Table 2.
Characteristics, attitudes and practices of health care providers (HCPs) participating in pre- and post-IPV introduction surveys in three regions in the Philippines, 2015–2016.
| Pre-Introduction, n (%) |
Post-Introduction, n (%) |
||||
|---|---|---|---|---|---|
| Region 3a | Region 6a | Region 3a | Region 6a | Region 10a | |
| n = 49 from 28 PHCs | n = 40 from 28 PHCs | n = 31 from 30 PHCs | n = 55 from 30 PHCs | n = 51 from 30 PHCs | |
| Mean number of HCPs surveyed per PHC | 1.75 | 1.4 | 1.2 | 1.8 | 1.7 |
| Type of HCP | |||||
| Midwife | 38 (78) | 36 (90) | 27 (87) | 30 (55) | 25 (49) |
| Public Health Nurse | 6 (12) | 2 (5) | 1 (3) | 8 (15) | 10 (20) |
| Contract nurses from Nurses Deployment Program | 1 (2) | 0 | 3 (10) | 17 (31) | 16 (31) |
| Community Health Nurse | 4 (8) | 2 (5) | 0 | 0 | 0 |
| Age Group (years) | |||||
| 18–24 | 3 (6) | 0 | 1 (3) | 4 (7) | 1 (2) |
| 25–34 | 9 (18) | 1 (2) | 4 (13) | 15 (27) | 21 (41) |
| 35–44 | 15 (31) | 14 (35) | 14 (45) | 13 (24) | 10 (20) |
| 45–54 | 11 (22) | 9 (23) | 7 (23) | 8 (15) | 4 (8) |
| 55 and above | 11 (22) | 16 (40) | 5 (16) | 15 (27) | 15 (29) |
| Years as a vaccinator | |||||
| 5 or fewer | 15 (31) | 5 (13) | 7 (23) | 19 (35) | 25 (49) |
| 6–10 | 8 (16) | 1 (2) | 5 (16) | 4 (7) | 3 (6) |
| More than 10 | 26 (53) | 34 (85) | 19 (61) | 32 (58) | 23 (45) |
| Average number of injections HCP administered in a vaccination visit (selfreport), median (IQR) | 24 (15–30) | 23 (15 –39) | 30 (12 –50) | 20 (5–30) | 30 (20–50) |
| Highest number of injections given to one child during a vaccination visit | |||||
| 1 | 3 (6) | 9 (22) | 0 | 0 | 0 |
| 2 | 23 (47) | 20 (50) | 0 | 5 (9) | 6 (12) |
| 3 | 22 (45) | 11 (28) | 26 (83) | 37 (67) | 35 (69) |
| 4 | 0 | 0 | 5 (16) | 13 (24) | 9 (18) |
| 5 or more | 1 (2) | 0 | 0 | 0 | 1 (2) |
| Comfort level with the highest number of injections administered to a child at one visit (HCPs sub-grouped by answer to previous question) | |||||
| 1 injection | n = 3 | n = 9 | n = 0 | n = 0 | n = 0 |
| Very comfortable | 3 (1 0 0) | 6 (67) | - | - | - |
| Comfortable | 0 | 3 (33) | - | - | - |
| Not comfortable | 0 | 0 | - | - | - |
| Very uncomfortable | 0 | 0 | - | - | - |
| 2 injections | n = 23 | n = 20 | n = 0 | n = 5 | n = 6 |
| Very comfortable | 7 (30) | 13 (65) | - | 2 (40) | 2 (33) |
| Comfortable | 14 (61) | 6 (30) | - | 3 (60) | 4 (67) |
| Not comfortable | 2 (9) | 1 (5) | - | 0 | 0 |
| Very uncomfortable | 0 | 0 | - | 0 | 0 |
| 3 injections | n = 22 | n = 11 | n = 26 | n = 37 | n = 35 |
| Very comfortable | 3 (14) | 5 (45) | 11 (42) | 10 (27) | 13 (37) |
| Comfortable | 16 (73) | 5 (45) | 13 (50) | 23 (62) | 15 (43) |
| Not comfortable | 3 (14) | 1 (10) | 1 (4) | 4 (11) | 7 (20) |
| Very uncomfortable | 0 | 0 | 1 (4) | 0 | 0 |
| 4–5 injections | n = 1 | n = 0 | n = 5 | n = 13 | n = 10 |
| Very comfortable | 0 | - | 2 (40) | 5 (38) | 2 (20) |
| Comfortable | 1 (1 0 0) | - | 2 (40) | 8 (62) | 6 (60) |
| Not comfortable | 0 | - | 1 (20) | 0 | 2 (20) |
| Very uncomfortable | 0 | - | 0 | 0 | 0 |
| Highest number of injections HCP would be willing to administer to a child at one visit | |||||
| 1 | 2 (4) | 7 (17) | 0 | 2 (4) | 3 (6) |
| 2 | 9 (18) | 13 (33) | 5 (16) | 10 (18) | 8 (16) |
| 3 | 19 (39) | 12 (30) | 7 (23) | 16 (29) | 22 (43) |
| 4 | 0 | 1 (3) | 1 (3) | 10 (18) | 3 (6) |
| 5 | 0 | 0 | 1 (3) | 4 (7) | 0 |
| Any number recommended by the national immunization program | 19 (39) | 7 (17) | 17 (55) | 13 (24) | 15 (29) |
| Have experienced problems with caregivers’ acceptance of 2 or 3 injectable vaccines for their child at one visit? | |||||
| Yes | 22 (45) | 10 (25) | 7 (23) | 19 (35) | 24 (47) |
| Perception of the proportion of parents in the community that would allow their children to receive 3 vaccine injections at one visit | |||||
| All | 16 (33) | 11 (27) | 19 (61) | 27 (49) | 11 (21) |
| Most | 25 (51) | 17 (43) | 12 (39) | 26 (47) | 28 (55) |
| Some | 8 (16) | 12 (30) | 0 | 2 (4) | 10 (20) |
| None | 0 | 0 | 0 | 0 | 2 (4) |
| HCPs that ‘agree’ with the following statements: | |||||
| It is better for a child to receive more injectable vaccines at a single visit if it means that they will be better protected against diseases | 46 (94) | 33 (83) | 31 (100) | 55 (100) | 48 (94) |
| It is better for a child to receive 3 injectable vaccinations in 1 visit rather than 1 injectable vaccination in 3 separate visits | 46 (94) | 29 (73) | 29 (94) | 51 (93) | 45 (88) |
| There will be fewer side effects if a child receives one injectable vaccination in each of two separate visits rather than two injections in a single visit | 8 (16) | 19 (48) | 7 (23) | 16 (29) | 21 (41) |
PHC = Primary Health Center; IQR = inter-quartile range.
a
The Philippines is divided into 17 administrative regions.