Vaccine Hesitancy in Childhood Immunization in the Malaysian Context

The increase in vaccine-preventable infections in young children in Malaysia during the previous decade has been concerning. This is related to vaccine reluctance, which puts herd immunity at risk. This review evaluated the current situation and understanding of vaccine hesitancy (VH) in childhood i...

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Main Authors: Nour H. Othman, Santhanathan Rajendram, Helvinder K. Balbir Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-10-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_645_24
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author Nour H. Othman
Santhanathan Rajendram
Helvinder K. Balbir Singh
author_facet Nour H. Othman
Santhanathan Rajendram
Helvinder K. Balbir Singh
author_sort Nour H. Othman
collection DOAJ
description The increase in vaccine-preventable infections in young children in Malaysia during the previous decade has been concerning. This is related to vaccine reluctance, which puts herd immunity at risk. This review evaluated the current situation and understanding of vaccine hesitancy (VH) in childhood immunization in Malaysia. A literature search was performed utilizing three databases, namely PubMed, Google Scholar, and Science Direct. The search included full-text papers published in English between January 2015 and October 2023 with specific keywords used. The narrative review included 15 articles. VH is premised on either refusal to vaccinate or delay in getting vaccination. There is a wide range of VH rates, and they differ widely by state and region. Delayed vaccination ranged from 0.03% to 21%, and refusal to vaccinate ranged from 0.08% to 42.5%. Predictors of VH include demographics, religion, lack of belief in vaccine benefits or safety, and a preference for homeopathic and complementary alternative therapies. Vaccine hesitation has recently been influenced by antivaccine propaganda and vaccine disinformation on social media. VH is an important problem that needs the attention of policymakers to avoid the recurrence of vaccine-preventable diseases. Nationwide research can help to provide a deeper understanding of the issue. Misinformation and disinformation about vaccines need to be countered. Monitoring of vaccination is necessary through a computerized registry that should be made available nationwide.
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spelling doaj-art-35a2610fefc7442c91d1e2bfc17d5ca12025-08-20T02:12:28ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-10-0116412112510.4103/jpbs.jpbs_645_24Vaccine Hesitancy in Childhood Immunization in the Malaysian ContextNour H. OthmanSanthanathan RajendramHelvinder K. Balbir SinghThe increase in vaccine-preventable infections in young children in Malaysia during the previous decade has been concerning. This is related to vaccine reluctance, which puts herd immunity at risk. This review evaluated the current situation and understanding of vaccine hesitancy (VH) in childhood immunization in Malaysia. A literature search was performed utilizing three databases, namely PubMed, Google Scholar, and Science Direct. The search included full-text papers published in English between January 2015 and October 2023 with specific keywords used. The narrative review included 15 articles. VH is premised on either refusal to vaccinate or delay in getting vaccination. There is a wide range of VH rates, and they differ widely by state and region. Delayed vaccination ranged from 0.03% to 21%, and refusal to vaccinate ranged from 0.08% to 42.5%. Predictors of VH include demographics, religion, lack of belief in vaccine benefits or safety, and a preference for homeopathic and complementary alternative therapies. Vaccine hesitation has recently been influenced by antivaccine propaganda and vaccine disinformation on social media. VH is an important problem that needs the attention of policymakers to avoid the recurrence of vaccine-preventable diseases. Nationwide research can help to provide a deeper understanding of the issue. Misinformation and disinformation about vaccines need to be countered. Monitoring of vaccination is necessary through a computerized registry that should be made available nationwide.https://journals.lww.com/10.4103/jpbs.jpbs_645_24childhooddelayhesitancymalaysiarefusalvaccine
spellingShingle Nour H. Othman
Santhanathan Rajendram
Helvinder K. Balbir Singh
Vaccine Hesitancy in Childhood Immunization in the Malaysian Context
Journal of Pharmacy and Bioallied Sciences
childhood
delay
hesitancy
malaysia
refusal
vaccine
title Vaccine Hesitancy in Childhood Immunization in the Malaysian Context
title_full Vaccine Hesitancy in Childhood Immunization in the Malaysian Context
title_fullStr Vaccine Hesitancy in Childhood Immunization in the Malaysian Context
title_full_unstemmed Vaccine Hesitancy in Childhood Immunization in the Malaysian Context
title_short Vaccine Hesitancy in Childhood Immunization in the Malaysian Context
title_sort vaccine hesitancy in childhood immunization in the malaysian context
topic childhood
delay
hesitancy
malaysia
refusal
vaccine
url https://journals.lww.com/10.4103/jpbs.jpbs_645_24
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AT santhanathanrajendram vaccinehesitancyinchildhoodimmunizationinthemalaysiancontext
AT helvinderkbalbirsingh vaccinehesitancyinchildhoodimmunizationinthemalaysiancontext