title: The barriers against childhood immunizations: a qualitative research among socio-economically disadvantaged mothers.
abstract: BACKGROUND
  The socio-economically disadvantaged populations are among the most vulnerable groups that are under-vaccinated. Therefore, the aim of this qualitative study was to understand the behaviours of mothers concerning the immunization of their children, the decision-making process, the perceived barriers, and the enabling factors to access the services in a suburban population in Istanbul.
  
  
  METHODS
  Eight focus group discussions and two in-depth interviews were carried out with the mothers who have children younger than five years.
  
  
  RESULTS
  While the responsibility of immunization was left totally to the mother, the socially subordinate role of women did not provide the means of getting the immunization services. The women were dependent mostly on social networks for getting the immunization services. Another important barrier to the services was related to the economical constraints and accessibility of the services. In addition, the lack of effective communication and information transfer between the health personnel and the mothers formed an important obstacle.
  
  
  CONCLUSIONS
  This study underlines a need for an effective counselling tailored to the immunization session, which will maintain a positive relationship between the personnel and the mother.
authors.affiliation: Department of Public Health, School of Medicine, Marmara University, Istanbul, Turkey. atopuzoglu@marmara.edu.tr
authors.forename: Ahmet
authors.initials: A
authors.lastname: Topuzoğlu
authors.forename: Pinar
authors.initials: P
authors.lastname: Ay
authors.forename: Seyhan
authors.initials: S
authors.lastname: Hidiroglu
authors.forename: Yucel
authors.initials: Y
authors.lastname: Gurbuz
mesh_terms: D000328:Adult; D002662:Child Health Services / Q000706:statistics & numerical data; D002675:Child, Preschool; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007407:Interviews as Topic; D009035:Mothers / Q000523:psychology*; D011203:Poverty; D014421:Turkey