PARENT ATTITUDES ABOUT CHILDHOOD VACCINES Title: VACCINE HESITANCY

No SURVEY ITEM 1 2 3 4 5
(Survey sang STRONGLY DISAGREE UNDECIDED AGREE STRONGLY Clarity Relevance
Batasan sang DISAGREE (wala (ga duwa- (naga AGREE
ginikanan parte sa (Wala gid gasang- duwa) gasang- (gasang- Not clear Clear Not Relevant
pagbakuna sa gasang- ayon) ayon ) ayon gid) relevant
kabataan) ayon)
1. Did not think it was / /
needed.
(Indi kinahanglan
ang bakuna)

My Child does not

need vaccines for
disease

2. I am very much
concerned that a
shot might not
prevent the
disease.
(nagakabalaka gid
ako nga ang
bakuna basi indi
makapugong sang
balati-an)
 clarity relevance

Not clear clear Not relevant relevant

3. I believe that / /
vaccine can protect
children from serious
diseases.
(nagapati gid akon
nga maproteksyonan
sang bakuna ang
akon bata batok sa
nagkalain-lain nga
masakit)

4. I am very much / /
concerned that any
one of the childhood
shots might not be
safe
(nagakabalaka gid
ako nga kada isa
sang mga bakuna
hindi maayo sa akon
kabataan)

I am concerned
about serious
adverse effects of
vaccines

Clarity Relevance
 Not clear Clear Not relevant Relevant
5. New vaccines carry / /
more risks than
older vaccines
(damo gid risgo nga
makuha sa mga bag-
o nga bakuna kaysa
sa mga daan)

6. Did not know where Most of /

to get good/reliable your
information related questions
to vaccine are
(indi kabalo kung negatively
diin makakuha sang stated
intsakto kag
masaligan nga
impormasyon parti
sa bakuna)

I trust the
information I receive
about shots

Clarity Relevance
 Not clear Clear Not relevant Relevant
/ /
7. All childhood
vaccines offered by
the government
programme in my
community are
beneficial
(ang tanan nga
bakuna nga gina
hatag sang
programa sang
gobyerno
makabenepisyo gid
sa akon komunidad)
/
8. Has difficulty in /
accessing health
clinic to receive Revise
vaccination in terms
of the distance from
house to the Rural
Health Unit
(Nabudlayan sa
pagkadto sa clinic
para makapabakuna
tungod sa ini ang
malayo)
 Clarity Relevance

Not clear Clear Not relevant Relevant

9. Heard or read /
negative media
about vaccine
(nakabati kag
nakabasa sang indi
manami nga balita
parte sa bakuna)

10. I have decided to / /

have my child get a
shot regardless of
the misconceptions
from media outlets
(Nagdesisyon ako
nga pabakunahan
ang akon bata maski
may mga haka-haka
halin sa media.)
I do what my doctor
or health care
provider
recommends about
vaccines for my child
11. Had a bad
experience with
previous
vaccinator/health
clinic
(may kalain nga
eksperyensya sang
nagligad nga
nagbakuna ukon sa
ginpabakunahan)
 Clarity Relevance

Not clear Clear Not relevant Relevant

12. I do what my doctor / /

or health care
provider
recommends about
vaccines for my child
(ginapati kon gid
ang hambal sang
doktor ukon sa mga
makahatag pag-
atipan sa ikaayong-
lawas, parte sa
pagbakuna sang
akon bata)

13. The information I / /

receive about
vaccines from the
vaccine program is
reliable and
trustworthy
(masaligan kag
magpatihan gid ang
nabaton ko nga
impormasyon parte
sa mga programa sa
bakuna)
 Clarity Relevance

Not clear Clear Not relevant Relevant

14. I trust my child’s / /
doctor, nurse or
other health care
practitioners.
(Ginasaligan ko ang
doktor, nars ukon
iban pa nga
makahatag pag
atipan sa ikaayong
lawas sang akon
bata.)
15. Childhood vaccines / /
are effective
(Epektibo ang
bakkuna para sa
mga bata)
16. My child does not or Delete “or / /
do not need do not”
vaccines for diseases
that are not common
anymore
(Indi kinanglan sang
akon bata ang
bakuna para sa mga
masakit nga bag o
sa akon panan
awan)
Eating a healthy diet
can eliminate the
need for vaccination

Vaccines can
weaken the immune
system of my child

VACCINE HESITANCY

Please indicate your response with a check mark (/) in the appropriate box, using the scale below:

1=strongly disagree; 2=disagree; 3=neither agree nor disagree; 4=agree; 5=strongly agree

SUGGESTIONS/COMMENTS
 ADD INSTRUCTIONS IN THE INSTRUMENT
 CHANGE THE TITLE OF THE QUESTION INTO VACCINE HESITANCY
 THE CORRECTIONS ARE STATED IN RED
 ALL QUESTIONS MUST NOT BE STATED NEGATIVELY

What are the reasons for hesitancy of mothers in allowing their child to be vaccinated?