title: Beliefs and attitudes of caregivers toward compliance with childhood immunisations in Cameroon.
abstract: This study analysed factors associated with caregiver compliance and childhood immunisation schedules using a framework based on the Health Belief Model and a cross-sectional questionnaire survey. Participants were caregivers who were enrolling their children (average age 5 y) into class one at randomly selected primary schools in Bamenda, Cameroon. Schools were selected using a stratified random sampling methodology. Seventy-two percent of the 550 participants responded that their children were up-to-date with their immunisations. Perceived susceptibility with an odds ratio (OR)=0.75, perceived severity (OR=0.74), and self-efficacy (OR=1.57) were found to be associated with caregiver compliance to childhood immunisations. Higher level of education and living in an urban location were also found to be associated with increased likelihood of caregivers being up-to-date with their children's immunisations. Results suggest that health service planning should include health education and health promotion programs targeting caregiver compliance with recommended immunisation schedules with resultant improvements in communicable disease control and child health in Cameroon.
authors.affiliation: The University of Tennessee, Knoxville, Tennessee, USA.
authors.forename: J N
authors.initials: JN
authors.lastname: Tuma
authors.forename: S M
authors.initials: SM
authors.lastname: Smith
authors.forename: R H
authors.initials: RH
authors.lastname: Kirk
authors.forename: C E
authors.initials: CE
authors.lastname: Hagmann
authors.forename: P C
authors.initials: PC
authors.lastname: Zemel
mesh_terms: D002163:Cameroon; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D002675:Child, Preschool; D003140:Communicable Disease Control; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D007115:Immunization Schedule; D007223:Infant; D011897:Random Allocation; D012574:Schools; D020377:Self Efficacy; D011795:Surveys and Questionnaires