The meaning of the rubella vaccine for pregnant women

Ozaki, Lúcia Maria Tonzar Ristori; Shimo, Antonieta Keiko Kakuda

doi:10.1590/s0104-11692007000400002

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…In Mexico, for example, influenza vaccination rates for pregnant women fell from 81% in 2018 [5] to 65% in 2020 [6]; while Tdap coverage for pregnant women jumped from 52% in 2015 to 96% in 2016 before dropping again to 60% in 2018. Despite inadequate coverage rates, a recent systematic review of barriers to vaccination in Latin America [7], found very few studies which have looked at barriers to vaccination among pregnant women in the region [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“Saint Google, now we have information!”: a qualitative study on narratives of trust and attitudes towards maternal vaccination in Mexico City and Toluca

2021

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Background Maternal vaccination is key to decreasing maternal and infant mortality globally. Yet perceptions about maternal vaccines and immunization among pregnant women are often understudied, particularly in low- and middle- income countries. This qualitative study explored trust, views, and attitudes towards maternal immunization among pregnant women in Mexico. A total of 54 women from Mexico City and Toluca participated in the in-depth interviews and focus groups. We explored participants’ experiences with maternal vaccination, as well as how they navigated the health system, searched for information, and made decisions around maternal immunization. Results Our findings point to issues around access and quality of maternal healthcare, including immunizations services. While healthcare professionals were recognized for their expertise, participants reported not receiving enough information to make informed decisions and used online search engines and digital media to obtain more information about maternal healthcare. Some participants held strong doubts over the benefits of vaccination and were hesitant about the safety and efficacy of maternal vaccines. These concerns were also shared by pregnant women who had been vaccinated. Some participants disclosed low levels of trust in government and vaccination campaigns. Conclusion Pregnant women, soon to be parents and making vaccination decisions for their child, constitute an important target group for policymakers seeking optimal maternal as well as childhood immunization coverage. Our findings highlight the importance of targeted communication, trust-building and engagement strategies to strengthen confidence in immunization amongst this group.

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Section: Introductionmentioning

confidence: 99%

“Saint Google, now we have information!”: a qualitative study on narratives of trust and attitudes towards maternal vaccination in Mexico City and Toluca

2021

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“…Across countries, coverage rates may vary drastically—and within countries, there can be persistent heterogeneity for coverage between regions, even in countries with high national coverage. 9 According to Guzman-Holst et al , in their comprehensive literature review of barriers to vaccination in LAC, only three studies (5% of total included in the review) looked at barriers to vaccination among pregnant women: Mendonza-Sassi et al 10 and Kfouri and Richtmann 11 investigated factors associated with influenza vaccine coverage among pregnant women in Brazil; Ozaki and Shimo 12 surveyed pregnant women about perceptions of a rubella vaccine.…”

Section: Introductionmentioning

confidence: 99%

‘‘Those who do not vaccinate don’t love themselves, or anyone else’’: a qualitative study of views and attitudes of urban pregnant women towards maternal immunisation in Panama

2021

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ObjectivesTo identify pregnant women’s views and attitudes towards maternal immunisation in Panama based on in-depth interviews and focus groups.SettingTwo main urban centres in Panama (San Miguelito and Panama City).ParticipantsFifty-six pregnant women from Panama City (n=29) and San Miguelito (n=27).MethodsIn-depth interviews and focus groups were conducted, audio-recorded, transcribed verbatim and analysed using a deductive-inductive approach.ResultsOur findings suggest that this population perceives vaccination as a key component of maternal healthcare, not an elective part of it. The pregnant women interviewed disclosed a heightened perception of vulnerability to infectious diseases. For this reason, safety and effectiveness of maternal vaccines were closely associated for many participants (a vaccine was perceived as safe if it was effective against disease). Refusal of maternal vaccination was strongly associated with parental negligence. Participants reported the participation of husbands and partners in the decision-making around their health. Most participants reported high information-seeking behaviour, particularly online; many interviewees confirmed any information obtained online with their healthcare professionals (HCPs). Vaccine recommendations from HCPs appeared to be one of the main predictors of maternal immunisations among the sample interviewed. While acceptability of maternal vaccines was high in this sample, some pregnant women expressed concerns and doubts (e.g., that maternal vaccines could cause miscarriages) which require attention. Finally, many participants reported difficulties in accessing maternal vaccination, pointing to financial and physical barriers.ConclusionsThe acceptability of maternal immunisation was high among the interviewed women. The pregnant women’s receptiveness to maternal vaccinations, even when information provided was limited, is suggestive of high levels of trust in HCPs. Even so, HCPs and health officials should remain alert to apprehensions expressed by pregnant women. Many participants reported struggles in accessing maternal vaccination, pointing to issues that merit further examination.

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