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Antenatal Pertussis Vaccination: Why are General Practitioners Reluctant? A Mixed Methods StudySetting.

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Antenatal pertussis vaccination is recommended but uptake is low. General Practitioners (GPs) cite safety concerns and isolation, highlighting the need for more data and support to improve vaccination rates in pregnant individuals.

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Area of Science:

  • Public Health
  • Immunology
  • General Practice

Background:

  • Pertussis poses a significant risk to young infants, causing high rates of illness and death.
  • Current guidelines advocate for antenatal pertussis vaccination as a safe and effective preventive measure for infants.
  • Suboptimal uptake of antenatal pertussis vaccination persists, with many healthcare professionals not recommending it.

Purpose of the Study:

  • To investigate the current practices and attitudes of General Practitioners (GPs) concerning antenatal pertussis vaccination.
  • To identify the barriers and facilitators influencing GP recommendations for antenatal pertussis vaccination.

Main Methods:

  • An embedded mixed-methods study design was employed.
  • Surveys were distributed to General Practitioners, achieving a 41% response rate (n=109).
  • Qualitative themes were explored to understand the underlying reasons for reluctance.

Main Results:

  • 54% of responding GPs (n=59) routinely recommended antenatal pertussis vaccination.
  • Key qualitative themes identified were safety concerns and a sense of professional isolation among GPs.
  • These factors contribute to the reluctance in recommending the vaccine.

Conclusions:

  • Increased availability of safety data for antenatal pertussis vaccination is crucial.
  • Enhanced support from secondary care and adequate funding from health authorities are needed.
  • Addressing these issues may improve GP recommendation rates and antenatal vaccination uptake.