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Knowledge of maternity caregivers on vaccination BCG recommendations and circuits

Adrien Lequenne1, Géraldine Gascoin2, Camille Brehin3

  • 1Neuropediatric Department, Toulouse Children's Hospital, 330 av de Grande Bretagne, 31300, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|June 26, 2026
PubMed

Insights

Caregiver training significantly improved knowledge of Bacillus Calmette-Guérin (BCG) vaccination indications and identification of eligible newborns. This targeted approach is crucial for enhancing pediatric tuberculosis prevention in maternity settings.

Area of Science:

  • Pediatrics
  • Public Health
  • Vaccinology

Background:

  • Tuberculosis (TB) poses a significant risk to children, with severe forms like miliary or meningeal TB being more prevalent in this population.
  • The Bacillus Calmette-Guérin (BCG) vaccine offers protection against severe pediatric TB, but coverage remains suboptimal.
  • Identifying eligible newborns in maternity settings is a key strategy to improve BCG vaccination rates among high-risk infants.

Purpose of the Study:

  • To evaluate maternity caregivers' knowledge of BCG vaccination indications and protocols.
  • To assess the impact of training and practical tools on caregiver knowledge and engagement in BCG vaccination.

Main Methods:

  • A questionnaire-based assessment of caregiver knowledge in two Toulouse maternity wards.
  • A follow-up evaluation after implementing a training program and distributing informational tools.

Main Results:

  • Initial caregiver knowledge of BCG indications was low (2.2/6 correct).
  • Post-training, understanding of indications improved (2.6/6 correct), with significant increases in correct identification (22.6% to 45%) and prevention (17.7% to 30%) of eligible infants.

Conclusions:

  • Targeted vaccination strategies, like BCG, necessitate comprehensive caregiver training for effective implementation.
  • Training maternity staff is essential for optimizing BCG vaccination coverage in newborns.
Abstract

Keywords:
BCG vaccinationMaternityPediatricPreventionTuberculosisVaccination coverage

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