The biggest barrier to influenza vaccination in pregnant females in India: Poor sensitization of the care providers

Koul, Parvaiz A; Mir, Hyder

doi:10.1016/j.vaccine.2018.04.039

Cited by 9 publications

(10 citation statements)

References 5 publications

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“…The main barriers to antenatal influenza vaccination reported by pregnant women include safety concerns for the foetus, objections to drugs in pregnancy, poor understanding of the All pregnant women at all stages of pregnancy, including the post-partum period NICD (2018) severity and burden of influenza disease, and low awareness of the benefits of vaccination (Henninger et al, 2013;Ishola et al, 2013;Koul and Mir, 2018;Li et al, 2018;MacDougall and Halperin, 2016;Maertens et al, 2016;Meharry et al, 2013;Moniz and Beigi, 2014;Prospero et al, 2019;Wilson et al, 2015). A US study identified 25 different barriers to antenatal vaccination by pregnant women.…”

Section: Pregnant Womenmentioning

confidence: 99%

Vaccinating pregnant women against influenza needs to be a priority for all countries: An expert commentary

Buchy¹,

Badur²,

Kassianos

et al. 2020

International Journal of Infectious Diseases

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Background: In 2012, the World Health Organization recommended influenza vaccination for all pregnant womenworldwide and the prioritisation of pregnant women in national influenzavaccination programmes. Nevertheless, vaccination rates in pregnant women often remain much lower than national targets. Objectives: To assess the benefits and risks associated with influenza infection and vaccination during pregnancy, and to consider obstacles that work against influenza vaccine uptake during pregnancy. Results: There is strong evidence that maternal and foetal outcomes can be compromised if women develop influenza infections during pregnancy. Influenza vaccines have been administered to millions of pregnant women and have demonstrated benefits in terms of disease prevention in mothers and their infants. There is a consensus amongst several recommending authorities that influenza vaccines may be safely administered during all stages of pregnancy. Healthcare professionals are recognised as the most important influencers of vaccine uptake, being well placed to recommend vaccination and directly address safety concerns. Conclusions: Despite data supporting the value of influenza vaccination during pregnancy, vaccine uptake remains low globally. Low uptake appears to be largely due to ineffective communication with pregnant women about the risks and benefits of influenza vaccination. A graphical abstract is available online.

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Section: Pregnant Womenmentioning

confidence: 99%

Vaccinating pregnant women against influenza needs to be a priority for all countries: An expert commentary

Buchy¹,

Badur²,

Kassianos

et al. 2020

International Journal of Infectious Diseases

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show abstract

“…However, it was agreed that it was preferable for HCPs to feel motivated to offer vaccination before personally encountering a severe case of maternal influenza. Various studies have highlighted the importance of HCPs being proactive in recommending influenza vaccination to their pregnant patients [13,[21][22][23]. In view of inconsistent vaccine prescription practices among HCPs in India, the expert panel agreed there is a need for improved awareness among clinicians of the seriousness of influenza in pregnancy.…”

Section: Expert Group Discussionmentioning

confidence: 99%

“…A major barrier is poor knowledge among obstetricians of the burden and severity of influenza infection in pregnant women and young infants and low levels of acceptance of the need for influenza vaccination, as evidenced by variable vaccine prescription practices among obstetricians that were reported by the expert panel and other published studies [12,13,15,48]. The panel also highlighted a lack of knowledge of optimal timing of vaccination among obstetricians or confusion about timing because of non-uniform recommendations from different medical professional bodies [16,17].…”

Section: Expert Opinionmentioning

confidence: 99%

“…The expert panel also reported misconceptions surrounding maternal influenza vaccination among patients, such as beliefs that miscarriage can be caused by vaccination, the vaccine lacks effectiveness, and the disease is not severe. This may be due to ineffective communication with pregnant women about the benefits and risks of influenza vaccination [2, 13,49,50]. Counseling of pregnant women needs to be comprehensive, covering the potential seriousness of influenza disease, influenza epidemics, and the impact of vaccines, including the protection offered to neonates.…”

Section: Expert Opinionmentioning

confidence: 99%

“…Maternal influenza infection also increased fetal mortality rate by 5.5-33% [4][5][6]. The Ministry of Health and Family Welfare in India recognizes pregnant women as a priority risk group for influenza vaccination [11] but maternal influenza vaccination rates remain as low as 0.0-12.8% [12][13][14][15]. Significant hurdles for the uptake of the vaccine include poor healthcare providers (HCP) practices and misconceptions regarding the safety and efficacy of the vaccine [13].…”

Section: Introductionmentioning

confidence: 99%

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Expert opinion on the way forward for improving maternal influenza vaccination in India

Purandare

Preiss²,

Kolhapure

et al. 2021

Expert Review of Vaccines

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Introduction: : Rates of maternal vaccination against influenza are extremely low in India. An expert panel of obstetric-gynecologists and pediatricians met to develop consensus-based recommendations for improving awareness of the benefits of influenza vaccination during pregnancy in India. Areas covered: : The group discussed experiences of influenza infection in pregnancy and infancy before focusing on maternal vaccination practices in India, including the degree of communication between obstetric-gynecologists and pediatricians and opinions on optimal timing for vaccination. The impact of inconsistent vaccine prescription practices by healthcare providers was discussed, as well as current clinical recommendations on maternal influenza vaccination. Expert opinion: : Although clinical evidence demonstrates the benefit of maternal influenza vaccination in any trimester, influenza vaccination is not widely accepted in India as an integral part of antenatal care. There is a lack of familiarity among obstetricians of clinical guidelines on maternal influenza vaccination. This can be addressed with an education campaign targeting obstetricians and other providers of maternal healthcare. With variable influenza seasons between regions in India, common vaccine stock shortages, and data suggesting influenza vaccination is feasible anytime in pregnancy, all opportunities to offer vaccination to this high-risk group for severe influenza disease should be considered.

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Factors influencing vaccine acceptance in pregnancy during the COVID-19 pandemic: A multicenter study from West Bengal, India

Khan,

Das,

Jana

et al. 2024

Human Vaccines & Immunotherapeutics

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Influenza, COVID-19, tetanus, pertussis and hepatitis B pose increased risk for pregnant women and infants and could be mitigated by maternal immunization. In India Tetanus-diphtheria (Td) and COVID-19 vaccines are recommended during pregnancy, while influenza and tetanus-acellular pertussis-diphtheria (Tdap) vaccines are not. We conducted a multicenter study from November 2021 to June 2022 among pregnant women ( n = 172) attending antenatal clinics in three public hospitals in West Bengal, to understand the factors that influence women’s decisions to get vaccinated during pregnancy. Questions assessed vaccination coverage, knowledge, intention and willingness to pay for influenza vaccine, and factors influencing decisions to get Td, influenza, and COVID-19 vaccines. 152/172 (88.4%) women were vaccinated with Td, 159/172 (93%) with COVID-19, 1/172 (0.6%) with influenza, and none with Tdap. 10/168 (6%) had received hepatitis B vaccine (HBV). Community health workers advice was crucial for Td uptake and, the belief of protection from COVID for COVID-19 vaccines. Most women were unaware about Tdap (96%), influenza (75%), and influenza severity during pregnancy and infancy (85%). None were advised for influenza vaccination by healthcare providers (HCP), albeit, 93% expressed willingness to take, and pay INR 100–300 (95% CI: ≤100 to 300–500) [$ 1.3–4.0 (95% CI: ≤1.3, 4–6.7)] for it. Vaccination on flexible dates and time, HCP’s recommendation, proximity to vaccination center, and husband’s support were most important for their vaccination decisions. Women were generally vaccine acceptors and had high uptake of vaccines included in the Universal Immunization Program (UIP). Inclusion of influenza, Tdap, and HBV into UIP may improve maternal vaccine uptake.

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The biggest barrier to influenza vaccination in pregnant females in India: Poor sensitization of the care providers

Cited by 9 publications

References 5 publications

Vaccinating pregnant women against influenza needs to be a priority for all countries: An expert commentary

Vaccinating pregnant women against influenza needs to be a priority for all countries: An expert commentary

Expert opinion on the way forward for improving maternal influenza vaccination in India

Factors influencing vaccine acceptance in pregnancy during the COVID-19 pandemic: A multicenter study from West Bengal, India

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