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Strategies to improve maternal vaccination acceptance.

R Wilson1, P Paterson2, H J Larson2

  • 1LSHTM, Keppel Street, London, WC1E 7HT, UK. Rose.wilson@inserm.fr.

BMC Public Health
|March 27, 2019
PubMed
Summary

Low maternal vaccination uptake in England can be improved by addressing access, healthcare provider communication, and community influences. Recommendations focus on creating a more open healthcare system to boost vaccine acceptance during pregnancy.

Keywords:
Access to healthcareMaternal vaccinationVaccination acceptanceVaccine hesitancy

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Area of Science:

  • Public Health
  • Vaccinology
  • Qualitative Research

Background:

  • Maternal vaccination, including influenza and pertussis, is recommended in England but uptake rates are low in some areas.
  • A qualitative study was conducted in Hackney, London, to understand factors affecting maternal vaccination acceptance.
  • This research aims to provide recommendations for enhancing long-term maternal vaccination acceptance.

Purpose of the Study:

  • To explore factors influencing maternal vaccination acceptance during pregnancy.
  • To identify barriers and facilitators to vaccination uptake in pregnant women.
  • To develop strategies for increasing maternal vaccination rates.

Main Methods:

  • Qualitative study utilizing in-depth interviews with 47 pregnant/recently pregnant women and 10 healthcare professionals.
  • Data collected through interviews and video-recorded consultations in Hackney, a region with low vaccination coverage.
  • Analysis combined deductive insights from anthropological works with inductive thematic analysis.

Main Results:

  • Key themes influencing acceptance include access to vaccination, healthcare institution communication, community/family impact, healthcare professional views, and patient-provider relationships.
  • Findings highlight the need for improved communication and trust in healthcare services.
  • Diverse factors affect women's decisions regarding vaccination during pregnancy.

Conclusions:

  • Implementing recommended strategies can foster a more open and democratized healthcare system.
  • Enhancing maternal vaccination acceptance requires a multi-faceted approach addressing systemic and interpersonal factors.
  • The study provides a foundation for targeted interventions to improve public health outcomes.