Poor uptake of influenza vaccination in pregnancy in northern India

Koul, Parvaiz A; Bali, Nargis; Ali, Syed Wajid; Ahmad, Sarfaraz; Bhat, Mohammad Akbar; Mir, Hyder; Akram, Shabir; Khan, Umar Hafiz

doi:10.1016/j.ijgo.2014.05.021

Cited by 35 publications

(41 citation statements)

References 24 publications

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“…One of the most commonly provided reasons by the unvaccinated was that their doctor had not discussed during their pregnancy. The finding that more than one third of those unvaccinated did not receive a health care provider recommendation is in line with previous studies [34, 36, 41, 43, 44]. Another commonly provided reason was the concern that vaccination may not be safe during pregnancy.…”

Section: Discussionsupporting

confidence: 87%

“…Therefore, it is important to design and to implement interventions in order to increase the vaccination rate. The value observed in the present study is higher than those reported in other countries, since no women had received influenza vaccination in the already mentioned study in India [34], 3% in Turkey [36], 4% in Thailand [26], and it is almost identical to the 6% in Iran [37], 10.9% in Germany [38], and 16% in Canada [39]. Whereas, it is substantially below the levels observed in Australia with an uptake of 27% [20], in France of 39% [40], in Belgium of 42.8% [41], and in the United States with levels ranging from 35% [14] to 66.4% [42].…”

Section: Discussioncontrasting

confidence: 83%

“…When compared to other studies, the observed knowledge was higher. For example, in India none knew about influenza vaccination requirement during pregnancy [34], in Canada 36% knew that influenza was more severe in pregnant women [35], in the United States 51% identified that seasonal flu is more dangerous for pregnant women and 54% that the seasonal flu shot is safe in pregnancy [17]. Similarly, in Australia 23% of women believed that the vaccination during pregnancy was not safe and 30% that it would not protect them [19].…”

Section: Discussionmentioning

confidence: 99%

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Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Napolitano

Angelillo

2017

BMC Infect Dis

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BackgroundThe aims of this study were to assess the knowledge, attitudes, and behaviors towards seasonal influenza and its vaccination among pregnant women.MethodsA cross-sectional survey was carried out among a sample of women in the second or third trimester of pregnancy in Italy.ResultsThe 64.2% of the sample knew that the influenza is more dangerous for pregnant women. Women of older age, Italian, and who had a pregnancy at high-risk were more likely to have this knowledge. This knowledge was lower among women with none, primary or secondary school education. The majority of the respondents considered the vaccine not very useful during pregnancy. Those younger, unmarried, who knew that influenza is more dangerous for pregnant women, who knew that the vaccine could protect them, who reported a higher self-rated health status, and who had received information about influenza and its vaccination were more likely to have a positive attitude toward the usefulness of influenza vaccination in pregnancy. Women with secondary school education and with more than one child revealed a lower perception. Only 9.7% had received the vaccine and 21.4% of those unvaccinated would be willing to receive it. This positive attitude was higher among women with one child, who knew that the vaccine could protect them against the influenza, and who have a positive attitude toward the usefulness of the vaccination during pregnancy.ConclusionsHealth educational programs are needed to improve the knowledge about seasonal influenza and vaccination rate in pregnancy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2138-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Napolitano

Angelillo

2017

BMC Infect Dis

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“…In India, influenza vaccine uptake among pregnant women is extremely poor (12.8% for pandemic influenza vaccine and none for seasonal influenza) [30, 31]. The lack of disease burden data among pregnant Indian women may have contributed to the perception that prevention of influenza in pregnant women and young children may not be a public health priority.…”

Section: Introductionmentioning

confidence: 99%

Influenza and Pregnancy: A Review of the Literature from India

Bhalerao-Gandhi

Chhabra

Arya

et al. 2015

Infectious Diseases in Obstetrics and Gynecology

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Maternal influenza infection is known to cause substantial morbidity and mortality among pregnant women and young children. Many professional healthcare bodies including the World Health Organization (WHO) have identified pregnant women as a priority risk group for receipt of inactivated seasonal influenza vaccination. However influenza prevention in this group is not yet a public health priority in India. This literature review was undertaken to examine the Indian studies of influenza among pregnant women. Eight Indian studies describing influenza burden and/or outcomes among pregnant women with influenza were identified. In most studies, influenza A (pH1N1) was associated with increased maternal mortality (25–75%), greater disease severity, and adverse fetal outcomes as compared to nonpregnant women. Surveillance for seasonal influenza infections along with higher quality prospective studies among pregnant women is needed to quantify disease burden, improve awareness among antenatal care providers, and formulate antenatal influenza vaccine policies.

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“…Since 2004, the ACIP and the American College of Obstetricians and Gynecologists (ACOG) have recommended influenza vaccination for all women of Americas who are or will be pregnant regardless of trimester of pregnancy [44,45]. In India, Federation of Obstetric and Gynaecological Societies of India (FOGSI) have recommended Influenza vaccination for mothers from 26 weeks onwards [46].…”

Section: Immunogenicity and Efficacy Of A Rough Brucella Suis Vaccinementioning

confidence: 99%

Is TT Immunization in Pregnancy Enough in Indian settings?

Rathi¹

2017

IJVR

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India has a fairly large share in the maternal mortalities of the world. There are many aspects of a healthy pregnancy and immunization is one of them. Maternal immunization protects not just the mother but also imparts protection to the newborn. India introduced TT immunization for pregnant females in 1983. Due to sustained efforts of healthcare providers, training of nurses and midwives about clean delivery practices, strong campaigning of institutional deliveries, maternal and neonatal focused programs and a good coverage of pregnant women with TT immunization -India was finally declared free of maternal and neonatal tetanus on 15th May, 2015. Pertussis continues to be a serious public health problem in India. Pertussis is more dangerous in infancy and leads to substantial morbidity and mortality. The damage is particularly higher when the infant is only weeks old and still haven't received the primary immunization. Thus there is a need to introduce Tdap vaccine for pregnant women so that pertussis burden in infancy can reduce. An important cause of morbidity and mortality in pregnancy is influenza. Thus, influenza vaccine is the second vaccine that needs to be given to pregnant women.

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Poor uptake of influenza vaccination in pregnancy in northern India

Abstract: Influenza vaccination among pregnant women in northern India is nonexistent. Poor uptake is rooted in misperceptions about vaccine availability, efficacy, and safety among treating physicians, few of whom are vaccinated.

Cited by 35 publications

References 24 publications

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Influenza and Pregnancy: A Review of the Literature from India

Is TT Immunization in Pregnancy Enough in Indian settings?

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