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International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

Compulsory Childhood Vaccination in Malaysia: Public Health versus Parental Autonomy

Khairun Nisaa Asari, Maheran Makhtar, Farhanin Abdullah Asuhaimi, Nur Amani Pauzai

http://dx.doi.org/10.6007/IJARBSS/v8-i12/5256

Open access

Background: Following the death of two unvaccinated siblings, eleven months and two years old of diphtheria in June 2016, the Ministry of Health Malaysia is now emphasizing the need to enforce compulsory childhood vaccination in Malaysia. Vaccination is the main health intervention to reduce child mortality. Despite the success of vaccination, there has been an increase in the number of vaccine hesitancy, especially among parents. Research has identified many factors associated with parental vaccine refusal and hesitancy toward childhood vaccination, which varies from religious, medical as well as personal belief factors. This complicates matters as childhood vaccination involves a balance between parents’ autonomy in deciding whether to vaccinate their children and the benefits to public health. Between parental autonomy in deciding to vaccinate their children and the benefits of vaccination to public health, which will prevail? Objective: This paper seeks to examine the ethical issues of enforcing compulsory vaccination for children in Malaysia. Results: if Malaysia were to come up with a legal framework of compulsory childhood vaccination, reference can be made to the legislated statutes in other countries, taking into account that some provisions such as exemptions to vaccination may be modified to suit it with Malaysian local circumstances and inhabitants. Conclusion: In improving health communication, aside from two way communications between parents and health officers, many other communication tools are also available. They include mass electronic media, digital media, print media, social mobilization and mobile technology.

1. Larson, H. J., Jarrett, C., Eckersberger, E., Smith, D. M.D. and Paterson, P., 2014. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007–2012, Vaccine, 32: 2150-2159.
2. Diekema, D.S., 2005. Responding to parental refusals of immunization of children. Official Journal of the American Academy of Pediatrics, 115, 1428. Retrieved from http://pediatrics.aappublications.org/content/pediatrics/115/5/1428.full.pdf?ck=nck. Accessed March 2017
3. Hendrix, K. S., Sturm, L. A., Zimet, G. D. and Meslin, E. M., 2016. Ethics and childhood vaccination policy in the united states. American Journal of Public Health, 106(2), 273–278. http://doi.org/10.2105/AJPH.2015.302952.
4. Azhar, S. S., Nirmal, K., Safian, N., Rohaizat, H., Noor, A. A., and Rozita, H., 2012. Factors influencing childhood immunization defaulters in sabah, malaysia. The International Medical Journal of Malaysia, 11(1).
5. Kannan, K. P., Pathmanathan, G., and Salleh, N. M., 2010. Analysis of factors in response to rotavirus vaccination counselling in a private paediatric clinic. The Medical journal of Malaysia, 65: 127-132.
6. Will, J. F., 2011. A brief historical and theoretical perspective on patient autonomy and medical decision making: Part II: The autonomy model. Chest 139: 1491-1497. doi: 10.1378/chest.11-0516.
7. Beck. U. and Giddens, A., 1994. Reflexive modernization: Politics, tradition and aesthetics in the modern social order. California: Stanford University Press.
8. Aharon A.A., Nehama, H., Rishpon, S. and Bron-Epel, O., 2017. Autonomy and control among parents who do not comply with recommended pediatric vaccinations: a qualitative case study. Journal of Community and Public Health Nursing 3:152. doi:10.4172/2471-9846.1000152
9. Phua, K. L., 2013. Ethical dilemmas in protecting individual rights versus public protection in the case of infectious diseases. Infectious diseases, 6 (1).
10. Parmet, W. E., 1995. From Slaughter-House to Lochner: the rise and fall of the constitutionalization of public health. American Journal of Legal History, 40:476–505.
11. Colgrove, J., and Bayer, R., 2005. Manifold restraints: Liberty, public health, and the legacy of Jacobson v Massachusetts. American Journal of Public Health, 95(4), 571.
12. Salmon, D. A., and Omer, S. B., 2006. Individual freedoms versus collective responsibility: immunization decision-making in the face of occasionally competing values. Emerging Themes in Epidemiology, 3, (13). http://doi.org/10.1186/1742-7622-3-13
13. Abdullah, A. B., 2014. Halal vaccine and the Ethical Dimension of vaccination programmes. Islam and Civilisational Renewal (ICR), 5(3).
14. Mahmoud, D.S., 2010. Balancing public health and individual choice: a proposal for a federal emergency vaccination law. Health Matrix, 20(1). 257.
15. Walkinshaw, E., 2011. Mandatory vaccinations: the international landscape. Canadian Medical Association Journal, 183(16).
16. Goldstein, S., MacDonald, N.E., Guirguis, S., and the SAGE Working Group on Vaccine Hesitancy, 2015. Health communication and vaccine hesitancy. Open Access Vaccine, 33: 4212-4214.

In-Text Citation: (Asari, Makhtar, Asuhaimi, & Pauzai, 2018)
To Cite this Article: Asari, K. N., Makhtar, M., Asuhaimi, F. A., & Pauzai, N. A. (2018). Compulsory Childhood Vaccination in Malaysia: Public Health versus Parental Autonomy. International Journal of Academic Research in Business and Social Sciences, 8(12), 1540–1548.