Connaissances, attitudes et pratiques des mères travailleuses vis-à-vis de la vaccination des enfants : exemple des revendeuses de vivres des zones de faible performance vaccinale

Félicitée Nguefack, Marie Kobela, Roger Dongmo, Christiane Tassadong, Evelyn Mah, Innocent Kago

Abstract


RÉSUMÉ.

CONTEXTE. L’insuffisance des connaissances des parents figure parmi les obstacles à la vaccination complète des enfants. L’occupation des mères aggraverait cette situation du fait du peu de temps à eux alloué.

MÉTHODOLOGIE. Notre étude transversale a porté sur les connaissances, attitude et pratique des mères revendeuses des vivres «Bayam Sellam» vis-à-vis de la vaccination de leurs enfants. Nous les avons interviewées et recherché les facteurs associés à la vaccination complète dans six marchés des districts de santé où les contres performances vaccinales étaient enregistrées.

RÉSULTATS. L’étude a porté sur 265 «Bayam Sellam». Presque toutes (99,2%) connaissaient la définition de la vaccination et 80,4%, au moins une maladie cible du PEV. Les maladies les plus citées étaient la rougeole (100%), poliomyélite (97,2%), tétanos (88,3%), tuberculose (83,1%). L’hépatite (58,2%) et la diphtérie (29,6%) étaient moins connues. Près de 3/4 (72,5%) estimaient important de continuer à vacciner l’enfant même pendant sa maladie. Plus elles avaient de bonnes connaissances et une attitude très favorable sur la vaccination, davantage les enfants étaient complètement vaccinés (P= 0,035). La plupart (79,6%) estimaient que, administrer une partie des vaccins aux enfants ne les protégeait pas suffisamment contre les maladies. Il existait une association entre la maîtrise du planning local et la vaccination complète des enfants (P= 0,001).

CONCLUSION. Le travail des « Bayam Sellam» ne les empêchait pas de connaitre et de pratiquer la vaccination de leurs enfants. La maitrise du planning local de vaccination contribuerait à renforcer leur adhérence à la vaccination malgré leur occupation.

MOTS CLÉS. Connaissances, attitude, pratique, occupation, mère, enfant, vaccination, facteurs.

 

 

ABSTRACT

CONTEXT. Inadequate parental knowledge features among the obstacles to full immunization of children. The occupation of mothers aggravates this situation because of the limited time allocated to them.

METHODOLOGY. A cross-sectional study examined the factors influencing the full immunization of children whose mothers are food retailers ("Bayam Sellam"). We interviewed mothers in six sites located in different health districts where poor performances of routine immunization have been reported.

RESULTS. The study included 265 mothers. Almost all (99.2%) knew the definition of vaccination and 80.4% knew at least one EPI target disease. The most mentioned diseases were measles (100%), poliomyelitis (97.2%), tetanus (88.3%), and tuberculosis (83.1%). Hepatitis (58.2%) and diphtheria (29.6%) were less known. Nearly three quarters (72.5%) of mothers felt it was important to continue to vaccinate the child even during illness. The more they had good knowledge and favorable attitudes on immunization, the more the children were fully vaccinated (P = 0.035). Most (79.6%) felt that failure to administer part of the vaccines to children did not protect sufficiently against diseases. There was an association between knowledge of the vaccination days in those sites and full immunization of children (P= 0.001).

CONCLUSION: The profession of "BayamSellam" did not prevent the mastery and practice of immunization of their children. Mastering the local schedule of administration of each antigen would help to improve the adherence to vaccination activities regardless of the mothers’ occupation.

KEYWORDS. Knowledge, attitude, occupation, mother, child, full immunization.


Keywords


Connaissances, attitude, pratique, occupation, mère, enfant, vaccination, facteurs

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