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November 1, 2012Bulletin of the World Health OrganizationOpen Access

Parental perceptions surrounding polio and self-reported non-participation in polio supplementary immunization activities in Karachi, Pakistan: a mixed methods study

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Key result

Low-income Pashtun parents were significantly more likely to not participate in polio supplementary immunization activities compared to low-income non-Pashtuns (OR 7.1; 95% CI 3.47-14.5).

Population

1017 parents in Karachi, Pakistan, with children aged < 5 years, plus 30 parents of Pashtun ethnicity who…

Design

Cross-sectional

Authors

AKAsif Raza KhowajaBrock UniversitySKSher Ali KhanLady Reading HospitalNNNaveeda NizamSindh Institute of Urology and Transplantation

Discussion

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Implication

Targeted outreach may address ethnic disparities in polio SIA refusal; leaves open causal factors and intervention efficacy pending prospective studies.

Study Design

Type

Cross-Sectional (n=1,017)

Structured PICO

P
Population
1,017 parents of children aged < 5 years in Karachi, Pakistan, surveyed to assess participation in polio supplementary immunization activities.
O
Outcome
Parent's knowledge and perceptions surrounding polio and polio vaccination, self-reported participation in polio supplementary immunization activities (SIAs), and reasons for non-participationpatient reported

Main Result

Odds Ratio: 7.1 (95% CI 3.47–14.5)

A significant proportion of parents in Karachi, particularly among low-income Pashtun and high-income families, refuse polio vaccination due to misconceptions, fear, and lack of faith in the program.

Cite This Study

Khowaja et al. (2012) conducted a cross-sectional in Polio vaccination non-participation (n=1,017). Low-income Pashtun ethnicity vs. Low-income non-Pashtun ethnicity was evaluated on Non-participation in polio supplementary immunization activities (OR 7.1, 95% CI 3.47-14.5). Low-income Pashtun parents were significantly more likely to not participate in polio supplementary immunization activities compared to low-income non-Pashtuns (OR 7.1; 95% CI 3.47-14.5).

synapsesocial.com/papers/6a6b52b4ff619b1ab2cb2e9ahttps://doi.org/10.2471/blt.12.106260
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