Measles immunization acceptance in Southeast Asia: Past patterns and future challenges

Laurie Serquina-Ramiro, Naniek Kasniyah, Tuanchai Inthusoma, Nick Higginbotham, David Streiner, Mark Nichter, Sonia Freeman

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Despite substantial increases in immunization rates, measles remains a major health problem in developing countries of Southeast Asia. The authors of this paper undertook separate investigations which examined factors influencing measles immunization acceptance in the rural Philippines, Central Java, Indonesia, and an impoverished neighborhood in Bangkok, Thailand. We briefly summarize the findings of our three field investigations before presenting a synthesizing analysis of the psychosocial and demographic factors which affect measles immunization. We then review trends influencing measles acceptance in industrialized countries to anticipate possible future challenges to measles immunization acceptance in Southeast Asia in an era of increasing globalization and information transfer. We suggest that parental perceptions of the risks and benefits of immunization, philosophical and religious convictions and state and social regulatory policies will profoundly influence measles immunization in the new millennium.

Original languageEnglish (US)
Pages (from-to)791-804
Number of pages14
JournalSoutheast Asian Journal of Tropical Medicine and Public Health
Issue number4
StatePublished - Dec 2001

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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