Awareness and attitude towards routine immunization of children aged 12-23 months among migrant workers in Southern Karnataka: a community based cross-sectional study

Shweta Neminath Kurkuri; Peruthatta Vayalil; Punith Nanjesh; Shraddha Neminath Kurkuri

doi:10.18203/2394-6040.ijcmph20261793

Authors

Shweta Neminath Kurkuri Department of Community Medicine, SS Academy of Higher Education and Research, Mysuru, Karnataka, India
Peruthatta Vayalil Department of Community Medicine, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
Punith Nanjesh Department of Orthopaedics, JSS Medical College HospitaL, Mysuru, Karnataka, India
Shraddha Neminath Kurkuri Department of Obstetrics and Gynaecology, Kempegowda Institute of Medical Science, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20261793

Keywords:

Attitude, Knowledge, Migrant workers, Routine immunization, Urban Mysuru

Abstract

Background: Immunization is one of the most cost-effective public health interventions for preventing childhood morbidity and mortality. The aim of the study was to assess the knowledge and attitude of parents towards routine immunization of children aged 12-23 months among migrant workers and to determine the correlation between knowledge and attitude scores.

Methods: A community-based cross-sectional study was conducted among 500 parents/guardians of migrant children aged 12-23 months in an urban area of Southern District of Karnataka. Data were collected using a pre-tested structured questionnaire assessing knowledge and attitude towards routine immunization. Descriptive statistics, independent t-test, and Pearson’s correlation coefficient were used for analysis.

Results: Awareness regarding routine immunization was found in 99.2% of parents and 97.2% believing that immunization protects children from diseases. However, substantial misconceptions were observed regarding contraindications to vaccination, as 67.8% considered common cold, 79.6% diarrhoea, and 87.2% fever as contraindications. Most parents expressed a favorable attitude, with 95.0% agreeing that immunization is safe and necessary. The mean knowledge score was significantly higher among parents of fully immunized children compared to partially immunized children (p<0.001). A significant positive correlation was observed between knowledge and attitude scores (r=0.38, p<0.001).

Conclusions: Despite high awareness and positive attitudes towards routine immunization among migrant parents in urban Mysuru, critical knowledge gaps and misconceptions persist, particularly regarding vaccine contraindications. Strengthening targeted health education and behavior change communication through frontline health workers is essential to translate favorable attitudes into informed and sustained immunization practices.

References

Sustainable Development Goals (SDG 3). United Nations Western Europe. Available at: https://unric.org/en/sdg-3/. Accessed 15 January 2026.

Restrepo-Méndez MC, Barros AJ, Wong KL, Johnson HL, Pariyo G, França GV, et al. Inequalities in full immunization coverage: trends in low-and middle-income countries. Bulletin of the World Health Organization. 2016;94(11):794.

WHO. Immunization coverage. Geneva: WHO; 2025.

Geddam JB, Kommu PR, Ponna SN, Mamidi RS, Kokku SB, Dudala SR, et al. Immunization uptake and its determinants among the internal migrant population living in nonnotified slums of Hyderabad city, India. J Family Med Prim Care. 2018;7(4):796-803.

Matthews Z, Channon A, Neal S, Osrin D, Madise N, Stones W. Examining the “urban advantage” in maternal health care in developing countries. PLoS Medi. 2010;7(9):e1000327.

Kusuma YS, Babu BV. Migration and health: A systematic review on health and health care of internal migrants in India. Int J Health Plann Manage. 2018;33(4):775-793.

Opel DJ, Mangione-Smith R, Taylor JA, Korfiatis C, Wiese C, Catz S, Martin DP. Development of a survey to identify vaccine-hesitant parents: the parent attitudes about childhood vaccines survey. Hum Vaccin. 2011;7(4):419-25.

Betsch C, Böhm R, Chapman GB. Using behavioral insights to increase vaccination policy effectiveness. Policy Insights Behavioral Brain Sci. 2015;2(1):61-73.

Government of India. National Health and Family Welfare (NFHS) 4. Child Immunization and Vitamin A Supplementation, 2018. Available at: https://rchiips.org/nfhs/pdf/NFHS4/India.pdf. Accessed 15 January 2026.

Anand A, Vardhan A, Sinha A, Baibhav S, Komal, Anupriya, et al. Knowledge, attitude and practice of the caregivers regarding immunization in under-5 children in rural Bihar, India. J Family Med Prim Care. 2025;14(7):2752-8.

Tiwari DA, Vishwakarma DK. A study of knowledge, attitude and practice of mothers on immunization of children in urban slums. Pediatric Review: Int J Pediatr Res. 2019;6(10):547-54.

Jelly P, Jeenwal N, Wadhwa N, Kumari N, Kumari P, Mathur P, et al. Knowledge, attitude, compliance and barriers of immunization among parents of under-five children. Int J Afr Nurs Sci. 2023;19:100608.

Chaudhuri PK, Madhur A, Sarkar P, Prasad KN, Singh J. A pilot study on the knowledge, attitude, and practice of mothers about their children's vaccination in a Medical Institute in Jharkhand, India. Cureus. 2024;16(6):e61478.

Nassar O, Alshahwan S, Alshahwan R, Halasa S, Alashhab S, Alnajar M. Determinants of parents’ knowledge, attitudes, and practices toward childhood vaccination. Open Nurs J. 2023;17(1):e187443462302090.

Ayo-Farai O, Adaramola B, Ernest-Okonofua EO, Alfakeer H, Alnemr L, Ali A, et al. Assessing the role of parental knowledge, attitudes, and practices in childhood immunization: a global review of determinants and health outcomes. Discover Public Health. 2025;22(1):533.

Nath L, Kaur P, Tripathi S. Evaluation of the universal immunization program and challenges in coverage of migrant children in Haridwar, Uttarakhand, India. Ind J Commu Medi. 2015;40(4):239-45.

Anand S, Sinha U, Mahawar P. Evaluation of primary immunization coverage in migratory versus non-migratory labour population in an urban area of Bhopal. Pediatr Oncall J. 2014;11(2):36-9.