WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Noor M. Saeed Yousifa*, Fabhs(FM). Dr. Firas Husam Alib, Cons.

ABSTRACT

Background: childhood vaccination represents one of the most cost-effective public health interventions for reducing morbidity and mortality among children. Aim: To find the causes of vaccine default in children less than 12 months in Mosul city. Methods: A descriptive cross sectional design was use to achieve the objectives of this study. The study was conducted in Mosul city in a family Medicine and primary health care centers and A convenient sample of 600 caretaker accompany the vaccine dropout infantfor vaccination who visit the PHCCs for vaccination were enrolled after verbal agreement for participation in the study. The number of infants obtained from eachcenter in Mosul city was estimated according to the proportion of the annual number of attendants of the center to the total attendants of the 13 centers. The study was carried out over a four months period from the beginning of April 2022 to the end of July 2022. Data for this study were collected through direct interview with the infant’s mothers/ caretaker using a specially designed questionnaire sheet, the immunization card was used to verify each infant’s for compliance with the vaccine schedule, then only the infants with incomplete vaccination was taken. Data were entered and analyzed using statistical package for social science(SPSS) version 25 and excel sheet. Results: Regarding general characteristics of the infants show Both parents father and mother take immediate care of the infant found among 540 (90%), followed by mother 58(9.7%). Regarding general characteristics of the infants reveals that, most of the dropout infants aged 12 month was 160 (26.67%) followed by 10-11 months 116(19.33%), also this study showed that266 (44.33%) dropout infants had ≥3 brother followed by 2 brothers 210(35%). Regarding causes of vaccine dropout this study revealed that most causes related to the take care 337(56%). In relation to causes belong to the vaccine itself, commonest cause related to vaccine was fear of vaccine side effect 146(24.3%). Conclusion: Most of the dropout infants aged 12 month 160 (26.67%) The common cause of dropout was causes related to the take care (56%) The commonest cause related to vaccine was fear of vaccine side effect (24.3%) Commonest vaccine dropout by infants was at 6 months (OPV, Rota, Penta, Pneumococcal) (28.8%).

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