The study (Leask 2011) and report (Department of Health 2015) have shown that most parents reject vaccination due to unexplored to scientific evidence and knowledge, scare stories, religious beliefs and adverse event concerns. The situation in the scenario might be the parents have concerns still as it has just gone through the vaccine check list.
To ease the concerns for the parents, providing adequate scientific information is essential (Leask 2011; ATAGI 2017). Health professionals’ communication and the confidence of knowledge has found paramount to motivate parents toward vaccine acceptance (Leask et al 2012). Vaccines contain live virus, killed virus, purified viral proteins, inactivated bacterial toxins or bacterial polysaccharides (Department of Health 2015, p. 7). There maybe also other component such as gelatin or albumin as additives, formaldehyde, antibiotics, egg protein or yeast protein as substance for residual quantities purpose (Department of Health 2015). Either of them could be allergic resource from individual to individual. Most of the parents proceed to have vaccination for their child after receiving scientific evidence and the answers to the myth (Leask 2011). Therefore, providing the science of immunisation (Australian Academy of Science 2016) and current policies in the state or territory may convince parents to be vaccine acceptance. For example, ACT Health has reinforced the policy ‘No Jab No Pay’ (ACT Health 2018). That means children or adolescent up to 20 years old who are fully immunised record or on a catch up schedule under the National Immunisation Program (NIP) are eligible to receive Child Care Benefits and Rebate or the Family Tax Benefit Part A (ACT Health 2018). There are also resources for discussing with the doctor in regards other matters or managing adverse events (ACT Health 2018).
Consents must be taken and it is essential and legal matter for administering vaccines (ATAGI 2017). Valid consent must be obtained after explanation with reliable information and the procedure (ATAGI 2017). Children who are under 16 years old are defined as maturity insufficient for decision making in ACT (ATAGI 2017). Therefore, consent from the guardians for the children with legal capacity and sufficient intelligent who give out the consent voluntarily and be aware of all the consequences with all the information provided are taken valid (ATAGI 2017). People do have free will to choose either vaccine or not for their children or themselves. Nevertheless, The ACT Public Health Regulation 2000 has made children who are not fully immunised could be excluded temporary during the period that disease occurring in the school (ACT Health 2016).
Keeping records for the children is paramount for catching up the vaccine later whether the parents decide to accept vaccine or not for their children. ACT health has offered ‘My ACT personal health record’ and the immunisation card for children prior to school age (ACT 2018). There is catch-up schedule for the NIP if the parents change their mind after they have adequate evidence to accept the vaccines for their children (ATAGI 2017). ACT Health (2018) provides immunisation for the child who is under 6 years old by appointment at Child Immunisation Clinics. Parents could access to the services by phone the clinic or Community Health Intake on (02) 6207 9977. It is available between 8am to 5pm Monday to Friday, 8am to 3:30pm Wednesdays (excluding public holidays).
As a nurse immuniser, proactive communication with confidence and adequate information in regards of the science of vaccines and current polices will be convincing to parents to accept vaccination. There is less than 2% parents who refuse vaccine still after the information provided (Leask et al 2012). Therefore, maintaining up-to-date knowledge and policies of immunisation will help break the fence from the parents.