Barriers for measles rubella vaccination campaign in rural area of Jammu: a qualitative study

Sonika Sangra, Neha Choudhary, Wahida Kouser


Background: Measles is a highly contagious virus, spread by contact with an infected person through coughing and sneezing. Like measles, rubella can be prevented with a safe, effective and inexpensive vaccine. This can be delivered as a rubella vaccine alone, or combined with measles vaccine (MR) or with measles and mumps vaccines (MMR). The objectives of the study were to analyze the barriers for acceptance of MR vaccination in the field area of New Type Primary Health Centre (NTPHC) Miran Sahib, one of the NTPHC of CHC R. S. Pura, field practice area of Department of Community Medicine, GMC Jammu.

Methods: A qualitative study which consisting of interviews of parents of children both vaccinated as well as unvaccinated as well as teachers and principals of children of various government and private schools, Female Multipurpose Health Worker (FMPHW)s, accredited social health activist (ASHA) workers and Anganwadi workers where the campaign was conducted was also interviewed.

Results: The major barrier to acceptance of MR vaccination was wrong message conducted through some social media that it results in deaths of some children in various places, and also the messages spread in some religions like in Muslim community that the Vaccine leads to infertility. But the sensitization meetings with the parents, school staff by the health team prior to vaccination played a major role and results in the vaccine coverage of 95%.

Conclusions: Before eliminating MR, there are many barriers which are needed to be addressed.


MR vaccination, IEC activities, Barriers

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Ministry of Health & Family Welfare, Government of India. Introduction of Measles- Rubella vaccine (Campaign and Routine Immunization) National Operational Guidelines; 2017.

Measles- Rubella (MR) vaccination campaign. Vikaspedia. Available at: healthcampaigns/measles-rubella-mr-vaccination-campaign. Accessed on 24 October 2016.

Business standard. Available at: Accessed on 24 October 2016.

Brunson EK. The impact of social networks on parents’ vaccination decisions. Pediatrics. 2013;131:1397-404.

Jarrett C, Wilson R, O’Leary M, Eckersberger E, Larson HJ, SAGE Working Group on Vaccine Hesitancy. Strategies for addressing vaccine hesitancy- A systematic review. Vaccine. 2015;33:4180-90.

Shrivastava SR, Shrivastava PS, Ramasamy J. 2017 Measles- rubella vaccination campaign in India. Int J Prev Med. 2018;9:31.

Paterson P, Schulz W, Utley M, Larson H. Parents’ experience and views of vaccinating their child against influenza at primary school and at the general practice. Int J Environ Res Public Health. 2018;15:622.

Sulaiman K. An assessment of muslims reactions to the immunization of children in northern Nigeria. Med J Islam World Acad Sci. 2014;22:123-32.