Assisting healthcare professionals in understanding drivers and barriers to improving pre-school immunisation uptake

Improving the uptake of immunisations in preschool children is an ongoing public health policy strategy. Delineating the drivers and barriers affecting uptake may be helpful to health care professionals aiming to assess their own effectiveness or understand confounding factors when implementing improvement initiatives. Relevant literature was collated and placed into one of three over arching domains i) Wider environment ii) Home environment and iii) Practice Factors. A range of sub-domains are presented in addition to metrics to enable their assessment. The list of domains will be helpful to health care professionals interested in developing quality improvement programmes to increase or assess pre-school immunisation uptake.