![]() ![]() This study examined influences on childhood immunisation behaviour using the attitude-social influence-self efficacy model. A growing concern with rapid urbanisation is how to provide immunisation services. The rationale for this being the majority of the population live in rural areas. Immunisation outreaches have been tailored to rural areas, where access to health services is low due to poor road network. Often the socio-cultural context relevant for health seeking behaviour is not considered during programme implementation. Power relations within the household and between kin and friends affect health decision making. In low income settings, immunisation programmes have traditionally targeted women and neglected the role of men. Those studies on behavioural factors have been done in settings with almost universal access to immunisation services. Others have identified health system factors and behavioural influences on immunisation. Several studies identify demographic characteristics of the caretakers with suboptimal utilisation of immunisation services. Seventy percent of these children live in ten countries including Uganda. Increasing male involvement and knowledge of immunisation concepts among caretakers could improve immunisation.Įach year, over 24 million children under one year of age miss routine immunisation services. ![]() A community programme that empowers women economically and helps men recognise the role of women in decision making for child health is needed. Immunisation programmes should position themselves to address social contexts. Influences on the mother's immunisation behaviour ranged from the non-supportive role of male partners sometimes resulting into intimate partner violence, lack of presentable clothing which made mothers vulnerable to bullying, inconvenient schedules and time constraints, to suspicion against immunisation such as vaccines cause physical disability and/or death. Data was analysed using content analysis. Eight key informant interviews (KIIs) were held with those in charge of community mobilisation for immunisation, fathers and mothers. We conducted nine focus group discussions (FGDs) with mothers and fathers. This study examined influences on immunisation behaviour using the attitude-social influence-self efficacy model. Understanding vaccination behaviour is important for the success of the immunisation programme. ![]() The proportion of Ugandan children who are fully vaccinated has varied over the years. ![]()
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