title: Insights on immunizations from caregivers of children receiving Medicaid-funded services.
abstract: OBJECTIVE
  Despite numerous programs aimed at improving immunization rates among American children, under-immunization remains a significant problem. This study was conducted to gain insight into parents'/guardians' knowledge and attitudes regarding childhood immunizations.
  
  
  METHODS
  Thirteen African-American mothers and grandmothers participated in semistructured, audiotaped focus-group interviews.
  
  
  RESULTS
  Four major themes emerged: health knowledge and beliefs about immunizations, system barriers that impede obtaining immunizations, facilitators that enhance obtaining immunizations, and suggestions for change.
  
  
  CONCLUSIONS
  Immunizations are one of the most important health advantages available to children. Therefore, nurses must become aware of the problem of underimmunization and work to address some of the concerns caregivers have identified in this study. The health and lives of the nation's children depend on it.
authors.affiliation: Charity School of Nursing/Delgado Community College, New Orleans, LA, USA. devers@dcc.edu
authors.forename: D B
authors.initials: DB
authors.lastname: Evers
mesh_terms: D000328:Adult; D001071:Appointments and Schedules; D017028:Caregivers / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007223:Infant; D008145:Louisiana; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D014481:United States