Evaluation of awareness and importance of child vaccination among mothers carrying children of age 1 to 4 years in Lyari, Karachi, Pakistan

Authors

  • Nausheen Hameed Siddiqui Benazir Bhutto Shaheed University Lyari, Pakistan
  • Shanza Yousaf Benazir Bhutto Shaheed University Lyari, Pakistan
  • Javaria Saeed Benazir Bhutto Shaheed University Lyari, Pakistan
  • Shahana Wahid Benazir Bhutto Shaheed University Lyari, Pakistan
  • Sheikh Abdul Khaliq Hamdard University, Karachi Pakistan
  • Imran Ahmed Benazir Bhutto Shaheed University Lyari, Pakistan

DOI:

https://doi.org/10.59736/IJP.24.01.961

Keywords:

Awareness, Child Vaccination, Childern, Mothers, Vaccine Awareness

Abstract

Background: Despite attempts to promote immunization, Pakistan's suboptimal child vaccination rates lead to avoidable diseases and high infant mortality, demanding a better understanding of mothers' vaccination knowledge. The current study aimed to assess the level of awareness and knowledge regarding childhood vaccination among mothers and examine its association with demographic characteristics.

Methods: A cross-sectional survey was conducted among 250 mothers using a structured validated questionnaire. The data collected included demographic information, knowledge of vaccine benefits, and perceptions of vaccination schedules. The association between awareness and chosen factors were evaluated statistically using Chi-square.

Results: The 67.2% respondents, demonstrated awareness about vaccination. Significant associations were observed between vaccination awareness and educational level (p=0.0001), number of children (p=0.004), and age of the youngest child (p=0.002). Mothers who acknowledged the benefits of vaccination and the role of vaccines in preventing diseases were significantly more likely to have vaccinated their children (p<0.001). However, gaps remained in knowledge related to vaccine schedules, misconceptions about vaccination during illness, and the belief that one vaccine can immunize against all diseases.

Conclusion: Our findings emphasize the necessity for targeted health education programs to upgrade maternal knowledge and correct misconceptions about childhood immunization. Community-based interventions including healthcare professionals, media, and local influencers are advised to increase vaccine uptake and achieve complete vaccination coverage. ‎

References

Gobo G, Sena B. Questioning and disputing vaccination policies. Scientists and experts in the Italian public debate. Bull Sci Technol Soc. 2022;42(1-2):25-38.

Shahzad M, Abbas M, Quddoos MU, Naheed K, Iqbal M, Siddiqi AA, et al. Economic, social, and administrative barriers in achieving the sustainable development goal of good health and well-being: case of expanded program on immunization in the Punjab province of Pakistan.

Ahmed SH, Zahid M, Waseem S, Zafar A, Shaikh TG, Sabri T, et al. The current state of primary healthcare in Pakistan: a way forward for low- to middle-income countries. Prim Health Care Res Dev. 2024;25: e59.

Zin ZM, Rahman AB, Dahaban MUM, Jahaya NH, Ilman SSS. The risk of vaccine-preventable diseases to children: what the parents perceive.

Ullah K, Saleem J, Zakar R, Ishaq M, Khattak FA, Majeed F, et al. Exploring the reasons for defaulting from childhood immunization: a qualitative study in Pakistan. BMC Public Health. 2024;24(1):408.

Noh JW, Kim YM, Akram N, Yoo KB, Park J, Cheon J, et al. Factors affecting complete and timely childhood immunization coverage in Sindh, Pakistan: a secondary analysis of cross-sectional survey data. PLoS One. 2018;13(10): e0206766.

Habib MA, Soofi SB, Hussain Z, Ahmed I, Tahir R, Anwar S, et al. A holistic strategy of mother and child health care to improve the coverage of routine and polio immunization in Pakistan: results from a demonstration project. Vaccines. 2024;12(1):89.

Moran VH, Thomson G, Fatima S, Habib SH, Mahboob U, Nazli R. Health professionals' and women's knowledge and experiences of caring for small gestational age infants in Pakistan. Glob Pediatr. 2024; 7:100099.

Abu-Raya B, Edwards KM. Prevention of fetal and early life infections through maternal-neonatal immunization. In: Remington and Klein’s Infectious Diseases of the Fetus and Newborn Infant. Elsevier; 2025. p. 1105-20.

Singh H. Public health: a global perspective. Boca Raton: CRC Press; 2024.

Benin AL, Wisler-Scher DJ, Colson E, Shapiro ED, Holmboe ES. Qualitative analysis of mothers' decision-making about vaccines for infants: the importance of trust. Pediatrics. 2006;117(5):1532-41.

Perin J, Mai CT, De Costa A, Strong K, Diaz T, Blencowe H, et al. Systematic estimates of the global, regional and national under-5 mortality burden attributable to birth defects in 2000–2019: findings from the 2020 WHO estimates. BMJ Open. 2023;13(1): e067033.

Alhomayani F, Alwuthaynani MT, Alshehri HA, Mohammed N, Alghamdi DIA, Mohammed R, et al. Mother’s awareness about immunization. Medical Science 2022; 26: ms477e2578.

Özkaya Parlakay A, Kayaaslan B, Türker Ergün G, Elmas B, Türk V, Dokumacı MT, et al. Assessment of knowledge and attitudes about vaccination in a population of pregnant women and impact of a training program. 2025;21(1):2521187.

Kyohere M, Nalubega P, Ssemere H, Ssali A, De Le Doare K. Increasing maternal vaccination awareness by working with women influencers in Kawempe Division, Uganda: a brief report. Pediatr Infect Dis J. 2025;44(2 Suppl): S146-S148.

Santilli V, Sgrulletti M, Costagliola G, Beni A, Mastrototaro MF, Montin D, et al. Maternal immunization: current evidence, progress, and challenges. 2025;13(5):450.

Samuel BJ, Michael O. The roles of pharmacists in maternal and child health of primary health care system. 2020.

Md Suhaimi TM, Ismail A, Ismail R, Rasudin NS, Mohd Noor N, Jayapalan A, et al. Influence of maternal risk perception and vaccination knowledge on childhood vaccination intentions. 2025;25(1):671.

Alanazi FTH, Alharbi BN, Aljuaid TH, Alammar FA, Almarzouq YF, Albalawi I, et al. The impact of vaccinations on disease prevention: a comprehensive analysis of their role in enhancing global public health and reducing morbidity and mortality rates. 2024;8(S1):1885-1907.

Bruno S, Nachira L, Villani L, Beccia V, Di Pilla A, Pascucci D, et al. Knowledge and beliefs about vaccination in pregnant women before and during the COVID-19 pandemic. 2022; 10:903557.

Gul S, Khalil R. Immunization knowledge and practices among mothers attending a pediatric clinic in Karachi, Pakistan. 2016;3(3):656-661.

Oyo-Ita A, Oduwole O, Arikpo D, Effa EE, Esu EB, Balakrishna Y, et al. Interventions for improving coverage of childhood immunization in low- and middle-income countries. Cochrane Database Syst Rev. 2023;(12).

Devi TK, Gautam M, Thomas M, Dixon N. Enhancing knowledge and attitudes towards measles prevention among mothers of under-five children. Int J Nurs Educ Res. 2025;13(1):10-14.

Downloads

Published

2026-04-06

Issue

Section

Original article

How to Cite

1.
Siddiqui NH, Yousaf S, Saeed J, Wahid S, Abdul Khaliq S, Ahmed I. Evaluation of awareness and importance of child vaccination among mothers carrying children of age 1 to 4 years in Lyari, Karachi, Pakistan. Int J Pathol [Internet]. 2026 Apr. 6 [cited 2026 Apr. 14];24(1):54-62. Available from: https://mail.jpathology.com/index.php/OJS/article/view/961

Most read articles by the same author(s)