Barriers to childhood immunisation among New Zealand mothers

Parental knowledge of, and attitudes towards, immunisation and the diseases that vaccines protect against are important determinants of a decision to vaccinate children. This study addresses parents’ beliefs and perceptions about childhood immunisation and identifies potential and existing barriers. Focus groups and one-onone interviews were held with New Zealand European and Maori mothers of starters and non-starters of the immunisation schedule. Six primary themes were identified for parents: fear of vaccination; a belief that vaccination is unnecessary; a lack of knowledge and understanding of immunisations; a negative perception of health providers; difficulty accessing vaccination; and some supportive attitudes towards immunisation. Parents shared the desire to keep their children healthy and free from harm, but differed in their knowledge of, and attitude towards, immunisation and the diseases it protects against. Changing immunisation behaviour will require a multi-faceted approach while reinforcing positive actions.