Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia

Vaccine communication between health workers and parents affects parental acceptance, so understanding this is particularly important when vaccination rates drop. This paper presents the findings of a qualitative research study conducted in Serbia as part of a Tailoring Immunization Programmes (TIP)...

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Main Authors: Vesna Trifunović, Katrine Bach Habersaat, Darija Kisić Tepavčević, Verica Jovanović, Milena Kanazir, Goranka Lončarević, Cath Jackson
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.1913962
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author Vesna Trifunović
Katrine Bach Habersaat
Darija Kisić Tepavčević
Verica Jovanović
Milena Kanazir
Goranka Lončarević
Cath Jackson
author_facet Vesna Trifunović
Katrine Bach Habersaat
Darija Kisić Tepavčević
Verica Jovanović
Milena Kanazir
Goranka Lončarević
Cath Jackson
author_sort Vesna Trifunović
collection DOAJ
description Vaccine communication between health workers and parents affects parental acceptance, so understanding this is particularly important when vaccination rates drop. This paper presents the findings of a qualitative research study conducted in Serbia as part of a Tailoring Immunization Programmes (TIP) project. The aims were to explore the process of vaccination communication between health workers and parents (accepting, indecisive, delaying, refusing), and identify barriers and drivers to effective communication. In-depth interviews with 14 health workers were supplemented and qualified by observations of 40 consultations, using thematic analysis. Study sites were two community health centers in two Belgrade municipalities where a significant drop in childhood vaccination rates had occurred. Key findings were: (1) communication mainly took place between pediatricians and parents, while nurses focused on administering vaccines. (2) Health workers were confident in their skills to communicate and address concerns of accepting and indecisive parents, successfully applying specific strategies. (3) When interacting with delaying and refusing parents, they sometimes agreed to delay vaccination to maintain relationships, confident that most parents would vaccinate in due course. (4) Some refusing parents asked questions grounded in a socio-political agenda regarding vaccines or vaccination. Such questions exceeded the domain of health workers’ expertise, which affected the communication between them. (5) Health workers’ behavior in consultations was sometimes affected by parents’ (dis) trust in their recommendations about vaccination. The study revealed that health workers in Serbia require additional skills and techniques to respond to parents who refuse and wish to delay vaccination, to secure timely vaccination.
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spelling doaj.art-5f69cb44079e423cb0211bb418e6d2992023-09-25T11:19:18ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-01-0118110.1080/21645515.2021.19139621913962Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in SerbiaVesna Trifunović0Katrine Bach Habersaat1Darija Kisić Tepavčević2Verica Jovanović3Milena Kanazir4Goranka Lončarević5Cath Jackson6Institute of Ethnography SASAWorld Health Organization Regional Office for EuropeUniversity of BelgradeInstitute of Public Health of Serbia “Dr Milan Jovanović Batut”Institute of Public Health of Serbia “Dr Milan Jovanović Batut”Institute of Public Health of Serbia “Dr Milan Jovanović Batut”Valid Research LimitedVaccine communication between health workers and parents affects parental acceptance, so understanding this is particularly important when vaccination rates drop. This paper presents the findings of a qualitative research study conducted in Serbia as part of a Tailoring Immunization Programmes (TIP) project. The aims were to explore the process of vaccination communication between health workers and parents (accepting, indecisive, delaying, refusing), and identify barriers and drivers to effective communication. In-depth interviews with 14 health workers were supplemented and qualified by observations of 40 consultations, using thematic analysis. Study sites were two community health centers in two Belgrade municipalities where a significant drop in childhood vaccination rates had occurred. Key findings were: (1) communication mainly took place between pediatricians and parents, while nurses focused on administering vaccines. (2) Health workers were confident in their skills to communicate and address concerns of accepting and indecisive parents, successfully applying specific strategies. (3) When interacting with delaying and refusing parents, they sometimes agreed to delay vaccination to maintain relationships, confident that most parents would vaccinate in due course. (4) Some refusing parents asked questions grounded in a socio-political agenda regarding vaccines or vaccination. Such questions exceeded the domain of health workers’ expertise, which affected the communication between them. (5) Health workers’ behavior in consultations was sometimes affected by parents’ (dis) trust in their recommendations about vaccination. The study revealed that health workers in Serbia require additional skills and techniques to respond to parents who refuse and wish to delay vaccination, to secure timely vaccination.http://dx.doi.org/10.1080/21645515.2021.1913962tailoring immunization programmes (tip)health communicationvaccinationvaccine hesitancyhealth workers
spellingShingle Vesna Trifunović
Katrine Bach Habersaat
Darija Kisić Tepavčević
Verica Jovanović
Milena Kanazir
Goranka Lončarević
Cath Jackson
Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia
Human Vaccines & Immunotherapeutics
tailoring immunization programmes (tip)
health communication
vaccination
vaccine hesitancy
health workers
title Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia
title_full Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia
title_fullStr Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia
title_full_unstemmed Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia
title_short Understanding vaccination communication between health workers and parents: a Tailoring Immunization Programmes (TIP) qualitative study in Serbia
title_sort understanding vaccination communication between health workers and parents a tailoring immunization programmes tip qualitative study in serbia
topic tailoring immunization programmes (tip)
health communication
vaccination
vaccine hesitancy
health workers
url http://dx.doi.org/10.1080/21645515.2021.1913962
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