Experiences of families in the immunization of Brazilian children under two years old

This study aimed to describe the experience of families in the immunization of children under two years. Descriptive study with qualitative data analysis. Twenty-two subjects participated in unstructured interviews. Results were grouped into three categories: Practical knowledge on children’s immunization; Responsibility and compulsory immunization of children; Increasing the scope of children’s immunization practices. The findings highlight factors that increase vaccination rates: experience and personal fulfillment in maternity, fear of getting ill, recognizing it as good care, access, schedule flexibility, dissemination, immunization record card, immunization campaigns and availability of vaccines, and factors that increase non-vaccination rates: parent’s inexperience, refusal to apply simultaneous immunization, fragmented care, absence of dialog, discrimination, false counter-indications and compulsoriness. Immunization centered on compliance with the calendar or in authoritarian situations is not tied to family care. The bond between health care professionals and families needs to be strengthened to increase the participation in child health protection and promotion measures.

[1]  F. Goodyear-Smith,et al.  Nurse and parent partnership during children's vaccinations: a conversation analysis. , 2009, Journal of advanced nursing.

[2]  J. Alves,et al.  [Impact of immunization measures by the Family Health Program on infant mortality from preventable diseases in Olinda, Pernambuco State, Brazil]. , 2009, Cadernos de saude publica.

[3]  C. Campion-Smith,et al.  Parents' difficulties with decisions about childhood immunisation. , 2008, Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association.

[4]  E. Massad,et al.  Factors affecting compliance with the measles vaccination schedule in a Brazilian city. , 2008, Sao Paulo medical journal = Revista paulista de medicina.

[5]  G. W. Campos Reforma da reforma. Repensando a saúde. , 2008 .

[6]  S. R. T. S. Ramos,et al.  Norma técnica do programa de imunização , 2008 .

[7]  Carole Joyce Steps to success: getting children vaccinated on time. , 2007, Pediatric nursing.

[8]  A. Shimo,et al.  O significado da vacina contra rubéola para as mulheres grávidas , 2007 .

[9]  L. Gauvin,et al.  Les pratiques vaccinales des infirmières au Québec: Étendue, retombées et barrières à leur réalisation , 2007 .

[10]  L. Gauvin,et al.  [The immunization practices of nursing staff in local community health centers]. , 2007, Canadian journal of public health.

[11]  A. K. Shimo,et al.  The meaning of the rubella vaccine for pregnant women. , 2007, Revista Latino-Americana de Enfermagem.

[12]  M. Petticrew,et al.  Parents' champions vs. vested interests: Who do parents believe about MMR? A qualitative study , 2007, BMC public health.

[13]  D. D. de Mello,et al.  Health follow-up of children in poverty situation: between the routine and eventuality of daily care. , 2007, Revista Latino-Americana de Enfermagem.

[14]  J. R. Ayres Hermenêutica e humanização das práticas de saúde , 2005 .

[15]  J. Campuzano-Rincón,et al.  Determinants of vaccination after the Colombian health system reform. , 2005, Revista de saude publica.

[16]  J. Paterson,et al.  Maternal and demographic factors associated with non-immunisation of Pacific infants living in New Zealand. , 2004, The New Zealand medical journal.

[17]  M. D. I. Brasil Programa Nacional de Imunizações: 30 anos , 2003 .

[18]  L. C. Nascimento,et al.  Enfermagem pediátrica e abordagem da família: subsídios para o ensino de graduação , 2002 .

[19]  B. D. Saúde. Manual de procedimentos para vacinação , 2001 .

[20]  Marcos Queiroz O desafio do conhecimento: pesquisa qualitativa em saúde , 1992 .