the level of awareness of parents

The Level of Awareness of Parents on Different Vaccines and Immunizations in Bambang, Nueva Vizcaya

A Research Project Submitted inPartial Fulfilment of the RequirementsIn English1B

Deus, JenusGarcillan, Kevin Mark MarceloAndres, Kristine JoyBunoy, WilmarieCarbonell, AntoinetteDe Vera, JoannaFazon, Ezra JessicaGasmea, Chabie AngelaStudent-Researchers

Jaydee F. JamesResearch Adviser

Saint Marys UniversityBayombong, Nueva VizcayaSchool of Health Science

March 2014 Acknowledgment

The project should not have been a reality without the contributions of various people and institutions to which the student-researchers owe great appreciation and gratitude:

We would like to express our deepest gratitude to our research adviser, Mrs. Haydee D. James for his excellent guidance, caring, patience, and her never ending consideration for doing this research.

We would like to thank our friends who always there to help us and for giving us the best suggestions.

We would also like to thank our parents for their unconditional support both financially and emotionally and encouraging us with their best wishes.

Finally, to our Lord for the wisdom and perseverance that He has been bestowed upon us during this research project, and indeed, throughout our life.

Deus, JenusGarcillan, Kevin Mark MarceloAndres, Kristine JoyBunoy, WilmarieCarbonell, AntoinetteDe Vera, JoannaFazon, Ezra JessicaGasmea, Chabie AngelaStudent-ResearchersDedication

We dedicate this research project to the following persons who have always supported us physically, emotionally, financially and spiritually: To our parents, who has been our inspiration to do this research study, who taught us that even the largest task can be accomplished if it is done one step at a time.

To our friends and classmates who inspired us, their smiles serve as our strength to this study.

We also dedicate this work to our Lord. He showered us courage and patience to do this study. All glory and honor to Him.

Deus, JenusGarcillan, Kevin Mark MarceloAndres, Kristine JoyBunoy, WilmarieCarbonell, AntoinetteDe Vera, JoannaFazon, Ezra JessicaGasmea, Chabie AngelaStudent-Researchers

Table of Contents

Preliminaries

Title Page...1

Acknowledgement.2

Dedication.3

Table of Contents..4

Abstract.5

Chapter I (Problem and Its Background)..6

Introduction...6

Statement of the Problem..7

Significance of the Study..8

Scope and Delimitation.8

Definition of Terms...8

Chapter II (Methodology) 11

Research Design11

Research Environment..11

Subject of the Study..12

Research Instrument..12

Data Analysis12

Chapter III (Presentation and Analysis of Data).......13

Chapter IV (Summary, Conclusion and Recommendation)26

Summary.......26

Conclusion.....29

Appendices........31

Questionnaire32

Documentation...35

References..................39

Curiculum Vitae.41

Abstract

This study was conducted to determine the level of awareness of parents on different vaccines and immunizations. Several literatures were utilized upon the construction of the questionnaire to determine parents perceptions as basis for identifying their level of awareness on different vaccines and immunizations. Different statistical tools were used for the proper interpretation of the data being gathered such as frequency count, percentages, descriptive design and correlational design. From the data being interpreted it was found that parents in Bambang , Nueva Vizcaya has High level of awareness regarding the different vaccines and immunizations that must be administered to their children.

Chapter I The Problem and Its Background

IntroductionImmunization is the process by which vaccines are introduced into the body before infection sets in. Vaccines are administered to induce immunity thereby causing the recipients immune system to react to the vaccine that produces antibodies to fight infections. Vaccinations promote health and protect children from diseases-causing agents. Infants and newborns need to be vaccinated at an early age since they belong to vulnerable age group. They are susceptible to childhood diseases. There are several general principles which apply in vaccinating children. First it is safe and immunologically effective to administer all EXPANDED PROGRAM ON IMMUNIZATION (EPI) vaccines on the same day at different sites of the body. Second it moderates fever, malnutrition, mild respiration infection, cough, and diarrhea and are not contraindications to vaccination. Generally, one should immunize unless the child is so sick that needs to be hospitalized. Lastly it is safe and effective with mild side effects after vaccination. Local reaction, fever and systematic symptoms can result as part of the normal immune response. (Public Health Nursing in the Philippines)Nowadays people are experiencing diseases cause by infections that lead to death of several people, infectious diseases like Measles, Mumps Rubella, Influenza, and different kinds of Hepatitis others. Which when being introduced and discussed thoroughly the benefits of vaccines and immunizations could have been saved those lives of people who died because of infectious disease. Generally the student-researchers conducted this study to determine the level of awareness of parents in Bambang, Nueva Vizcaya on the different vaccines and immunizations needed to be administered to their children.

Statement of the problemThis study focused on the awareness of parents on vaccines and immunization in Bambang, Nueva Vizacaya. Specifically, it aimed to answer the following questions: 1. What is the profile of the respondents in terms of:a. Ageb. Socioeconomic statusc. Gender 2. What are the different vaccines and immunizations for children? 3. What are the common diseases on children that require immunization and vaccination? 4. On what specific age are these immunization and vaccines administered to the children?

Significance of the StudyIn conducting this research project many people will be benefited. The awreness on vaccines and immunizations will benefit the following:Parents: Parents will lessen their expenses on hospitalization and they will save money for other needs.Children: Children who are vaccinated will have lower possibility to suffer from viral diseases.Community: The community will be free from different viral diseases and can focus on different activities in the community.

Scope and DelimitationThis study was conducted to determine the level of awareness of parents about the different vaccines and immunizations. It was conducted in Bambang, Nueva Vizcaya fom February-March. The study involved the parents of the said municipality.

Definition of terms

Anti-Bodies- any of a large number of proteinsof high molecular weight that are produced normally by an antigen and act specifically against the antigen in an immune response that are produced abnormally by some cancer cells. Devastating diseases- very dangerous diseases that can cause many destructions in our body even death.Embedded- occurring as a grammatical constituent within a like constituent.Fatal- causing death Gynecologist- a physician who specializes in the care, diagnosis, and treatment of disorders of the female reproductive systemImmunization- the process by which an individual'simmune systembecomes fortified against an agent (known as the immunogenic).Immunogenic- any antigen that is capable of inducinghumoraland/orcell-mediatedimmune responserather thanimmunological toleranceSocio economic status- is an economic and sociological combined total measure of a person's work experience and of an individual's or familys economic and social position in relation to others, based onincome,education, and occupation.Vaccine- a biological preparation that improves immunity to a particulardisease. A vaccine typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe, its toxins or one of its surface proteins.Vaccination- the administration ofantigenicmaterial (avaccine) to stimulate an individual's immune system to developadaptiveimmunityto apathogenVulnerable age group- ages that are capable of being physically or emotionally wounded.

Chapter IIMETHODOLOGY

Research DesignThis study used descriptive, correlative design in determining the level of awareness of parents on different vaccines and immunizations in Bambang, Nueva Vizcaya. Identifying the awareness of parents about different vaccines and immunizations required descriptions.

Research EnvironmentThis study was conducted at 9 selected barangays in Bambang, Province of Nueva Vizcaya. This town is comprised of 25 barangays namely Abian, Abinganan, Aliaga, Almaguer North, Almaguer South, Banggot (Urban), Barat, Buag (Urban), Calaocan (Urban), Dullao, Homestead (Urban), Indiana, Mabuslo, Macate, Manamtam, Mauan, Salinas, San Antonio North, San Antonio South, San Fernando, San Leonardo, Santo Domingo (Tabangan), Pallas, Magsaysay Hill (Urban) and Santo Domingo West. The barangays covered by the study are namely Buag, Calaocan, Banggot, Almaguer South, Almaguer North, San Antonio North, Barat, Homestead and San Leonardo with a temperature of 34 degrees Celsius and was conducted from January to March 2014.

Subject of the StudyThe respondents of the study were the randomly selected residents of the 9 selected Barangays in Bambang, Nueva Vizcaya namely Buag, Calaocan, Banggot, Almaguer South, Almaguer North, San Antonio North, Barat, Homestead and San Leonardo.

Research InstrumentsThis study used a questionnaire to determine the parents awareness about the different vaccines and immunizations. It also utilized different literatures upon the construction of the questionnaire.

Data AnalysisTo answer problems 1 and 5, the data were analyzed using descriptive statistics such as frequency, percentages and for the correlation among variables, data were analyzed by ANOVA. For problems 2, 3 and 4 literatures were gathered to answer those problems.

Chapter III

PRESENTATION AND ANALYSIS OF DATA

This chapter presents four main topics of the present study which were based on the answers to the given problems: (1) What is the profile of the respondents in terms of: Age, Socioeconomic status and Gender?, (2) What are the different vaccines and immunizations for children?, (3) What are the common diseases on children that require immunization and vaccination?, (4) On what specific age are these immunization and vaccines administered to the children?

Table1.1. Profile of the randomly selected respondents according to gender.

GenderFrequency(f)Percentage(%)

Female8088.89

Male1011.11

Total90100

Table1.1The table shows that there are 80 (88.89%) female respondents and 10 (11.11%) male respondents with a total of 90 (100%) respondents. Majority of the respondents are female.

Table1.2. Profile of the respondents according to Socio-economic status.

Socio Economic StatusFrequency(f)Percentage(%)

Have much money and properties: I can purchase whatever I want11.11

Income is enough for supplying family's needs; can save money4347.78

Income is enough for supplying the family's needs; but can barely save3033.33

Income is small; at times not enough for the family1415.56

Income is very small; not always sufficient for the family22.22

Total90100

Table1.2The table shows that there are 43 (47.78%) households whose income is enough for supplying familys needs and can save money and 1 (1.11%) household have much money and properties and they can purchase whatever they want. Majority of the respondents say that their income is enough for supplying the familys needs and can save money.

According to the Philippine Statistics Authority, the Province of Nueva Vizcaya belongs to the second class in terms of socio-economic status which means that Nueva Vizcaya have obtained an average annual income of twenty million pesos or more but not more than thirty million pesos. The Municipality of Bambang belongs to the first class which means that Bambang has obtained an average annual income of fifteen million or more. This explains why the majority of the respondents in Bambang has enough income for supplying the familys needs and can save money.

Table2.1. The awareness the respondents on vaccines and immunizations.Respondents AnswerFrequencyPercentage(%)

Yes8493.33

No66.67

Total90100

Table2.1 The table shows that there are 84 (93.33%) who are aware of the different vaccines and immunizations and 6 (6.67%) who are not aware of the different vaccines and immunization with the total of 90 (100%). Majority are aware of the different vaccines and immunizations.

Majority of the people of Bambang, Nueva Vizcaya are aware of vaccines and immunizations that protect their children with infectious diseases. Pediatric Immunization according to Karch is a well-documented to prevent potentially devastating diseases; society prevents unneeded suffering and death, and saves valuable citizens for the future. Pediatric immunization has helped to greatly decrease the incidence of most childhood diseases and has prevented associated complications. In the United States, routine immunization is considered standard medical practice. Table 2.1 shows that majority of the parents are aware of these vaccines and immunizations.

Table2.2. The awareness of the respondents on different vaccines and immunizations.Vaccine or ImmunizationFrequency(f)Percentage(%)

Hepatitis B6813.85

Rotavirus306.11

Diphtheria, Tetanus, Pertussis6413.03

Haemophilus Influenza type B326.52

Pneumococcal326.52

Inactivated Poliovirus346.92

Influenza428.55

Measles, Mumps Rubella7916.09

Varicella

285.70

Hepatitis A5411.00

Meningococcal28

5.70

Total491100

Table2.2The table shows that 79 (16.09%) are aware of Measles, Mumps, Rubella vaccine and 28 (5.70%) are aware of the Varicella and Meningococcal vaccines. Majority of are aware of Hepatitis B vaccine.

According to Karch(2011). Hepatitis B is a fatal hepatitis caused by a double-stranded DNA virus, Hepaitis B that tends to persist in the blood serum and is transmitted especially by contact with infected blood or other bodily fluids. Rotavirus is a three-layered protein capsid with no outer lipid that envelop. When matured, can cause epidemics of severe and sometimes fatal diarrhea in infants and young children. Diphtheria is an acute contagious disease typically marked by the formation of false membrane especially in the throat and caused by a gram-positive bacterium that produces toxin that can cause inflammation of the heart and nervous system. Tetanus is an infectious disease that is characterized by tonic spasm of voluntary muscles especially of the jaw and caused by an exotoxin of bacterium which is usually introduced through a wound. Pertussis is a respiratory disease especially of children caused by a bacterium-Bacterium pertussis, and marked by a convulsive spasmodic cough sometimes followed by a crowing intake of breath. Influenza is an acute typically severe respiratory disease caused by an orthomyxvirus and marked by sudden onset, fever, prostration, severe aches and pains, and progressive inflammation of the respiratory mucous membrane. Pneumococcal is a disease caused by a bacterium, Streptococcus pneumonia, marked by an acute pneumonia involving one or more lobes of the lung. Inactivated Poliovirus is an enterovirus occurring in three distinct serotypes that can cause poliomyelitis. Measles is a contagious disease that is caused by a morbillivirus and is marked especially by an eruption of distinct red circular spots on the body. Mumps is an acute virus disease caused by a paramyxovirus and marked by fever and by swelling especially of the parotid gland. Rubella or German Measles is a contagious virus disease caused by a togavirus and is milder than typical measles but is damaging to the fetus when occurring early in pregnancy. Varicella is a contagious disease especially of children marked by low-grade fever and formation of vesicles and caused by a herpesvirus.

Types and Schedule of vaccines and immunizationsVACCINESAGE

Birth1 month2 months4 months6 months12 months15 months18 months19-23 months2-3 years4-6 years

Hepatitis BHep BHepatitis BHepatitis B

RotavirusRVRVRV

Diphtheria, Tetanus, PertussisDTaPDTapDTaPDTaPDTaP

Haemophilus Influenza type BHibHibHibHib

PneumococcalPCVPCVPCVPCVPPSV

Inactivated PoliovirusIPVIPVIPVIPV

InfluenzaInfluenza (Yearly)

Measles, Mumps, RubellaMMRMMR

VaricellaVaricellaVaricella

Hepatitis AHepatitis A (2 doses)Hep A Series

MeningococcalMCV

Table2.3. The availability of vaccines and immunizations

AnswerFrequency(f)Percentage(%)

Yes6875.56

No2224.44

Total90100

Table2.3The table shows that 68 (75.56%) of respondents say that vaccines and immunizations are available in their barangay health centers and 22 (24.44%) say that vaccines and immunizations are not available in their barangay health centers with a total of 90 (100%). Majority say that vaccines and immunizations are available in their barangay health centers.

According Bautista, RN, states that DOH programs like extended Program on immunizations, requires mothers to bring their children to the clinic to receive immunizations aside from those given at birth like Hepa B and BCG. MMR (measles, mumps, rubeola), OPV (oral polio vaccine) and DPT (diphtheria, perussis, tetanus) are also administered. DOH utilizes media like televisison, posters and radio to encourage people to immunizations.

Table2.4. .Profile of children being vaccinated. Respondents AnswersFrequencyPercantage(%)

Yes8493.33

No66.67

Total90100

Table2.4The table shows that 84 (93.33%) of the respondents says that their children already received the different kinds of vaccines and immunizations and 6 (6.67%) says that their children did not receive any kind of vaccines and immunizations with the total of 90 (100%). Majority says that their children already received the diiferent kinds of vaccines and immunizations.

Table2.5. Kinds of vaccines or immunizations being administered to the children of the respondents.Vaccine or ImmunizationFrequency(f)Percentage(%)

Hepatitis B5713.83

Rotavirus297.04

Diphtheria, Tetanus, Pertussis6215.05

Haemophilus Influenza type B297.09

Pneumococcal225.34

Inactivated Poliovirus276.55

Influenza317.52

Measles, Mumps Rubella7317.72

Varicella

215.10

Hepatitis A419.95

Meningococcal20

4.85

Total412100

Table2.5The table shows that 73 (17.72%) of the respondents children already received Measles, Mumps Rubella vaccines and 20 (4.85%) of the respondents children already received Meningococcal vaccine. Majority of the vaccines being administered are Measles, Mumps Rubella vaccines.

Vaccination and Immunization are the things that counteract possible diseases in man. There is a need for these vaccines and immunizations to be administered most especially to children. According to the book of Public Health Nursing in the Philippines (2007), Hepatitis B vaccine is being administered at birth and has a number of doses of 3. An early start of Hepatitis B reduces the chance of being infected and becoming a carrier. It also prevents liver cirrhosis and liver cancer. About 9000 die of complications of Hepatitis B. 10% of Filipinos have chronic Hepatitis B infection before 2012. While Vaccines for Measles are being administered at 9 months. At least 85% of measles can be prevented by immunization at this age. It prevents deaths, malnutrition, pneumonia, diarrhea and others. When children are being vaccinated with these kinds of vaccines, it could cause a very large impact on the health status of the community lessening the number of children having these diseases.

Table2.6. Effect of the cost of the different vaccines and immunization to the respondents.Respondents AnswersFrequencyPercentage(%)

Yes4448.89

No4651.11

Total90100

Table2.6The table shows that 46 (51.11%) of the respondents are not affected with the costs of vaccines and immunization on deciding to get their children vaccinated, 44 respondents (44.89%) who says that they their decisions are affected by the costs of this vaccines and immunizations. Majority of the respondents are not affected with the costs of vaccines and immunization.

As shown in Table 1.2 Philippine Statistics Authority, the majority of the respondents have enough income for familys needs and can save money which indicates that they have enough money to provide the needs of their family like vaccines and immunizations. As a result, they are not affected with the cost of the vaccines and immunizations on deciding to get their children vaccinated.

Table 2.7.Level of awareness of the respondents on the dissemination about these vaccines and immunizations.Respondents AnswersFrequencyPercantage(%)

Yes1314.44

No7785.56

Total90100

Table2.7The table shows that there are 77 (85.86%) of respondents who are not aware that their community is conducting information dissemination regarding the different vaccines and immunizations, 13 (14.44%) are aware that their community is conducting such program. Majority of the respondents are not aware that their community is conducting information dissemination regarding the different vaccines and immunizations.

Respondents got aware of the different vaccinations by Education; some are students and mostly are Graduates of different courses. Vaccines and immunizations have been discussed to them in their specific subjects. In addition, the OOA promotes its projects through media. Lastly, the Doctors or Pediatricians also educate parents through seminars about the different vaccines and immunizations for their children to be protected.

Table2.8. How often do the respondents community conduct this information dissemination?Respondents AnswerFrequency(f)Percentage(%)

Never11.33

Seldom45.33

Sometimes4154.67

Often1722.67

Always1216

Total75100

Table2.8 The table shows that information dissemination about vaccines and immunization are sometimes conducted with 41 (54.67%) respondents and1 (1.33%) answered that the program is never around. Majority of the respondents answered that the information dissemination about vaccines and immunizations are only sometimes conducted in their barangays.

Public Health Nursing in the Philippines (2007) explains that Standard Routine Immunization Schedule for infants is adopted to provide maximum immunity against the seven vaccine preventable diseases before a childs first birthday. A child is said to be Fully Immunized Child when a child receives one dose of BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of HB and one dose of measles before a childs first birthday. So visiting medical practitioners routinely children are vaccinated and immunized at the right time. Table 2.8 shows that majority of the parents sometimes take their children to medical experts. It can be infered that lot of the children in Bambang, Nueva Vizcaya have received their vaccines in the most appropriate time.

Table2.9. Profile of the respondents on a place of giving birthWhere do you gave birth?Frequency (f)Percentage (%)

HOME1112.22

HOSPITAL7987.78

Total90100

Table2.9The table shows that there are 11 respondents (12.22%) who gave birth at home while there were 79 respondents (87.78%) who gave birth at the Hospital. Majority of the respondents gave birth at hospitals.According to Johnson and Taylor (2010), giving birth at hospital ensures the mother and babys safety such as receiving the right medicines and avoiding, checking of the fatal heart of the baby, temperature of the mother and baby, and avoiding any complications like fever, and monitoring the normal blood pressure of mother.Furthermore, mothers who gave birth at hospitals will be treated and entertained well because hospitals have the apparatus to use in care complications happen. Babies are attended by nurses and physicians. Nowadays majority of mothers give birth in hospitals to ensure the safety of their babies..

Table2.10. Frequency of Visit to the doctor.Respondents AnswerFrequency(f)Percentage(%)

Never00

Seldom218.18

Sometimes436.36

Often218.18

Always327.27

Total11100

Table2.10 The table shows that most of the respondents who gave birth at home visit medical practitioners sometimes 4 (36.36%) and there are 2 (18.18%) respondents answered seldom and often. Majority of the respondents visit their medical practitioners sometimes.

According to Peckins, M.D. (2014). an internist atMount Auburn Hospitalin Cambridge, and a teacher at Harvard Medical School, says, There are many potential benefits to annual doctor visits, including earlier diagnosis and treatment of existing health problems and prevention of future problems. Today annual visits to a primary care physician or internist is generally recommended for all adults after the age of 18 to 20. This is usually the point at which a young person makes the transition from a pediatrician to a doctor for adults. Women who see a gynecologist for regular pelvic exams and pap smears should also visit their primary care physician to discuss their other healthcare needs.Dr. Peckins notes that healthy young people frequently dont think they need to see a doctor every year, but he says, Even young people should see a doctor to help maintain their good health and prevent future problems.At the end of the visit, the physician typically makes recommendations for lifestyle modifications, such as dietary changes or establishing an exercise routine. Physicians can also teach patients to do self-examinations and take other steps to stay healthy between visits. If the patients condition warrants, the physician may also prescribe medications to help with such issues as high blood pressure or high cholesterol levels.

Chapter IVSUMMARY, CONCLUSION AND RECOMMENDATION

SummaryThe study investigated the level of awareness of parents about the different vaccines and immunizations that must be administered to their children, the common infectious diseases among children, the list of different vaccines that must be administered among children, the different factors affecting parents awareness of this vaccines and immunization, and the effect of this vaccines and immunizations cost on the decision making of parents to get their children to be immunized.The study involved the different statistical tool such as frequency count and percentages to interpret the different data gathered using the questionnaire.

The study arrived at the following findings:1. There are eighty (80) female respondents and ten (10) male respondents in 9 Barangays of Bambang, Nueva Vizcaya.1. There are forty three (43) households who states income is enough for supplying familys needs and can save money, thirty (30) households who states income is enough for supplying the family's needs; but can barely save money, fourteen (14) households state that Income is small; at times not enough for the family, two (2) households who state that Income is very small; not always sufficient for the family and one (1) household who have much money and properties and they can purchase whatever they want.1. There are eighty-four (84) who are aware of the different vaccines and immunizations and six (6) who are not aware of the different vaccines and immunization.1. There are seventy-nine (79) respondents who are aware of Mumps,Rubella and Measles vaccine, sixty-eight (68) respondents who are aware of Hepatitis B vaccine, sixty-four (64) respondents who are aware of Diphtheria, Tetanus and Pertussis vaccine, fifty-four (54) respondents who are aware of Hepatitis A vaccine, fourty-two (42) respondents who are aware of Influenza vaccine, thirty-four (34) respondents who are aware of Inactivated Poliovirus vaccine, thirty-two (32) respondents who are aware of Haemophilus Influenza type B and Pneumococcal vaccine, thirty (30) respondents who are aware of Rotavirus Vaccine and twenty-eight (28) respondents who are aware of Mningococcal and Varicella vaccine.1. There are sixty-eight (68) respondents who said that vaccines and immunizations are available in their barangay health centers and twenty-two (22) respondents said that vaccines and immunizations are not available in their barangay health centers.1. There are eighty-four (84) respondents who said that their children already received the different kinds of vaccines and immunizations and six (6) said that their children did not receive any kind of vaccines and immunizations.1. There are seventy-three (73) respondents children who already received Measles, Mumps and Rubella vaccines, sixty-two (62) respondents children already received Diphtheria, Tetanus and Pertussis vaccines, fifty-seven (57) respondents children already received Hepatitis B vaccine, forty-one (41) respondents children already received Hepatitis A vaccine, thirty-one (31) respondents children already received Influenza vaccine, twenty-nine (29) respondents children who already received Haemophilus Influenza type B and Rotavirus vaccine, twenty-seven (27) respondents children already received Inactivated Poliovirus vaccine, twenty-two (22) respondents children already received Pneumococcal vaccine, twenty-one (21) repondents children already received Varicella vaccine and twenty (20) repondents children already received Meningococcal vaccine.1. There are forty-six (46) respondents who are not affected with the costs of vaccines and immunization on deciding to get their children vaccinated and forty-four (44) respondents who are affected by the costs of this vaccines and immunizations.1. There are seventy-seven (77) respondents who are not aware that their community is conducting information dissimination regarding the different vaccines and immunizations and thirteen (13) respondents who are aware that their community is conducting program.1. There are forty-one (41) respondents who answered that the information dissemination about vaccines and immunizations are conducted sometimes, seventeen (17) respondents who answered often, twelve (12) respondents who answered always, four (4) respondents who answered seldom and only one (1) respondents who answered never.1. There are eleven (11) respondents who gave birth at home and seventy-nine (79) respondents who gave birth at the hospitals.1. There are four (4) respondents who gave birth at home and visit their medical practitioners sometimes, three (3) respondents who gave birth at home who visits their medical practitioners always, two (2) respondents who gave birth at home who visits their medical practitioners often and two (2) respondents who gave birth at home who visits their medical practitioners seldom.

Conclusion 1. There are more female respondents than male1. There are more families whose income is enough to sustain the needs of their families and can only save money.1. Majority of the respondents are aware of the different vaccines.1. Most of the respondents are aware of the vaccines for Measles, Mumps and Rubella because these diseases are common among children.1. The respondents are aware of the different vaccines available in their barangays.1. There are more children that are vaccinated compared to the children who are not vaccinated.1. Vaccines for Measles, Mumps and Rubella are the most administered, vaccines to children.1. The respondents are not affected by the cost of the vaccines.1. Majority of the respondents are not aware about the program of their barangay about vaccines.1. Many respondents tell that the information dissemination about the vaccines are only conducted sometimes.1. Majority of the respondents give birth at the hospitals.1. Respondents who give birth at home visit medical practitioners sometimes.

Recommendations1. For the Researchers, it is recommended that a wider sample be taken. Since the study havent covered all the barangays of the town of Bambang and or other Municipalities. 1. The result of the research says that people have high awareness about the different vaccines and immunization, it is recommended that the researchers or the government (RHU) should find ways on how maintain the awareness of parents about the vaccines and immunizations.

APPENDICESQuestionnaire

Saint Mary's University Bayombong, Nueva VizcayaSchool of Health Sciences

Dear Respondents, Peace and all good! Marian Greetings! We, the freshmen students of Bachelor of Science in Pharmacy of Saint Mary's University are currently conducting a research entitled The Level of Awareness of Parents on Different Vaccines and Immunization in Bambang, Nueva Vizcaya. It is in this regard that we, the researchers, would like to ask a minute of your time to answer this questionnaire honestly and completely. Rest assured that your personal information will be kept with utmost confidentiality. We are anticipating for your cooperation and full support. Thank you very much and God bless you all !

Student-Researchers: Deus, Jenus Garcillan, Kevin Mark Andres, Kristine Joy Bunoy, Wilmarie Carbonell, Antoinette De Vera, Joanna Fazon, Ezra Jessica Gasmea, Chabie AngelaNoted by:Mrs. Haydee D. James Adviser Part 1: Respondent's Profile

Instruction: Kindly fill up the following information needed.

Name: (optional): _________________________________Address: _______________________________________Age: _______________________Gender: _____________________Socioeconomic status:a. Have much money and properties: I can purchase whatever I wantb. Income is enough for supplying family's needs; can save moneyc. Income is enough for supplying the family's needs; but can barely saved. Income is small; at times not enough for the familye. Income is very small; not always sufficient for the family

Part 2: Questionnaire

Instruction: Below is list of questions that will determine the level of your awareness on different vaccines and immunizations. Encircle your answer, and also provide an answer to the blank provided if needed.

1. Are you aware of the different vaccines or immunizations that must be administered to your children?

a. YESb. NO

If yes, what are the different vaccines or immunizations that you are aware of:a. Hepatitis Bq. Influenzab. Rotavirush. Measles, Mumps Rubellac. Diphtheria, Tetanus, Pertussisi. Varicellad. Haemophilus Iinfuenza Type Bj. Hepatitis Ae. Pneumococcalk. Meningococcalf. Inactivated Poliovirus2. Are vaccines available in your Barangay Health Center?

a. YESb. NO3. Have your children been vaccinated or immunized?

a. YESb. NOIf yes, what kind of vaccines did they get?

a. Hepatitis Bq. Influenzab. Rotavirush. Measles, Mumps Rubellac. Diphtheria, Tetanus, Pertussisi. Varicellad. Haemophilus Iinfuenza Type Bj. Hepatitis Ae. Pneumococcalk. Meningococcalf. Inactivated Poliovirus

4. Where did your child get these vaccinations and immunization?

a. Hospitalsb. Barangay Health Centerc. Rural Health Unitd. Medical Missions

5. Does the cost of these vaccinations and immunizations affect you on deciding to get your children vaccinated and immunized?

a. YESb. NO

6. Are you aware that your community is conducting information drive about these vaccinations and immunizations?

a. YESb. No

If yes, How often do they conduct this?a. NEVERb. SELDOMc. SOMETIMESd. OFTENe. ALWAYS

7. Where do you give birth?

a. Hospitalb. Home

If home, How often do you visit the doctor or medical practitioner for your children check-up?

a. NEVERb. SELDOMc. SOMETIMESd. OFTENe. ALWAYS

THANK YOU VERY MUCH!GOD BLESS!

Documentation

REFERENCES

Book References:

Cuevas (2007). Public Health Nursing in the Philippines.Non-Communicable Disease Prevention and Control, Expanded Program on Immunization, 141-152.

Johnson & Taylor (2010). Skills for Midwifery Practice. Vaccines and other Novel Approaches,672. Karch(2011). Focus on Nursing Pharmacology. Vaccines and Sera, 277-295. Tindal, Sedrak, & Boltri.Consciencious Precribing for Special populations. Vaccines, 514-519.

Internet ReferencesPhilippine Statistics office(2010). Population Census. February, 2014 from http://www.census.gov.ph/content/bambang-nueva-vizcaya

Nueva Vizcaya Online(2014). Municipality of Bambang. March, 2014 fromhttp://www.nuevavizcaya.gov.ph/municipalities/bambang/

World Health Organization(2012. Visiting Medical Practitioners, March, 2014 fromhttps://www.google.com.ph/search?&es_sm=93&sclient=psy- ab&q=importance+of+visiting+to+doctors&oq=importance+of+visiting+to+doctors&gs_l=serp.3...46411.61406.2.61767.43.34.0.0.0.0.0.0..0.0....0...1c.1.37.psy-ab..88.14.13394.dVmBrX7_gvk&pbx=1&bav=on.2,or.r_qf.&bvm=bv.62922401%2Cd.aGc%2Cpv.xjs.s.en_US.ZJ_ag0lGXHs.O&biw=1366&bih=643&ech=1&psi=BJkmU_TFA7CfiAeyyoD4Ag.1395038470549.18&emsg=NCSR&noj=1&ei=XZkmU9OYFMGsiAfKmoHABg

Human References

Michael Bautista, RN, works at Rural Health Unit in Bambang, Nueva Vizcaya

Peckins, M.D. (2014). an internist atMount Auburn Hospitalin Cambridge, and a teacher at Harvard Medical School

Curriculum Vitae

I. Personal Information

Name: Jenus Ynztein P. DeusAge: 17 years oldCivil Status: SingleBirthday: May 27, 1996Birthplace: Bayombong, Nueva VizcayaAddress: Solano, Nueva VizcayaFather: DeusOccupation: coca-cola finance clerkMother: DeusOccupation: Housewife

II. Educational Attainment

Elementary: Saint Marys UniversitySchool Address: Bayombong, Nueva Vizcaya

Secondary: Saint Marys University School Address: Bayombong, Nueva Vizcaya

College: Saint Marys UniversitySchool Address: Bayombong, Nueva VizcayaI. Personal Information

Name: Kevin Mark Marcelo B. GarcillanAge: 17 years oldCivil Status: SingleBirthday: September 05, 1996Birthplace: Bayombong, Nueva VizcayaAddress: Bayombong, Nueva VizcayaFather: Marcelo D. GarcillanOccupation: Mother: Maribeth B. GarcillanOccupation: Housewife


Elementary: Bayombong, Central Elementary SchoolSchool Address: Bayombong, Nueva Vizcaya

Secondary: Nueva Vizcaya General comprehensive High SchoolSchool Address: Bayombong, Nueva Vizcaya

College: Saint Marys UniversitySchool Address: Bayombong, Nueva Vizcaya


Name: Kristine Joy B. AndresAge: 19 years oldCivil Status: SingleBirthday: December 24, 1994Birthplace: Quezon, Nueva VizcayaAddress: Quezon, Nueva VizcayaFather: Benjamin B. AndresOccupation: FarmerMother: Linda L. AndresOccupation: Housewife


Elementary: Buliwao Elementary SchoolSchool Address: Quezon, Nueva Vizcaya

Secondary: Quezon National High School School Address: Quezon, Nueva Vizcaya



Name: Wilmarie B. BunoyAge: 17 years oldCivil Status: SingleBirthday: June 22, 1996Birthplace: Cordon, Isabela Address: Cordon, IsabelaFather: Felimom BunoyOccupation: FarmerMother: Felomina BunoyOccupation: Housewife


Elementary: Wigan Integrated SchoolSchool Address: Cordon, Isabela

Secondary: Saint John Berchmans High SchoolSchool Address: Cordon, Isabela


1. Personal Information

Name: Marie Antionnette C. CarbonellAge: 17 years oldCivil Status: SingleBirthday: November 18, 1996Birthplace: Bayombong, Nueva VizcayaAddress: Solano, Nueva VizcayaFather: Alfred A. CarbonellOccupation: NoneMother: Daisy C. CarbonellOccupation: OFW

1. Educational Attainment

Elementary: Lactawan Elementary SchoolSchool Address: Lactawan, Solano, Nueva Vizcaya

Secondary: Saint Louis SchoolSchool Address: Poblacion North, Solano, Nueva Vizcaya


I. Personal InformationName: Joanna Camille R. De Vera Age: 16 Civil Status: Single Birthday: April 18, 1997 Birthplace: San Marcos, Cabarroguis, Quirino Address: Capitol hills, San Marcos, Cabarroguis, Quirino Father:Chanterphere De VeraOccupation: Government employee Mother: Jonnabeth De VeraOccupation: Government employee

I. Educational Attainment

Elementary: San Marcos Elementary School (S.Y. 2008-2009)School Address: San Marcos Cabarroguis Quirino

High School: Quirino General High School (S.Y. 2012-2013)School Address: Zamora, Cabarroguis, Quirino



Name: Chabie Angela L. GasmenaAge: 17 years oldCivil Status: SingleBirthday: December 10, 1996Birthplace: Bambang, Nueva VizcayaAddress: Bambang, Nueva VizcayaFather: Bienvenido Gasmena Jr.Occupation: BusinessmanMother: Charibel GasmenaOccupation: OFW


Elementary: Saint Catherines SchoolSchool Address: Bambang, Nueva Vizcaya

Secondary: Saint Catherines SchoolSchool Address: Bambang, Nueva Vizcaya


I. Personal InformationName: Ezra Jessica Tugas Fazon Age: 16 Civil Status: Single Birthday: November 15, 1997 Birthplace: Bambang, Nueva Vizcaya Address: Almaguer South, Bambang, Nueva Vizcaya Father:Joey V. FazonOccupation: Meat Vendor Mother: Edeliza T. FazonOccupation: Business Woman


Elementary: Bambang North Central School (S.Y. 2008-2009)School Address: Calaocan, Bambang, Nueva Vizcaya

High School: Saint Catherines School (S.Y. 2012-2013)School Address: Real St., Buag, Bambang, Nueva Vizcaya


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the level of awareness of parents

Documents

research study

research project

research instrument

different vaccines

kristine joybunoy

ezra jessicagasmea

kevin mark marceloandres

antoinettede vera