)
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Parent's Knowledge on Rotavirus Diarrhea and Vaccine in Indonesia
Pasteur Institute of Iran, 2020
Introduction: Parent's knowledge on rotavirus diarrhea and vaccine might influence the decision to vaccinate a child. The purpose of this study was to examine knowledge level and to determine the factors that influence parents' knowledge on rotavirus diarrhea and vaccine. Methods: The study applied an observational study design with a multi-center cross-sectional approach. The research instrument used a questionnaire to determine the sociodemographic variables and knowledge of respondents. Results: Data were collected from a survey of 500 parents in 5 provinces including Province of Central Kalimantan, Lampung, Central Sulawesi, West Java, and Yogyakarta in Indonesia using convenience sampling technique. Parents' knowledge in this study was quite good with the average score of 78.2 ± 16.81. However, out of 500 respondents, only 158 (31.6%) parents knew that the rotavirus vaccine was not included in Indonesia's national health insurance program. There was a significant difference in the average of knowledge between the characteristics groups of age, education, monthly expenditure and experience of hearing diarrhea and rotavirus vaccine, vaccinating and source of disease information and vaccine (p <0.05). Conclusion: This study suggests the need of health promotion related to rotavirus diarrhea and vaccine in order to achieve equitable distribution of information and increase public knowledge to support future immunization programs.
Assessing Mother's Knowledge Regarding the Importance of Rotavirus Vaccine for their Children
Rotavirus gastroenteritis is a major cause of morbidity and mortality among African infants and young children and is the most common cause of severe dehydration. Safe, effective, and affordable rotavirus vaccines are needed for developing countries. So recently the World Health Organization (WHO) has released a global recommendation that all countries include infant rotavirus vaccination in their national immunization programs. In Sudan rotavirus infection deaths represent 10-10.000 per 100.000 for this reason; in day17/7/2011 rotavirus vaccines are administered in all health settings in Sudan (Product: RotaRix; Manufacturer: GlaxoSmithKline; Year Licensed: 2008, suspended March 22, 2010) (Ministry of Health). So, the mother's in Sudan must posses' suitable knowledge regarding rotavirus vaccine. Aim of the study: To assess mother's knowledge regarding the importance of rotavirus vaccine for their children. Method: The study is descriptive enrolled mother's age between 20-45 years whom have children with an age less than 6 months, by convenience sample as a case finding (46) mother. Tool: Through structured interviewing questionnaire the data represent the level of mothers' knowledge were collected. Result: The range of study; mother's age was between 20 to 45 years old, with a mean of 32.8 ±8. 4 years, less than half of study, mothers were 30-34 years old their number 18 (39.1%). The relation between level of education and level of knowledge regarding rotavirus vaccine among mothers; the majority were secondary school 14, 10 (71.4%) having poor knowledge and the others 4 (28.6%) having good knowledge; as presented there was a significant statistical relationship between mothers knowledge and mothers' educational level; p value 0.08. Recommendation: Community health nurse must be updated with their knowledge about new vaccines, and help in increasing awareness and knowledge regarding rotavirus vaccine and teach the mothers how to manage the adverse effect if it occur.
2019
Childhood diarrhoea is one of the leading causes of hospitalization and death among under-five children. Rotavirus is one of the most important causes of severe diarrhoea because it has a propensity to cause rapid dehydration. Also, the profound vomiting that occurs in rotavirus-caused diarrhoea limits the scope of oral rehydration therapy. Vaccines are now being introduced in immunization schedules in a phased manner over the country. A descriptive, cross-sectional study was done to assess the level of knowledge of mothers about rotavirus and various attitudes and practices regarding its vaccination in a tertiary-care hospital of Northeast India. Convenience sampling technique was employed to interview 700 mothers of under-five children using a pre-designed, structured interview format. Descriptive statistics and suitable tests like Chi-square test were used to ascertain association between variables. A P-value < 0.05 was considered statistically signif...
2021
Background: Rotavirus is the leading cause of hospitalized diarrhea in Indonesia. Rotavirus vaccine has not been included on the Indonesian National Immunization Program (NIP). There are some key issues must be considered before introducing a new vaccine into a NIP. Our study aimed to explore the knowledge and attitudes of rotavirus diarrhea and barriers to the acceptance of the vaccine. Methods: We conducted 26 in-depth interviews in two districts (rural and urban areas) of Yogyakarta Province, Indonesia. Participants included pregnant women in their third trimester and mothers of infants aged less than 14 weeks. We conducted a thematic analysis. Results: Participants did not perceive diarrhea as being a priority health problem. Very few had heard of rotavirus diarrhea or were aware of the availability of the vaccine. While participants would accept a vaccine their children against rotavirus, some key barriers impacted the use of the vaccine. As the rotavirus vaccine is not include...
Zanco Journal of Medical Sciences, 2016
Introduction Viral gastroenteritis causes approximately 80% of all cases of diarrhea in children younger than one year with rotavirus accounting for 50% of the cases of acute diarrhea in children. Rotavirus is the most common cause of diarrhea illness among children worldwide and accounts for approximately one-third of hospitalizations of children in industrialized countries. It is estimated that by five years of age, nearly every child will have had at least one episode of rotavirus-induced illness. 1 According to the World Health Organization, 46% of severe diarrhoea cases are caused by rotavirus and the rotavirus is the second cause of death among infants in Iraq. 2 However, several studies from different Iraqi governorates have shown different results about infectivity with rotaviruses. For example, rotavirus accounted for 30% of acute diarrhea in hospitalized children in Baghdad, 3 37 % in Erbil, 4 18.5% in Tikrit 5 and 43.3% in Basrah, 6 39.26% in Ramadi, 7 45.76% in Babylon, 8 40%, and 51.6% for Addiwaniya and Najaf, respectively. 9 The Center for Disease Control and Prevention reported that the rotavirus vaccine field advanced significantly in 2004 when the Rotarix vaccine was approved for use in Mexico and subsequently in other Latin American and European countries. Further progress was made in 2006 when the US Food and Drug Administration (FDA) approved the bovine-human reassortant vaccine RotaTeq for use in the United States. These vaccines have been designed using different approaches. 10 The rotavirus vaccine is very effective and gives good Background and objective: Rotavirus gastroenteritis is the most common cause of acute dehydrating diarrhoea among children younger than five years and globally the most important cause of severe diarrhea in this age group. Most children acquire rotavirus infection before they turn two years of age. Rotavirus vaccination can prevent rotavirus infection. This study aimed to assess healthcare providers' knowledge regarding rotavirus vaccine. Methods: A cross-sectional descriptive study was conducted on 100 healthcare providers at four healthcare centers (Azady, Tayrawa, Mala Fandi and Zhyian), during July to August 2014. Data were collected through the use self-reporting questionnaire format, which was developed for the purpose of the study. A socio-demographic sheet was also constructed to determine characteristics of the subjects. Results: Most of the healthcare providers were in the age group 33-42 years old (31%), 51%, were male, 80% were married, 56% were graduated from the institute, half of them had work experience between 2-11 years and 29% were working in vaccination room. Fifty-four (54%) of healthcare providers had average knowledge while 24 (24%) and 22 (22%) of them had a poor and good knowledge, respectively. Conclusion: More than half of healthcare providers had average knowledge regarding rotavirus vaccine.
Improving utilization of rotavirus vaccination among children in Kuwait: an intervention study
International Journal of Public Health Science (IJPHS), 2023
Vaccination against rotavirus is an effective strategy to overcome the consequences of rotavirus infection. This study aims to raise the knowledge, attitude, and practice (KAP) of both parents or caregivers and healthcare providers towards the rotavirus vaccination. The design of the study was an interventional pre-test and post-test. The type of intervention used in this study is an educational intervention. The intervention consisted of a health education message delivered to the participants including both parents or caregivers and healthcare providers. It included three phases, the first one was carried out to assess the KAP of mothers and caregivers before the intervention, the second phase involved the evaluation of participants’ post- intervention, and the third phase involved the assessment of healthcare providers. The study used a survey to assess the demographics, KAP of the participants. The collected data was analyzed using the SPSS program. The overall KAP among mothers were high (11.6%). After the intervention, the level of KAP of mothers toward the rotavirus vaccine was improved significantly (p=0.0001). Also, after the health education message, the level of KAP of the healthcare providers was significantly improved (p=0.0001). The levels of KAP of mothers and healthcare providers were improved after the educational intervention and the health educational message, reflecting the important role of educational intervention in raising the awareness of both mothers and healthcare providers.
Vaccine, 2010
We examined the uptake of rotavirus vaccine and its effectiveness in preventing acute gastroenteritis (AGE) in the community. Data on rotavirus vaccines purchases and AGE were extracted from the computerized database of a large health maintenance organization in Israel. The incidence of AGE requiring a physician visit during 2008-09 rotavirus season among vaccinated and non-vaccinated children were compared, and vaccine effectiveness was calculated as: (1 − Relative Risk) × 100. During the study period, the uptake of rotavirus vaccine (mostly monovalent) reached 55.1% (N = 19,108) of the studied cohort. The risk of AGE requiring a physician visit was 23.2% and 46.4% among vaccinated and unvaccinated children, respectively, yielding an effectiveness of 50.1% (95% CI: 47.5%, 52.6%). Rotavirus monovalent vaccine was highly effective in preventing AGE in the community.
Vaccine, 2011
To investigate possible impact of limited vaccine uptake by the private sector since 2007, a prospective observational study included all children <5 years hospitalized for acute gastroenteritis (AGE) in a Tertiary Care Hospital between 09/2006 and 08/2010. Rotavirus (RV) antigen was detected in stools by a rapid immunochromatographic test and genotype analysis was performed on positive samples by RT-PCR. Compared to 2006-2008, the likelihood of rotavirus infection was significantly reduced among children hospitalized for AGE in 2008-2010 (OR 0.64; 95%CI: 0.49-0.84, p < 0.001). This was mainly due to the reduction of RVGE cases in infants 0-11 months (p = 0.035). Moreover, RVGE cases as well as the rate of RVGE/10,000 hospitalized children significantly decreased (p = 0.009 and p = 0.010 respectively). No children with rotavirus gastroenteritis (RVGE) had received any vaccine dose. G4P [8] was the most common genotype (64/90). In conclusion, this study indicates that even low RV vaccination coverage may have significant effect.
Paediatrica Indonesiana
Background Rotavirus is a leading cause of hospitalized diarrhea cases in Indonesia. Despite the rotavirus vaccine being recommended by the Indonesian Pediatric Society since 2011, it has yet to be been included in the Indonesian national immunization program (NIP) schedule. Objective To explore maternal knowledge of and attitudes towards rotavirus diarrhea, as well as barriers to vaccine acceptance in Yogyakarta, Indonesia. Methods We conducted 26 in-depth interviews in two districts (rural and urban areas) of Yogyakarta Province, Indonesia. Participants included women in their third trimester of pregnancy and mothers of infants younger than 14 weeks. We then proceeded with thematic analysis. Results Participants did not perceive diarrhea as being a priority health problem. Very few had heard of rotavirus diarrhea or were aware of vaccine availability. While participants would accept vaccinating their children against rotavirus, some key barriers impacted vaccine use. As the rotavi...