Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines


  • Earl Gene L. Maturan Visayas State University
  • Maria Jessica Erlinda Fabroa College of Nursing, Visayas State University, Visca Baybay City 6521, Philippines
  • Janet Alexis De los Santos College of Nursing, Visayas State University, Visca Baybay City 6521, Philippines


Vaccination is a universal health development initiative which aims to save millions of lives every year. Vaccines reduce the risks of acquiring many diseases by developing antibodies and boots the immune system of the body. Aim: This paper aims to determine the mothers’ perceptions on pediatric vaccination guided by the components of the Health Belief Model. It is likewise aimed to determine the correlation of the mother’s perception to their vaccination adherence. Methods: This study utilized a cross-sectional design utilizing a self-report scale. Participants composed of mothers who have children aged one year old and below, from Ormoc City, Philippines. Results: It revealed that mothers’ have high perceived threat (m=3.76, SD=0.77), perceived benefits (m=3.82, SD=0.84), and perceived self-efficacy (m=3.78, SD=0.79), towards vaccination. Similarly, cues to action revealed a high mean score of 3.86 (SD=0.88). On the other hand, factors such as financial (m=2.83; SD=1.06), personal (m=2.12, SD=1.02), Spiritual (m=2.29, SD=1.01), Geographical (m=2.172; SD=1.54), and Health Care Professional's Approach (m=2.26; SD=0.99) were not considered as a barrier among the participants. Among the perceptions identified, we found a positive correlation between a mother's perceived threat (r=0.290, p=<0.001), perceived benefits (r=0.147, p=0.001), and perceived self-efficacy (r=0.217, p=0.001) to their vaccination adherence. On the other hand, among the perceived barriers, only personal beliefs (r=1.78, p=<0.001) and the approach of health care providers (r=-0.096, p=0.038) revealed a significant negative relationship to a mother's adherence to vaccination. Conclusion: Related factors such as perceived threat, benefit, and self-efficacy are facilitative, while personal beliefs and negative approaches health care personnel can be barriers to immunization. When a mother's perception outweighs their perceived barriers, they are more likely to submit to vaccination.


perceptions, pediatric immunization, vaccination adherence, Philippines


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Alshammari, T.M. Subaiea, G.M., Hussain, T., Moin, A., & Yusuff, K.B. (2018) Parental perceptions, attitudes and acceptance of childhood immunization in Saudi Arabia: a cross sectional study. Vaccine, 36(1), 23-28.

Bangura, J. B., Xiao, S., Qiu, D., Ouyang, F., & Chen, L. (2020). Barriers to childhood immunization in sub-Saharan Africa: A systematic review. BMC Public Health, 20(1).

Butt, M., Mohammed, R., Butt, E., Butt, S., & Xiang, J. (2020). Why have immunization efforts in Pakistan failed to achieve global standards of vaccination uptake and infectious disease control?. Risk Management and Healthcare Policy, 13, 111.

Champion, V. L., & Skinner, C. S. (2008). The health belief model. Health Behavior and Health Education: Theory, Research, and Practice, 4, 45-65.

Department of Health. (2016). Immunization Program. The National Immunization Program.,and%20mothers%20have%20access%20to

Eboreime, E., Abimbola, S., & Bozzani, F. (2015). Access to Routine Immunization: A Comparative Analysis of Supply-Side Disparities between Northern and Southern Nigeria. PLOS ONE, 10(12), e0144876.

Gennaro, E., Caleb, S., Torres, R., Alexander-Parrish, R., Thoburn, E., McLaughlin, J. M., & Fu, L. Y. (2021). Parental Beliefs, Logistical Challenges, and Improvement Opportunities for Vaccination among Children Ages 19-35 Months Experiencing Homelessness. The Journal of Pediatrics, 236, 246–252.

Jung, Y., Min, J. Y., Kim, H. J., & Min, K. B. (2021). Disparities in infant mortality from all-infectious, vaccine-preventable, and non-vaccine preventable diseases in relation to parental education. Vaccine, 39(39), 5658–5665.

Lee, J. Y., Murry, N., Ko, J., & Kim, M. T. (2018). Exploring the Relationship between Maternal Health Literacy, Parenting Self-Efficacy, and Early Parenting Practices among Low-Income Mothers with Infants. Journal of Health Care for the Poor and Underserved, 29(4), 1455–1471.

Majid, U. & Ahmad, M. (2020) The factors that promote vaccine hesitancy, rejection or delay in parents. Qualitative Health Research, 30(11), 1762-1776.

Mendel-Van Alstyne, J. A., Nowak, G. J., & Aikin, A. L. (2018). What is 'confidence' and what could affect it?: A qualitative study of mothers who are hesitant about vaccines. Vaccine, 36(44), 6464–6472.

Muathe, E. C., Kamau, M., & Rajula, E. (2020). Exploring strategies to improve adherence to immunization schedule: a study among children attending Maternal and Child Health Clinic at Kenyatta National Hospital, Nairobi, Kenya. International Journal of Pediatrics, 2020.

Power, M. L., Leddy, M. A., Anderson, B. L., Gall, S. A., Gonik, B., & Schulkin, J. (2009). Obstetrician–gynecologists' practices and perceived knowledge regarding immunization. American Journal of Preventive Medicine, 37(3), 231-234.

Ridad, G. S. (2019). Barriers to Adherence to Expanded Program on Immunization among Parents in Lanao Del Norte, Philippines. Belitung Nursing Journal, 5(1), 16-22.

Singh, S., Sahu, D., Agrawal, A. & Vashi, M. (2019) Barriers and opportunities for improving childhoon immunization coverage in slums: a qualitative study. Preventive Medicine Reports, 14, 100858.

Sunny, A., Rameh, S., & Shankar B.K. (2018) A study to assess and correlate the knowledge, attitude and practices of vaccination among moters with educationa status in a teaching hospital in South India. Primary Health Care: Open Access, 8(1).

Tate, J., Aguado, T., De Belie, J., Holt, D., Karafillakis, E., Larson, H. J., ... & Wait, S. (2019). The life-course approach to vaccination: Harnessing the benefits of vaccination throughout life. Vaccine, 37(44), 6581-6583.

Ulfah, M., Respati, S. H., & Murti, B. (2020). Determinants of Complete Infant Immunization and Contextual Effect of Community Health Centers: A Multilevel Evidence from Karanganyar, Central Java. Journal of Maternal and Child Health, 5(5), 456-466.

Wang, Z., Fang, Y., Ip, M., Lau, M., & Lau, J. T. (2021). Facilitators and barriers to completing recommended doses of pneumococcal vaccination among community-living individuals aged≥ 65 years in Hong Kong–a population-based study. Human Vaccines & Immunotherapeutics, 17(2), 527-536.

Wani, R. T., Dar, H., & Raina, Z. A. (2017). Knowledge, attitude and practices of mothers with children under five years of age about vaccination. Journal of Medical Science and Clinical Research, 5(7), 24449-5.

World Health Organization. (2020). 2020 WHO/UNICEF Estimates of National Immunization Coverage. Progress and Challenges with Sustaining and Advancing Immunization Coverage During the COVID-19 Pandemic. April 16, 2022, from

World Health Organization (2022). Global Immunization dashboard.




How to Cite

L. Maturan, E. G., Fabroa, M. J. E., & De los Santos, J. A. (2022). Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines. The Malaysian Journal of Nursing (MJN), 14(1), 59-65. Retrieved from