Factors Associated with the Rejection of Child Immunization: A Systematic Review

Yunia Nur Fadhillah


Department of Health Promotion, Faculty of Public Health, Universitas Indonesia



Background: Vaccine is an effective method to prevent infectious diseases and their complication. However, immunization coverage has declined drastically in some countries for some reasons. This study aimed to review sytematically the factors associated with the rejection of child immunization.

Subjects and Method: This was a systematic review conducted by searching published articles from database including PubMed, Wiley Online Library, JSTOR, Springer Link, ScienceDirect, ProQuest, Scopus, ResearchGate, and Taylor&Francis. The keywords  were ”immunization”, ”vaccination”, ”rejection”, and ”children”. The  inclusion criteria were English and open access. 176 articles were obtained by searching online database. After review process 8 articles were including in this review.

Result:  Vaccination  rejection  was  caused  by  incomplete  information  delivered  by health workers and social media. Internal factors of parents were including age, experience, and education. External factor was sociocultural. Misinformation about vaccines from antivaccine influenced parents.

Conclusion: Vaccination rejection is caused by incomplete information delivered by health workers and social media. Good health communication, performance of health workers, social media campaign can increase vaccine acceptance.

Keywords: immunization, vaccination, rejection, child.

Correspondence: Yunia Nur Fadhillah. Masters Program in Health Promotion, Faculty of Public Health, Universitas Indonesia, Depok, West Java. Email: nianufa@gmail.com. Mobile: 0895344546702.

DOI: https://doi.org/10.26911/the6thicph.02.45

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