Vaccination Campaigns in Postsocialist Ukraine: Health Care Providers Navigating Uncertainty

Bazylevych, Maryna

doi:10.1111/j.1548-1387.2011.01179.x

Cited by 32 publications

(20 citation statements)

References 23 publications

(23 reference statements)

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“…Childhood vaccination is a routine technological practice, a disciplinary one mobilizing state and medical authority and constituting citizens’ experiences of the state; in certain contexts, this technology of domination has become enmeshed with technologies of the self, as parents monitor themselves to ensure that children receive vaccination (Das and Poole :26–27; Foucault ). Compliance with medical and state authorities has been explored in diverse terms—as an ideology “that justifies physician authority” (Trostle :1299), as a power struggle or negotiation between physicians, medical authorities, and/or patients (Bazylevych ; Emke ), and as part of a strategy to promote market solutions to public health problems (Maskovsky ).…”

Section: Incertitude Storytelling History: Theoretical Consideratiomentioning

confidence: 99%

Incertitude, Hepatitis B, and Infant Vaccination in West and Central Africa

2016

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This comparative study explores incertitude about hepatitis B (HBV) and its implications for childhood vaccination in Bangui, Central African Republic, and the Cascades region, Burkina Faso. Anthropological approaches to vaccination, which counter stereotypes of "ignorant" publics needing education to accept vaccination, excavate alternative ways of knowing about illness and vaccination. We build on these approaches, evaluating different kinds of incertitude (ambiguity, uncertainty, ignorance) about infancy, HBV, health protection, and vaccination. Using interviews and participant observation, we find that Bangui and Cascades publics framed their incertitude differently through stories of infancy, illness, and protection. We locate different forms of incertitude within their historical contexts to illuminate why vaccination practices differ in the Cascades region and Bangui. A more nuanced approach to incomplete knowledge, situated in political, economic, and social histories of the state and vaccination, can contribute to more appropriate global health strategies to improve HBV prevention.

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Section: Incertitude Storytelling History: Theoretical Consideratiomentioning

confidence: 99%

Incertitude, Hepatitis B, and Infant Vaccination in West and Central Africa

2016

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“…Holding more focus groups to improve saturation would be of value. Afurther weakness inherent to the focus group format is its participant snowball selection system -the results obtained are therefore harder to generalize to the larger population [36]. However, our participants differed regarding education level, job position and Ukrainian residence which meant relatively diversi ed opinions could be sourced.…”

Section: Polandmentioning

confidence: 92%

“…They have to rely on other sources for information about vaccines, mostly from the internet and social media, less commonly from friends or Ukrainian doctors. Of note, instead of advocating for improved immunization among their patients, Ukrainian doctors often have doubts about the importance of the immunization program [36].…”

Section: Phc Access and Vaccine Deliverymentioning

confidence: 99%

Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: A qualitative study

Gańczak

Bielecki

Drozd-Dąbrowska

et al. 2020

Preprint

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Objectives Ukrainians numbering approximately 1.2 million are the largest migrant group in Poland. Data on vaccination coverage among migrants are not collected in EU, including Poland. Therefore, this qualitative study aimed to identify vaccination practices in this migrant group, to explore facilitators and barriers to vaccination and related access to Polish healthcare services. Methods In September 2019, a qualitative study of Ukrainian migrants (UMs) living in Szczecin, Poland, and recruited through a snowball sampling method, was conducted. Using a semi-structured topic guide, four focus groups were held with 22 UMs aged 18-45. Participants were asked about their attitudes towards vaccination in general with comparison between services in Poland and Ukraine. Following transcription and translation, a thematic analysis was conducted. Results Respondents were distrustful of Ukrainian vaccination policy, medical personnel and individual vaccines, however, they often returned to Ukraine for dental and gynaecological appoint-ments. While critical with regards to registering with Polish GPs practices, UMs were confident in health professionals, as well as vaccine delivery. Vaccines were perceived as safer and of better quality than in Ukraine. Difficulties in translating vaccination records were rarely reported, verbal communi-cation was not problematic due to language similarities. All UM parents reported vaccinating their children according to the Polish schedule. However, a significant number of adult UMs have not completed mandatory vaccinations, although they may have obtained false immunization certificates; according to UMs those can be obtained by bribing. Participants reported lower acceptance of the influenza vaccine, mainly due to perceptions around its importance; none had been vaccinated against influenza. None of UMs had heard of the HPV vaccine. UMs experienced challenges in accessing credible online vaccination information in Ukrainian, no official local health authority vaccination material existed either, except for information about measles. Conclusions This study pinpointed positive UM attitudes and practices regarding child vaccination in the Polish healthcare system and identified issues for improvement, such as adult vaccination. Health communication should be more tailored within UMs information delivery systems to enable migrants to make informed choices about vaccination. Further research is needed to better assess factors affecting vaccine uptake identified in this study.

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“…Worryingly, they have to rely on other sources for information about vaccines, mostly from the internet and social media, less commonly from friends or Ukrainian doctors. Of note, instead of advocating for improved immunization among their patients, Ukrainian doctors often have doubts about the importance of the immunization program [33].…”

Section: Phc Access and Vaccine Deliverymentioning

confidence: 99%

Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: A qualitative study

Gańczak

Bielecki

Drozd-Dąbrowska

et al. 2020

Preprint

View full text Add to dashboard Cite

Objectives: Ukrainians numbering approximately 1.2 million are the largest migrant group in Poland. Data on vaccination coverage among migrants are not collected in EU, including Poland. Therefore, this qualitative study aimed to identify vaccination practices in this group, to explore facilitators/barriers to vaccination and related access to Polish healthcare services.Methods: In September 2019, a qualitative study of Ukrainian migrants (UMs) living in Szczecin, Poland, and recruited through a snowball sampling method, was conducted. Using a semi-structured topic guide, four focus groups were held with 22 UMs aged 18-45. Participants were asked about attitudes towards vaccination in general with comparison between services in Poland and Ukraine. Following transcription and translation, a thematic analysis was conducted.Results: Respondents were distrustful of Ukrainian vaccination policy, medical personnel and individual vaccines, however, they often returned to Ukraine for dental and gynaecological appoint-ments. While critical with regards to registering with Polish GPs practices, UMs were confident in health professionals, as well as vaccine delivery. Vaccines were perceived as safer and of better quality than in Ukraine. Difficulties in translating vaccination records were rarely reported, verbal communi-cation was not problematic due to language similarities. All UM parents reported vaccinating their children according to the Polish schedule. However, a significant number of adult UMs have not completed mandatory vaccinations, although they may have obtained false immunization certificates; according to UMs those can be obtained by bribing. Participants reported lower acceptance of the influenza vaccine, mainly due to perceptions around its importance; none had been vaccinated against influenza. None of UMs had heard of the HPV vaccine. UMs experienced challenges in accessing credible online vaccination information in Ukrainian, no official local health authority vaccination material existed either, except for information about measles.Conclusions: This study pinpointed positive UM attitudes and practices regarding child vaccination in the Polish healthcare system and identified issues for improvement, such as adult vaccination. Health communication should be more tailored within UMs information delivery systems to enable migrants to make informed choices about vaccination. Further research is needed to better assess factors affecting vaccine uptake identified in this study.

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Vaccination Campaigns in Postsocialist Ukraine: Health Care Providers Navigating Uncertainty

Cited by 32 publications

References 23 publications

Incertitude, Hepatitis B, and Infant Vaccination in West and Central Africa

Incertitude, Hepatitis B, and Infant Vaccination in West and Central Africa

Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: A qualitative study

Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: A qualitative study

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