Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study
The uptake of maternal influenza and pertussis vaccinations is often suboptimal. This study explores the factors influencing pregnant women’s and health care professionals’ (HCPs) behaviour regarding maternal vaccinations (MVs). Pregnant/recently pregnant women, midwives, pharmacists and general pra...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/10/1/76 |
| _version_ | 1797489849306972160 |
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| author | Natalie Gauld Samuel Martin Owen Sinclair Helen Petousis-Harris Felicity Dumble Cameron C. Grant |
| author_facet | Natalie Gauld Samuel Martin Owen Sinclair Helen Petousis-Harris Felicity Dumble Cameron C. Grant |
| author_sort | Natalie Gauld |
| collection | DOAJ |
| description | The uptake of maternal influenza and pertussis vaccinations is often suboptimal. This study explores the factors influencing pregnant women’s and health care professionals’ (HCPs) behaviour regarding maternal vaccinations (MVs). Pregnant/recently pregnant women, midwives, pharmacists and general practice staff in Waikato, New Zealand, were interviewed. The analysis used the behaviour change wheel model. Interviews of 18 women and 35 HCPs revealed knowledge about MVs varied with knowledge deficiencies hindering the uptake, particularly for influenza vaccination. HCPs, especially midwives, were key in raising women’s awareness of MVs. Experience with vaccinating, hospital work (for midwives) and training increased HCPs’ knowledge and proactivity about MVs. A “<i>woman’s choice</i>” philosophy saw midwives typically encouraging women to seek information and make their own decision. Women’s decisions were generally based on knowledge, beliefs, HCPs’ emphasis and their perceived risk, with little apparent influence from friends, family, or online or promotional material. General practice’s concentration on children’s vaccination and minimal antenatal contact limited proactivity with MVs. Busyness and prioritisation appeared to affect HCPs’ proactivity. Multi-pronged interventions targeting HCPs and pregnant women and increasing MV access are needed. All HCPs seeing pregnant women should be well-informed about MVs, including how to identify and address women’s questions or concerns about MVs to optimise uptake. |
| first_indexed | 2024-03-10T00:22:30Z |
| format | Article |
| id | doaj.art-23cb577899004e39aa3931d547064e28 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T00:22:30Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-23cb577899004e39aa3931d547064e282023-11-23T15:39:01ZengMDPI AGVaccines2076-393X2022-01-011017610.3390/vaccines10010076Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview StudyNatalie Gauld0Samuel Martin1Owen Sinclair2Helen Petousis-Harris3Felicity Dumble4Cameron C. Grant5Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland 1023, New ZealandHuntly West Pharmacy, Hamilton 3700, New ZealandWaitematā Hospital, Auckland 0610, New ZealandDepartment of General Practice and Primary Health Care, University of Auckland, Auckland 1023, New ZealandWaikato District Health Board, Hamilton 3204, New ZealandDepartment of Paediatrics: Child and Youth Health, University of Auckland, Auckland 1023, New ZealandThe uptake of maternal influenza and pertussis vaccinations is often suboptimal. This study explores the factors influencing pregnant women’s and health care professionals’ (HCPs) behaviour regarding maternal vaccinations (MVs). Pregnant/recently pregnant women, midwives, pharmacists and general practice staff in Waikato, New Zealand, were interviewed. The analysis used the behaviour change wheel model. Interviews of 18 women and 35 HCPs revealed knowledge about MVs varied with knowledge deficiencies hindering the uptake, particularly for influenza vaccination. HCPs, especially midwives, were key in raising women’s awareness of MVs. Experience with vaccinating, hospital work (for midwives) and training increased HCPs’ knowledge and proactivity about MVs. A “<i>woman’s choice</i>” philosophy saw midwives typically encouraging women to seek information and make their own decision. Women’s decisions were generally based on knowledge, beliefs, HCPs’ emphasis and their perceived risk, with little apparent influence from friends, family, or online or promotional material. General practice’s concentration on children’s vaccination and minimal antenatal contact limited proactivity with MVs. Busyness and prioritisation appeared to affect HCPs’ proactivity. Multi-pronged interventions targeting HCPs and pregnant women and increasing MV access are needed. All HCPs seeing pregnant women should be well-informed about MVs, including how to identify and address women’s questions or concerns about MVs to optimise uptake.https://www.mdpi.com/2076-393X/10/1/76maternal vaccinationhealth care professionalmidwiferygeneral practiceprimary carecommunity pharmacy services |
| spellingShingle | Natalie Gauld Samuel Martin Owen Sinclair Helen Petousis-Harris Felicity Dumble Cameron C. Grant Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study Vaccines maternal vaccination health care professional midwifery general practice primary care community pharmacy services |
| title | Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study |
| title_full | Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study |
| title_fullStr | Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study |
| title_full_unstemmed | Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study |
| title_short | Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study |
| title_sort | influences on pregnant women s and health care professionals behaviour regarding maternal vaccinations a qualitative interview study |
| topic | maternal vaccination health care professional midwifery general practice primary care community pharmacy services |
| url | https://www.mdpi.com/2076-393X/10/1/76 |
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