Highly Educated Mother's Perception of Childhood Vaccination Hesitancy in Kazakhstan: A Thematic Analysis.
Togzhan Abdirakhman, Ejercito Mangawa Balay-Odao, Mohamad Aljofan and 1 others
PMID 38650958WHAT IT FOUND
Highly educated Kazakhstani mothers who were vaccine-hesitant described four reasons: misconceptions about vaccines, fear of harm, distrust of health services, and misinformation from social media or family.
They wanted clearer pre-vaccination assessment and explanation.
Key findings
01Four themes were misconceptions about childhood vaccination, fear of the effect of vaccines on children, distrust of the healthcare system, and social learning factors.
02Mothers described distrust when providers did not assess the child before vaccination and pressured them without explanation.
03Social media, family, and peer stories were described as influencing hesitancy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The open-ended online survey did not allow follow-up questions, so it describes stated perceptions more than lived experience. Participants were only university-educated mothers who could use computers and self-rated as vaccine-hesitant, so findings do not represent fathers, less-educated mothers, or parents without hesitancy. Most participants were from central Kazakhstan, so perceptions in other regions may differ. No intervention was tested, so the paper cannot show what reduces hesitancy or improves vaccination.
The easy way to misread this
Do not read these themes as proof that correcting misinformation or explaining pre-vaccination checks will increase vaccine uptake. The study only describes perceptions from a purposive sample of highly educated, self-selected vaccine-hesitant mothers and did not test interventions.