Table 2 Acceptability and acceptance of multiple injections given at a single visit to caregivers and vaccinators
Caregivers (N = 229) | n (%) | Vaccinator (N = 98) | n (%) |
|---|---|---|---|
Caregivers understanding of immunization | Concern about giving multiple injections | ||
To protect from disease | 133 (58.1) | Concerned | 54 (55.1) |
To keep babies healthy | 69 (30.1) | Not concerned | 44 (44.9) |
To prevent epidemics | 26 (11.4) | Reason for concerns | |
Other | 1 (0.4) | Side effects | 6 (11.1) |
Crying & pain | 32 (59.3) | ||
Difficulty holding child | 2 (3.7) | ||
Caregiver informed about number of injections during vaccination session | Caregiver not coming back | 10 (18.5) | |
Yes | 162 (70.7) | Don’t know enough about why Immunization given | 3 (5.6) |
No | 67 (29.3) | Parent objection | 1 (1.9) |
No. of injections perceived ‘too many’ | No. of injections perceived ‘too many’ | ||
<3 injections | 20 (8.7) | <3 injections | 2 (2.0) |
≥3 injections | 196 (85.6) | ≥3 injections | 94 (96.0) |
Uncertain | 13 (5.7) | Uncertain | 2 (2.0) |
Caregivers knowledge of diseases immunisations prevent | Caregivers of babies (6 weeks old) expressing unhappiness about multiple injections | ||
Pneumonia (Pnuemococcal or Hib) | 3 (1.3) | Always | 20 (20.4) |
Diarrhoea (rotavirus) | 8 (3.5) | Often | 36 (36.7) |
Measles | 28 (12.2) | Sometimes / Seldom | 22 (22.5) |
Polio | 77 (33,6) | Seldom | 12 (12.2) |
Hepatitis B | 4 (1.8) | Never | 8 (8.2) |
Diptheria | 6 (2.6) | Caregivers of babies (older than 6 weeks) expressing unhappiness about multiple injections | |
Tetanus | 3 (1.3) | Always/often | 19 (19.4) |
Whooping cough (Pertussis) | 11 (4.8) | Sometimes / Seldom | 50 (51.0) |
TB | 89 (38.9) | Never | 29 (29.6) |
Satisfaction with injections administered at visit | |||
Satisfied | 213 (93.0) | ||
Dissatisfied | 16 (7.0) | ||
Satisfaction with vaccinators at visit | Importance of providing more information to caregivers about immunisations | ||
Satisfied | 221 (96.5) | Very important | 97 (99.0) |
Dissatisfied | 8 (3.5) | Somewhat important | 1 (1.0) |
Preferred number of visits | Frequency of explaining the reasons for multiple injections to caregiver | ||
One visit for 3 injections | 166 (72.3) | Always | 54 (55.1) |
More visits for fewer injections each | 59 (25.8) | Often | 26 (26.5) |
Other | 4 (1.8) | Sometimes | 16 (16.3) |
Ever told to come for more visits for less injections | Seldom | 2 (2.1) | |
Yes | 35 (15.3) | Advised caregivers to bring child for extra visits for less injections | |
No | 193 (84.3) | Always / often | 10 (10.2) |
Uncertain | 1 (0.4) | Sometimes / seldom | 9 (9.2) |
Never | 79 (80.6) | ||
Caregiver informed about the number of immunization injections infant would receive | Copy of protocol/ guideline seen | ||
Yes | 162 (70.7) | Protocol in immunization room | 83 (87.4) |
No | 67 (29.3) | Protocol in facility / other room | 10 (10.5) |
Where were injections given | No protocol seen | 2 (2.1) | |
Combination RRL (2 x right thigh & 1 left thigh) | 120 (52.4) | Protocol Used | |
Combination LLR (2 x left thigh & 1 right thigh) | 16 (7.0) | Yes | 95 (96.9) |
Upper arms | 1 (0.4) | No | 3 (3.1) |
Other | 1 (0.4) | ||
Can’t remember | 1 (0.4) | ||
Not applicable (no injection given) | 64 (28.0) | ||
<=2 injections | 26 (11.4) | ||
Proportion of infants who are up to date for age on immunisations (ie acceptors) | |||
Yes | 220 (96.1) | ||
No | 7 (3.1) | ||
Patient held immunisation record not available | 2 (0.8) |