Factors influencing vaccination in children under two

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A large Federally Qualified Health Center (FQHC) in Southeast Kansas has a 36.7% compliance of children completing the recommended combo 10 primary vaccination series before their second birthday. An additional 20% of children would be compliant if the flu vaccine was excluded, raising the compliance rate to 56.7%. This low vaccination rate leaves many children in Southeast Kansas unprotected from preventable childhood diseases. The purpose of this scholarly project was to identify barriers to vaccination, including vaccine hesitancy and socioeconomic barriers affecting completion of the primary vaccine series, or combo 10, in children under age 2 in Southeast Kansas. This descriptive study used a validated questionnaire, the Searching for Hardships and Obstacles to Shots (SHOTS) survey to gather information about parental attitudes toward vaccination and socioeconomic barriers that may be affecting vaccination rates in children under the age of 2 in Southeast Kansas. Concerns about shots was the most problematic for this population (mean 0.70), followed by importance of shots (mean 0.43), then access to shots (mean 0.29). Although concerns about vaccines may contribute to low vaccination rates, demographic data indicate that 77% children are fully vaccinated to the knowledge of the parent/guardian, indicating that parents are not withholding vaccines due to their concerns.

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