Background: Despite the stability of global vaccination coverage, over 19 million children worldwide do not currently receive basic vaccines. Over the past several years, there has been a dramatic drop in the number of vaccinated children worldwide. The implementation of the vaccination program and the scope of protection depend on the parents or legal guardians, who decide whether to vaccinate their child or not. Studies were conducted to assess parents’ knowledge, attitudes, and beliefs about vaccines, as well as the role of healthcare providers in parents’ decisions. Methods: A population survey was conducted in 2018–2019. Parents or legal guardians of the children were invited to participate in the study during their visits to the clinic for healthy or sick children. The method used in the research was a diagnostic survey. Results: According to the conducted research, men and women constituted 45% and 55% of participants, respectively. The average age of men was 44, while, for women, it was 41. Internal research showed that as much as 71% of parents declared the need for vaccination, although 41% of parents vaccinated their children according to the vaccination calendar. The most frequently mentioned concerns included the possibility of adverse vaccination reactions (22%), the occurrence of autism (7%), and child death (6%). General practitioners had, by far, the greatest impact on the use of protective vaccination in children (73% women and 80% men), although there were cases of discouraging the performance of compulsory vaccinations (41%), and mentioning a doctor (38%) or nurse (3%). Conclusions: Modifiable determinants of the negative attitude toward vaccinations are caused mainly by the lack of knowledge. These obstacles in vaccinations can be overcome by improving health education in terms of the vaccination program.

中文翻译：

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家长对儿童预防接种的看法和知识以及对预防接种不愿的原因。

背景：尽管全球疫苗接种覆盖率稳定，但全球目前有超过1900万儿童未接种基本疫苗。在过去的几年中，全世界接种疫苗的儿童数量急剧下降。疫苗接种计划的实施和保护范围取决于父母或法定监护人，由父母或法定监护人决定是否为孩子接种疫苗。进行研究以评估父母对疫苗的知识，态度和信念，以及医疗保健提供者在父母决定中的作用。方法：在2018–2019年进行了人口调查。邀请儿童的父母或法定监护人在健康或患病儿童前往诊所访问期间参加研究。研究中使用的方法是诊断调查。结果：根据进行的研究，男性和女性分别占参与者的45％和55％。男性的平均年龄为44岁，女性的平均年龄为41岁。内部研究表明，尽管有41％的父母根据疫苗接种日历为孩子接种疫苗，但多达71％的父母宣布需要接种疫苗。最经常提到的问题包括疫苗接种不良反应的可能性（22％），自闭症的发生率（7％）和儿童死亡（6％）。迄今为止，全科医生对儿童进行保护性疫苗接种的影响最大（女性为73％，男性为80％），尽管有些案例不利于强制性疫苗的接种（41％），并提到了医生（38） ％）或护士（3％）。结论：对疫苗接种的负面态度的可更改决定因素主要是由于缺乏知识引起的。可以通过在疫苗接种计划方面改善健康教育来克服疫苗接种中的这些障碍。