Exploring childhood immunization among undocumented migrants in Sweden - following qualitative study and the World Health Organizations Guide to Tailoring Immunization Programmes (TIP)

Godoy-Ramirez, Karina; Byström, Emma; Lindstrand, Ann; Butler, Robb; Ascher, Henry; Kulane, Asli

doi:10.1016/j.puhe.2019.04.008

Cited by 26 publications

(61 citation statements)

References 17 publications

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“…It builds on a previous study in Serbia in which HW-parent communication was one component of a wider study 22 and contributes to the small, but emerging evidence base on HW vaccination behaviors in Central and Eastern Europe. 18,28 More widely it adds to the portfolio of TIP projects [18][19][20][21] and to the body of literature to understand and improve HW vaccination communication behaviors. [2][3][4][5][6][7][8][9] Several key themes emerged to elucidate the HW-parent vaccination communication process.…”

Section: Discussionmentioning

confidence: 99%

“…16,17 Using social sciences, ethnographic research techniques and behavioral insights methodology, TIP offers countries a process through which to identify susceptible groups; diagnose barriers and drivers to positive vaccination behaviors and segment populations according to behavioral determinants; in order to design tailored interventions to increase vaccination coverage. To date, TIP projects in the WHO European Region have targeted primary care health workers (Federation of Bosnia and Herzegovina, Bosnia and Herzegovina, 18 Germany) and medical specialists who advise on vaccination (Armenia); as well specific communities of parents such as the Roma community (Bulgaria), hesitant urban parents (Estonia), internal migrants (Kyrgyzstan), disadvantaged minority communities (Romania), undocumented migrants, 19 anthroposophic 20 and Somali communities (Sweden) and a Jewish Charedi community (United Kingdom). 21 Based on national vaccination coverage data analysis, 14 existing research 22 and input from a stakeholder workshop, it was decided to focus the Serbia TIP project on the interaction between parents and HWs with a view to identifying the support HWs may need to facilitate effective vaccination communication.…”

Section: Introductionmentioning

confidence: 99%

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Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia

Trifunović¹,

Habersaat

Tepavčević

et al. 2021

Human Vaccines & Immunotherapeutics

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Vaccine communication between health workers and parents affects parental acceptance, so understanding this is particularly important when vaccination rates drop. This paper presents the findings of a qualitative research study conducted in Serbia as part of a Tailoring Immunization Programmes (TIP) project. The aims were to explore the process of vaccination communication between health workers and parents (accepting, indecisive, delaying, refusing), and identify barriers and drivers to effective communication. In-depth interviews with 14 health workers were supplemented and qualified by observations of 40 consultations, using thematic analysis. Study sites were two community health centers in two Belgrade municipalities where a significant drop in childhood vaccination rates had occurred. Key findings were: (1) communication mainly took place between pediatricians and parents, while nurses focused on administering vaccines. (2) Health workers were confident in their skills to communicate and address concerns of accepting and indecisive parents, successfully applying specific strategies. (3) When interacting with delaying and refusing parents, they sometimes agreed to delay vaccination to maintain relationships, confident that most parents would vaccinate in due course. (4) Some refusing parents asked questions grounded in a socio-political agenda regarding vaccines or vaccination. Such questions exceeded the domain of health workers' expertise, which affected the communication between them. (5) Health workers' behavior in consultations was sometimes affected by parents' (dis) trust in their recommendations about vaccination. The study revealed that health workers in Serbia require additional skills and techniques to respond to parents who refuse and wish to delay vaccination, to secure timely vaccination.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia

Trifunović¹,

Habersaat

Tepavčević

et al. 2021

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…We do not know whether the children instead visited general practitioners or if other healthcare‐seeking strategies were used. A Swedish qualitative study showed that undocumented parents had a positive view towards childhood immunisation but expressed fear of being asked for identification papers 6 . Failure to adhere to the recommended schedule may leave these children susceptible to morbidity and life‐threatening infectious diseases.…”

Section: Figurementioning

confidence: 99%

Vaccination needs and use of preventive healthcare services among undocumented migrant children in Denmark

2021

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“…A high rate of vaccine-preventable diseases has been reported in Syrian refugees [52]. Despite non-payable primary healthcare services and free childhood vaccinations for refugees in Turkey, language barriers and high mobility among unregistered refugees were reported to limit access to completion of the immunization schedule and lead to missed opportunities for health services [53]. Previously, six FGDs with 33 mothers from Moroccan, Turkish, and other ethnic backgrounds revealed that parents perceived a language barrier in understanding the provided information about the National Immunization Program [54].…”

Section: Initiatives Relating To Refugeesmentioning

confidence: 99%

Unvaccinated children as community parasites in National Qualitative Study from Turkey

2020

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Background: This national qualitative study explores (1) the experiences, observations, and opinions of health care workers (HCWs) about beliefs, socioeconomic, cultural, and environmental characteristics of parents refusing vaccination and (2) regional differences in the identified risk factors; (3) recommended solutions to improve vaccine acceptance in each of 12 regions in Turkey. Methods: In total, we carried out 14 individual semi-structured in-depth interviews and 10 focus group discussions with 163 HCWs from 36 provinces. A thematic analysis was performed to explore HCWs' observations about the parents' decisions to reject vaccination and possible solutions for vaccine advocacy. Results: Within the analyzed data framework, vaccine refusal statements could be defined as vaccine safety, the necessity of vaccines, assumptions of freedom of choice, health workers' vaccine hesitancy, lack of information about national vaccination schedule and components, not trusting the health system, anti-vaccine publications in social media and newspapers, and refugees. Suggestions based on the HCWs suggestions can be summarized as interventions including (1) creating visual cards with scientific data on vaccine content and disease prevention and using them in counseling patients, (2) writing the vaccine components in a way understandable to ordinary people, (3) highlighting the national quality control and production in the vaccine box and labels, (4) conducting interviews with community opinion leaders, (5) training anti-vaccine HCWs with insufficient scientific knowledge and (6) reducing the tax of parents whose children are fully and punctually vaccinated. Conclusions: The solution to vaccine rejection begins with the right approaches to vaccination during pregnancy. Prepared written and visual information notes should present the information as "vaccination acceptance" rather than "vaccination refusal". Further studies on vaccine refusal rates should be carried out in various regions of the world so that region-specific actions are implemented to decrease the anti-vaxxer movement and to prevent an outbreak of infectious diseases.

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Exploring childhood immunization among undocumented migrants in Sweden - following qualitative study and the World Health Organizations Guide to Tailoring Immunization Programmes (TIP)

Cited by 26 publications

References 17 publications

Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia

Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia

Vaccination needs and use of preventive healthcare services among undocumented migrant children in Denmark

Unvaccinated children as community parasites in National Qualitative Study from Turkey

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