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INTRODUCTION
Dengue Hemorrhagic Fever is given the most regard as the most significant
mosquito borne viral disease internationally. Over 100 countries worldwide, especially
tropical-and subtropical regions are endemic to this disease. The incidence of dengue
has increased about 30 fold, in the last 50 years. According to the World Health
these cases, about 500,000 progress to dengue hemorrhagic fever resulting in 22,000
deaths, mostly in children. Based on the World Health Organization data, cases of
dengue across the Americas, South-East Asia and Western Pacific surpassed 1.2
The Philippines is one of 4 countries in the Western Pacific which reported the
highest dengue incidence in recent years. Dengue fever is potentially fatal and mainly
affects children. The DOH said on Tuesday, August 16, 2016 that it has recorded a total
of 844,085 suspected dengue cases in the country from January 1 to August 6, 2016
reported that dengue cases in Central Visayas posted a dramatic increase with 9,372
cases in 2016 compared to 3,740 cases in 2015. According to the report, Cebu City
posted the highest number of cases with seven deaths. Cebu Health Department (CHD)
head Dr. Alma Corpin identified urban Barangays Labangon, Tisa and Guadalupe
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among the top villages with the most number of reported dengue cases (Epidemiology
So, in 2016, the Philippines launched the world's first public dengue vaccine
program with the dengue vaccine Dengvaxia from Sanofi Pasteur. Over 800,000
children have already been vaccinated. However in July 2016, the World Health
Organization releases another paper, saying Dengvaxia "may act as a silent natural
upon their first exposure to dengue virus." In other words, the body says the vaccine
"may be ineffective or may theoretically even increase the future risk of hospitalized or
severe dengue illness in those who are seronegative at the time of first vaccination
regardless of age." That same month, former Health Secretary Paulyn Ubial issues a
(Steenhuysen, J. 2016).
As of April 2018, the Department of Health (DOH) has now recorded 62 deaths of
children who received the controversial Dengvaxia vaccine from the government’s
In Inquirer News by Futch Anthony Inso last March 05, 2018, it was reported that
three deaths of children given Dengvaxia shots included a 9-year-old girl from Barangay
Labangon, Cebu City who died last January in what health authorities said was due to
tuberculosis-meningitis.
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Dengvaxia was created just like any other vaccines to give parents or the person
vaccinated a peace of mind. However, this vaccine that aimed at protecting hundreds of
thousands of school children from dengue may have put their lives at risk. With the
controversies surrounding Dengvaxia including but not limited to reported death due to
the said vaccine though still needs to be proven, there’s already a panic over not only to
the parents whose children were vaccinated but including those parents of children who
are still to be vaccinated. There’s some sort of panic in the mind of these parents that all
It has been almost a couple of years since the Dengue Vaccine controversy
broke. But why still the need to study the lived experiences of these parents of
vaccinated children? The researchers believed that because of the current national
issue about the refusal and parents’ losing their trust to the government vaccination
programs like the measles vaccines, these issues may have awakened these parents’
feelings emotions pertaining to the life they have after their child or children have
received the controversial vaccine. The researchers negate the context on the medical
aspect and Government Issue. Rather, focusing on the parents point of view and
Hence, the researchers explore the lived experiences that might reveal the
parents of children vaccinated with the said vaccine in barangay Labangon. This
research will explore what exactly are the experiences of these parents in order to
address the problem carefully and holistically. These may serve as basis for future
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health related activities and programs of the college and university, and The
The study to be conducted will explore lived experiences of parents, and in order
the study. Wherein, there will be no anchored theory in the process of the research
study.
possible to the informants that will be studied. In the ontological view point, the
researchers will embrace the idea of multiple realities and report in these by exploring
multiple forms from the different perspectives and experiences of each individual. In the
Axiological aspect, the researchers will make their values known in the study and will
actively report their values and biases as well as the value laden nature of information
that will be gathered from the field. In the Rhetorical assumption, the aim of the
researchers is not to find the truth of the reality, but rather they will objectively report the
reality as how the informants experience the phenomena. Finally, in the Methodological
assumption, the research procedures will be inductive and will be based on the
The study will describe the lived experiences of parents with children vaccinated with
1. What are the experiences of being the parents living with children vaccinated
with Dengvaxia?
3. What is the pattern and emerging themes that will be coined from the lived
experiences?
The result of this study will provide significant information and benefits to the following:
The study will help the parents to be aware of the vaccine and help them gain
Families or family members will be able to better understand the struggles faced
by the parents and be sensitive to their uncertainties about the outcome of the
vaccination and manage the provision of information carefully. The family will be able to
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express their thoughts and be guided on the possible actions to take that will promote
The study will provide an awareness that will be a basis for further activities
involving the community extension services (CES) program of the college. This will pave
the way to an enhanced university involvement to the people affected in the community.
Through the study, the Barangay Labangon Health Center will provide medical
assistance to children who reported showing signs of adverse effect following the
immunization of the dengue vaccine. In addition, being the frontline health care giver of
the Barangay, this study will help in creating programs and activities that will deal not
just with the physical but as well as the psychological concerns of their constituents.
Community/Adopted Barangay
This study will be able to provide a basis for future involvement on barangay-
community affairs and services. Through this, barangay assistance to the affected
If the success of the study is guaranteed, this will contribute to the Department of Health
as a source of information that will open various possibilities to a more improved health
Nursing Education
The study will aid the nursing profession as a providing piece of information that
will further enhance the profession. The efficacy of nursing care that is to be given to the
Researchers
ideas from the informants’ viewpoint on the issue. The information gathered will
contribute to the level of significance to the study and provide the researchers to plan
Future Researchers
Findings of the study will serve as reference to future studies. This will also give
the researchers ideas and knowledge upon formulating another study with the same
Orientational Definition
Dengvaxia Vaccine
The first dengue vaccine in Asia, manufactured by Sanofi Pasteur also referred
the yellow fever 17D vaccine strain, given as a 3-dose series with 6 months between
each dose.
Vaccination
from the disease. Injection of a killed microbe in order to stimulate the immune system
by stimulating the immune system, the natural disease-fighting system of the body. The
Lived Experiences
human experiences, choices, and options and how those factors influence one’s
emotionally and psychologically through facial expression and behaviours in lined with
their verbalization.
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Parents
The individuals who are directly involved and affected with the children who were
Child/Children
The individuals who received the 2016 Dengvaxia vaccine are currently under
the monitoring and supervision of their respective parents. These children who were
The study will focus mainly on the lived experiences of parent of a child
services. Ten (10) informants will be chosen as participants in the study. These samples
of informants will not represent the wider population and will just sensitize us to key
resources, the researchers will only interview one informant at a time in the course of
CHAPTER II
According to a study, to prevent the risk of dengue virus transmission from human host
to a mosquito vector, one of the key strategies to help the human population is
vaccination. The capacity of the vaccine must be capable of inducing long –term
protective immunity against all four serotypes, irrespective of the age or serostatus
during the time of vaccination. Dengvaxia, the first tetravalent vaccine licensed against
dengue and is approved in about 20 countries in Asia and Latin America. The World
Health Organization imposed severe restrictions on the use of the vaccine calling in to
that are dengue- endemic. In the Philippines, at the end of 2017, Dengvaxia was
dengue vaccination strategies remain a high priority (Bos, Gadea, & Despres, 2018).
ensuring safety monitoring to detect adverse events that are highly infrequent to be
detectable in trials. According to the results, it reported that a potential safety concern of
Dengvaxia is an increased risk of dengue related hospitalization for vaccines who were
dengue naïve at the time of vaccination, which may only be observed year post
A study conducted on the acceptability of dengue vaccine among parents in poor urban
communities, the Philippine dengue vaccination is the only mass dengue vaccination to
date with more than 800,000 vaccinated. The effect on the acceptability of the parents
was highly dependent on the controversy with how it was portrayed by the media
associating vaccine program to politics and corruption. In the study, there is a link
vaccination in general and dengue, trust in public institutions, and the communication
received by the parents of the vaccinated individuals. Since the dengue vaccine is a
new kind, like most of newer vaccines, it suffers from perception of lack of testing and
efficacy, and vaccine specific characteristics are different from routine vaccines used in
other mass vaccination. The parents rely on their own experience from their previous
vaccination with regards to their personal and familial encounter with vaccines as well
as their experience with the disease and their communities’ experience (Valido,
INPUT
- Life Behind the Experiences of Parents with Children Vaccinated with Dengvaxia
PROCESS
OUTPUT
- Audio Reading
- Analysis and Interpretation of data gathered
- Survey Implications
- Recommendations
OUTPUT
CHAPTER III
METHODOLOGY
Research Design
pre-existing knowledge to a framework but remaining truth to the facts. This design is
concerned with the study of human existence and how humans understand and
perceive their own behaviours. This will allow the researchers to get an in depth
Research Locale
In Cebu City, 159,766 children were vaccinated with Dengvaxia. Barangay Labangon is
one of the 15 barangays having high cases of dengue, it also participated in the
Labangon is the adopted Barangay of the CIT University community extension services
and the recipients of the medical missions, feeding programs, healthcare services and
Labangon only provides the basic immunizations for children. In addition the stocks for
Research Informants
The study will include a total of ten (10) informants that will be identified using purposive
sampling. The inclusion criteria for proper selection of research informants are as
follows: (1) Has a child/children vaccinated with Dengvaxia; (2) Their child/children must
be below 18 years; (3) Must be the real parent(s) of the child who received Dengvaxia
vaccine; (4) Must be living with and taking care of the child who received the vaccine;
(5) Residents of Barangay Labangon Cebu City; (6) Willing to participate in the study.
Sampling Design
The researchers will utilize the purposive sampling in order to select informants whose
children irrespective of gender and exposure to previous dengue fever considering they
had been vaccinated and the parents who personally have experienced the
phenomenon. When the data has been saturated, gathering of information from
Research Instrument
The researchers are the main instrument of the study, and will be utilized in the
collection of the data, equipped with basic and conscious knowledge and have set aside
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all preconceived beliefs or opinions. In-depth individual interviews will be done with the
utilization of key informant interview guide, written by the researchers for the purposes
of answering the research questions. Furthermore, paper and pencil, voice recorder,
actual observation, and audio visual aids like camera recorders will be utilized in order
to describe the lived experiences of the informants and to ensure accurate data results.
Data Analysis
To discover the real experiences of the phenomenon under investigation, the Colaizzi’s
method will be used. The audio-recorded interviews will be played many times and
significant statements will be extracted and transcribed. Each written transcript will be
read several times to ensure accuracy of the transcribed audiotapes interview and to
consists of different steps. First, the researcher will read and re-read the transcript in
order to obtain a general sense about the whole content. For each transcript, significant
statements that pertain to the phenomenon under study will be extracted. Meanings will
sorted into categories, clusters of themes, and subthemes. The findings of the study will
findings will be done from the research informants and from information gathered,
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themes and sub themes will be drawn from comparison and correspondence of the
Research Procedure
First, the researchers will make a letter addressed to the Dean asking for approval to
conduct the research study outside school premises. Once approved, a letter will then
be sent to Barangay Captain of Labangon and to the head of the Barangay Health
Center to inform them of the researcher’s intent to conduct the study in their area. Once
permitted, the lists of children who have received Dengvaxia vaccine will be secured.
received. After which, consent letter that is specific for the informants will be made.
Preliminary meetings with the researchers and informants will be conducted prior to the
actual interview. The preliminary meeting will be done to establish trust and to agree on
the venue and the time that is convenient to the informants. The researchers will
discuss the nature of the study and the importance of the participant’s involvement.
Interview process will proceed thereafter. Informants will be given the right to refuse or
discontinue answering questions if they are not comfortable with it. Furthermore, they
will be informed that interview proper will be recorded either via audio or video. The
Ethical Consideration
Ethical considerations will be addressed as this study will require the participation of
human informants. Before conducting this research study, the informants will be
informed of the rationale behind as well as its benefits. If the informants wish to be
anonymous and keep their identities secret, that will also be allowed due to their rights
to privacy. The identities of their children will also be kept unidentified. The researchers
will assure that the environment or venue where interview will be conducted is in a safe,
comfortable, quiet and free from distractions. Furthermore, in order to protect human
informants, all the data gathered through audiotapes and papers will be properly kept
and once the study is finally done, files will be destroyed. All transcripts will be
password encrypted in a safe file that will be designated by the researcher and will be
Trustworthiness
Credibility
The researchers will strive to establish confidence in the truth of the findings for the
particular participants and contexts in the research. According to Lincoln and Guba
(1985), the researchers will utilize the two aspects to credibility: first, the researchers
will carry out the study in a way that enhances the believability of the findings, and
second, they will take steps to demonstrate credibility in the research report.
Dependability
According to Lincoln and Guba (1985) the close ties between credibility and
In order to address dependability, the researchers will report in detail, the process of the
study that may possibly enable future researchers to repeat the work, if not necessarily
Confirmability
The information that will be gathered are solely from the informants. The data that will
be reviewed from the video and audio tapes will be subjective from the informants and
objective for the researchers to base the findings. Through confirmation from the
Transferability
The researchers cannot prove that the research study’s findings will be applicable to
other contexts, situations, times and populations. However, the researchers aim to
provide the evidence that it could be applicable (Lincoln & Guba, 1985).
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References:
Journals
Bos, S., Gadea, G., & Despres, P. (2018). Dengue: a growing threat requiring vaccine
development for disease prevention. Pathogens and Global Health, 112(6), 294–
305. https://doi.org/10.1080/20477724.2018.1514136
Epidemiology Bureau Public Health Surveillance Division. (2016). Dengue Cases. (02),
1–6. Retrieved from http://www.doh.gov.ph/sites/default/files/statistics/DENGUE
MW28.pdf
Flasche, S., Jit, M., Rodríguez-Barraquer, I., Coudeville, L., Recker, M., Koelle, K., …
Ferguson, N. (2016). The Long-Term Safety, Public Health Impact, and Cost-
Effectiveness of Routine Vaccination with a Recombinant, Live-Attenuated Dengue
Vaccine (Dengvaxia): A Model Comparison Study. PLoS Medicine, 13(11), 1–19.
https://doi.org/10.1371/journal.pmed.1002181
Morrow, R., Rodriguez, A., & King, N. (2015). Learning from the ’lifeworld Colaizzi’s
descriptive phenomenological method. The Psychologist, 28(8), 643–644.
Padilla-Díaz, M. (2015). Phenomenology in Educational Qualitative Research:
Philosophy as Science or Philosophical Science? International Journal of
Educational Excellence, 1(2), 101–110. https://doi.org/10.18562/ijee.2015.0009
Sanyaolu, A. (2017). Global Epidemiology of Dengue Hemorrhagic Fever: An Update.
Journal of Human Virology & Retrovirology, 5(6), 0–7.
https://doi.org/10.15406/jhvrv.2017.05.00179
Shenton, A. K. (2004). Strategies for ensuring trustworthiness in qualitative research
projects. Education for information 22. http.doi.org/10.3233/EFI-2004-22201
Valido, E. M., Laksanawati, I. S., & Utarini, A. (2018). Acceptability of the dengue
vaccination among parents in urban poor communities of Quezon City, Philippines
before and after vaccine suspension. BMC Research Notes, 11(1), 1–5.
https://doi.org/10.1186/s13104-018-3766-y
Articles
Lardizabal,C. (2017). Department of Health: More than 800,000 children vaccinated with
Denggvaxia. CNN Philippines
Letigio, D.D. (2018). Dramatic rise in dengue cases in Cebu Province noted.
Inquirer.Net
Letigio, D.D. (2019). Dengue cases up 17% in Cebu City; health department recorded
1,075 cases from January to July 2019. Inquirer.Net
Orellana, F. (2018) Department of Health: Dengue cases decline in first two months of
2018. Inquirer.Net
Philippine Daily Inquirer. (2018). Department of Health reports 11,000 new dengue
cases. Inquirer.Net
Book
Polit, D.F., Beck, C. T. (2008). Nursing Research: Generating and Assessing Evidence
for Nursing Practice. The Point. Eighth Edition. Page 538-539
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APPENDIX A
College of Nursing
My participation in this research study is completely voluntary. I may decline altogether if I don’t wish to
answer. If I agree to participate in this study, I will be interviewed regarding my personal experience of the
phenomena and I will be given as much time as I need to answer the interview question. In case of
traumatic experience may occur during the interview process, it is the researcher’s responsibility to
address my psychological needs by providing a counselor. I consent to be interviewed through audio and
video recording. I understand that my responses will remain confidential and anonymous. Data from this
research will be kept under lock and key, however, this information may be used in nursing publication or
presentations. No one other than the researchers will know my answers to this questionnaire. The
information that will be recorded will be completely deleted once the research is confirmed as per
agreement.
In the process of doing the research or even in its reporting, through ethical considerations, the
researchers will adhere to the Data Privacy Act.
If I have any questions about this study, I can freely contact the researchers, through mobile phone
numbers provided.
Their study has been explained to me. I have read and understand this consent form, all of my questions
have been answered, and I agree to participate. I understand that I will be given a copy of this signed
consent form.
______________________________________
Noted by:
APPENDIX B
SPOT MAP
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PLAN OF ACTIVITIES
(GANTT CHART)
Task Duration Nov Dec Jan Feb Mar Jun Jul Aug Sept Oct
Chapter I 2 mos
The Problem
Theoretical
Background
Chapter II 1 month
Review of
Related
Literature
Chapter III 2 mos
Methodology
Research
Design
Research
Environment
Research
Respondents
Research
Procedure
Chapter IV 5 mos
Approval &
Data Gathering
Results &
Discussion
Summary,
Findings,
Conclusion,
Recommendation
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APPENDIX C
RESEARCH INSTRUMENTS
Interview Guide
ENGLISH VERSION
Key Informant Code: _______________ Age: _____
Educational Attainment: __________________ Marital Status: _____________
A. Warm up Questions
1. How are you today?
2. How is the child/children?
3. What experiences did you encounter during the past weeks?
B. Main Questions
1. How is life living with children vaccinated with Dengvaxia?
2. What are your experiences with the child/children after he or she received the
vaccine?
3. What are the necessary changes you have made the way you care for your
child/children after receiving the vaccine?
4. What are your thoughts and feelings regarding the controversy on Dengvaxia?
5. How do you accept/cope with your current situation knowing that your child/children
has received the vaccine?
6. Is there anything else you would want to share?
7. Will you please elaborate more on how it is to deal with the phenomenon on a daily
basis?
C. Follow up Questions:
1.1 How do you assess the following?
A. Self
B. Family
C. Community
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Interview Guide
VERNACULAR VERSION
CURRICULUM VITAE
PERSONAL DATA
PERSONAL DATA
Name: Geofrey Lou O. Rojas
Gender: Male
Age: 22 y.o.
City Address: Duljo- Fatima, Cebu City
Email Address: geffsajor03@gmail.com
Contact Number: 09279808002
Date of Birth: February 3, 1997
Civil Status: Single
Religion: Christian
______________________________________________________________________
EDUCATIONAL BACKGROUND
Primary Level (2003-2009)
Maasin Christian Academy
Maasin City, Southern Leyte
PERSONAL DATA
Name: Emilyn G. Brent
Gender: Female
Age: 37 y.o.
City Address: 347 C. Ouano St., Looc Mandaue City
Email Address: emilyn.brent@gmail.com
PERSONAL INFORMATION
EDUCATIONAL BACKGROUND
RESEARCH PRESENTATIONS
International
1. Podium Presentor: Knowledge of Breast Cancer and Breast Self-
Examination among High School Students. 6th International Conference of
Nurses (ICONS 6) Marco Polo Hotel and Residences, Cebu City, Philippines,
November 24, 2016
Personal Data