Background and Objective:
The second edition of the "Surveillance system for the main determinants of health in children aged 0-2 years", promoted by the Ministry of Health and coordinated by the ISS, was held from July to September 2022. We took this opportunity to administer a "satisfaction survey" to assess the perceived quality of the service offered by the local health care system and the level of information and confidence about vaccines.

Methods:
A total of 367 anonymous questionnaires were administered, self-filled out by mothers of children no older than 2 years of age who underwent one of the mandatory vaccination (one of the first three doses of hexavalent or the first dose of MMR-V). Among the questions, two were about confidence and fear related to vaccines.

Results:
281 (76.6%) of mothers attended the pediatrician’s clinic before the vaccination appointment; 310 (84.6%) declared they were correctly informed by the pediatrician; 355 (96.7%) faced no difficulties in booking the vaccination; 338 (92.2%) reported no overly time elapsed between booking and vaccination. When asked "On a scale of 1 to 10 how much confidence do you place in vaccinations?", 338 (92.1%) rated their confidence from 6 to 10. Relative to the question "On a scale of 1 to 10, how much fear do you have of vaccinations?" the answers were more heterogeneous: 246 (67%) from 6 to 10, 28 (7,7%) 5 and 93 (25.3%) from 1 to 4.

Conclusions:
Getting feedback about the service offered can help improve it. WHO considers vaccine hesitancy one of the main threats to global health. Monitoring the population level of trust and fear toward vaccines is relevant for prompt intervention to build and sustain vaccine confidence. This survey tells us that although there is good confidence among mothers, fear continues to be an important issue.