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Enabling Factors, Barriers, and Perceptions of Pneumococcal Vaccination Strategy Implementation: A Qualitative Study
Junjie Huang1, Fung-Yu Mak1, Yuet-Yan Wong1
1Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong 999077, China.
Vaccines
|July 27, 2022
Summary
Barriers to pneumococcal vaccination include concerns about efficacy and understanding of schemes. Improving knowledge and clarifying eligibility criteria can boost participation in government vaccination programs for the elderly.
Area of Science:
- Public Health
- Vaccinology
- Health Services Research
Background:
- Invasive pneumococcal disease (IPD) poses a significant global health burden, especially for older adults.
- Government Vaccination Programme (GVP) and Vaccination Subsidy Scheme (VSS) aim to increase pneumococcal vaccination rates.
- Low participation in these schemes necessitates understanding of associated barriers and enablers.
Purpose of the Study:
- To identify barriers and enablers to pneumococcal vaccination uptake among the elderly.
- To explore factors influencing service provider participation in GVP and VSS.
- To inform strategies for improving pneumococcal vaccination coverage in Hong Kong.
Main Methods:
- Qualitative study involving 32 interviews with doctors and 16 with vaccine recipients.
- Analysis using NVivo 11.0, guided by the Consolidated Framework for Implementation Research (CFIR) and REAIM Framework.
- Thematic analysis to identify key codes and themes related to vaccination uptake and scheme participation.
Main Results:
- Barriers to vaccination uptake include concerns regarding vaccine efficacy and poor understanding of IPD and vaccination schemes.
- Service provider participation was limited by unclear patient eligibility criteria and logistical challenges.
- Enabling factors include government and physician involvement, clear eligibility, and enhanced public knowledge of IPD and vaccination programs.
Conclusions:
- Addressing concerns about vaccine efficacy and improving public understanding of IPD and vaccination schemes are crucial.
- Streamlining eligibility criteria and addressing logistical constraints can enhance service provider participation.
- Targeted health promotion strategies are recommended to increase pneumococcal vaccination rates among the elderly in Hong Kong.
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