Vaccination against pertussis and influenza in pregnancy: a qualitative study of barriers and facilitators

Maisa, Anna; Milligan, Sarah; Quinn, Alison; Boulter, Denise; Johnston, Jillian; Treanor, Charlene; Bradley, Declan

doi:10.1016/j.puhe.2018.05.025

Cited by 50 publications

(97 citation statements)

References 21 publications

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“…Frontline vaccinators are the most important influencers of vaccine uptake by the general population. [6][7][8][9][10] However, HCPs expectations of their role as vaccinators are not matched with reality. This experience extends across professions and countries.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, low levels of knowledge has been associated with overconfidence amongst nonprofessionals in their own knowledge. 5 The frontline vaccinator remains the strongest influencer of vaccine uptake by the general population, [6][7][8][9][10] and is typically an HCP who is committed to vaccinating and advocating vaccination. Numerous studies documenting the causes, effects and extent of vaccine hesitancy have reiterated the need to equip and educate frontline vaccinators in order to maintain high vaccine coverage.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Challenges facing vaccinators in the 21^stcentury: results from a focus group qualitative study

Wiot

Shirley²,

Prugnola

et al. 2019

Human Vaccines & Immunotherapeutics

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Introduction: Barriers to vaccination and the important role of healthcare professionals (HCPs) in influencing immunization decisions made by parents/patients have been well documented. Little information describes challenges that HCPs face in carrying out their role as vaccinators.Methods: We conducted a focus group study asking HCPs to describe their expectations as frontline vaccinators versus the day-to-day reality they faced. Participants described challenges impacting their ability and motivation as vaccinators, and proposed key solutions to the most important challenges. A total of 75 nurses and physicians (sixteen groups of frontline vaccinators) from the United Kingdom, United States, Germany and India participated in 2 hour focus-group discussions.Results: There was disconnect between how participants viewed their role in preserving population health when they started their career, and the reality of real-world practice today. Challenges experienced and reflected were similar across professional groups and countries. Low patient-level vaccine knowledge, patient miseducation, untimely vaccine information, frequently changing vaccine schedules, time pressures, lack of centralized record systems, pressure to achieve vaccination targets, and in some instances vaccine costs, all impacted the efficiency and enthusiasm of HCPs. Identified solutions by the same providers included improving patient-level information, equipping HCPs with effective information, and practical ways to reduce the vaccination burden by improved administrative processes and centralized recording coupled with delegating vaccinator roles.Conclusion: This focus group gives unique insights into needs of HCPs to fulfill their role as vaccinators. Supporting and equipping vaccinators is critical to the continuing success of vaccination programs and the proposed life-course immunization strategy. (Supplementary Appendix 1)

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Challenges facing vaccinators in the 21^stcentury: results from a focus group qualitative study

Wiot

Shirley²,

Prugnola

et al. 2019

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Qualitative studies among pregnant women point to a need for healthcare professionals to discuss vaccination and offer it as part of routine antenatal care 80818283…”

Section: How Can It Be Prevented?mentioning

confidence: 99%

Pertussis (whooping cough)

Gopal

Barber

Toeg³

2019

BMJ

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“…Some patients and healthcare providers are hesitant to or do not vaccinate during pregnancy because of perceived (vaccine) safety [23][24][25]. Other barriers to vaccination during pregnancy from the patient and healthcare perspective include negative media, missed vaccination opportunity (immunization not offered or requested), lack of vaccine stock, inadequate reimbursement, and limited patient interest [26][27][28][29][30][31]. Evidence-based educational programs that emphasize vaccine safety during pregnancy and protection against disease in infancy help support vaccine confidence and recommendations.…”

Section: Introductionmentioning

confidence: 99%

Safety of Maternal Immunization Against Pertussis: A Systematic Review

2019

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The WHO recommends vaccination of all children against pertussis. However, newborn infants remain vulnerable to infection. Pertussis vaccination during pregnancy has been introduced in several countries to protect newborns via transplacental transfer of maternal pertussis antibodies to the infant. We reviewed the impact of maternal pertussis vaccination on the health of pregnant women, the developing fetus, and health of the newborn. We searched PubMed/MEDLINE, EMBASE, Scopus (Elsevier), Cochrane Database of Systematic Reviews, ProQuest, and Science Direct to identify studies that assessed the safety of maternal pertussis vaccination. Twenty-seven English language publications published between January 1995 and December 2018 were included in this review. Pregnant women receiving pertussis vaccines did not have increased rates of systemic or local reactions. There were no safety concerns with repeat vaccination with other tetanus-containing vaccines or their concomitant administration with influenza vaccines. Maternal pertussis vaccination did not adversely affect pregnancy, birth or neonatal outcomes. This review confirms the safety of maternal pertussis vaccination during pregnancy.

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Vaccination against pertussis and influenza in pregnancy: a qualitative study of barriers and facilitators

Cited by 50 publications

References 21 publications

Challenges facing vaccinators in the 21^stcentury: results from a focus group qualitative study

Challenges facing vaccinators in the 21^stcentury: results from a focus group qualitative study

Pertussis (whooping cough)

Safety of Maternal Immunization Against Pertussis: A Systematic Review

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Vaccination against pertussis and influenza in pregnancy: a qualitative study of barriers and facilitators

Cited by 50 publications

References 21 publications

Challenges facing vaccinators in the 21stcentury: results from a focus group qualitative study

Challenges facing vaccinators in the 21stcentury: results from a focus group qualitative study

Pertussis (whooping cough)

Safety of Maternal Immunization Against Pertussis: A Systematic Review

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Challenges facing vaccinators in the 21^stcentury: results from a focus group qualitative study

Challenges facing vaccinators in the 21^stcentury: results from a focus group qualitative study