“Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain
The World Health Organization (WHO) identified vaccine hesitancy as one of the top 10 threats to global health in 2019. Health promotion and education have been seen to improve knowledge and uptake of vaccinations in pregnancy. This qualitative study was conducted based on phenomenology, a methodolo...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/10/12/2015 |
| _version_ | 1827636670051123200 |
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| author | Anna Marín-Cos Elena Marbán-Castro Ivana Nedic Mara Ferrari Esther Crespo-Mirasol Laia Ferrer Ventura Berta Noya Zamora Victoria Fumadó Clara Menéndez Cristina Martínez Bueno Anna Llupià Marta López Anna Goncé Azucena Bardají |
| author_facet | Anna Marín-Cos Elena Marbán-Castro Ivana Nedic Mara Ferrari Esther Crespo-Mirasol Laia Ferrer Ventura Berta Noya Zamora Victoria Fumadó Clara Menéndez Cristina Martínez Bueno Anna Llupià Marta López Anna Goncé Azucena Bardají |
| author_sort | Anna Marín-Cos |
| collection | DOAJ |
| description | The World Health Organization (WHO) identified vaccine hesitancy as one of the top 10 threats to global health in 2019. Health promotion and education have been seen to improve knowledge and uptake of vaccinations in pregnancy. This qualitative study was conducted based on phenomenology, a methodological approach to understand first-hand experiences, and grounded theory, an inductive approach to analyse data, where theoretical generalisations emerge. Data were collected through semi-structured interviews with pregnant women attending antenatal care services and healthcare workers (HCWs) in Barcelona, Spain. Interviews were audio-recorded, transcribed, and coded, and notes were taken. Inductive thematic analysis was performed, and data were manually coded. Pertussis was reported as the most trusted vaccine among pregnant women due to its long-standing background as a recommended vaccine in pregnancy. The influenza vaccine was regarded as less important since it was perceived to cause mild disease. The COVID-19 vaccine was the least trustworthy for pregnant women due to uncertainties about effectiveness, health effects in the mid- and long-term, the fast development of the vaccine mRNA technology, and the perceptions of limited data on vaccine safety. However, the necessity to be vaccinated was justified by pregnant women due to the exceptional circumstances of the COVID-19 pandemic. The recommendations provided by HCW and the established relationship between the HCW, particularly midwives, and pregnant women were the main factors affecting decision-making. The role of mass media was perceived as key to helping provide reliable messages about the need for vaccines during pregnancy. Overall, vaccines administered during pregnancy were perceived as great tools associated with better health and improved quality of life. Pregnancy was envisioned as a vulnerable period in women’s lives that required risk–benefits assessments for decision-making about maternal vaccinations. A holistic approach involving the community and society was considered crucial for health education regarding maternal vaccines in support of the work conducted by HCWs. |
| first_indexed | 2024-03-09T15:46:01Z |
| format | Article |
| id | doaj.art-ad6fc2d0e7eb4fd7a1854063026b0c7f |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-09T15:46:01Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-ad6fc2d0e7eb4fd7a1854063026b0c7f2023-11-24T18:31:12ZengMDPI AGVaccines2076-393X2022-11-011012201510.3390/vaccines10122015“Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, SpainAnna Marín-Cos0Elena Marbán-Castro1Ivana Nedic2Mara Ferrari3Esther Crespo-Mirasol4Laia Ferrer Ventura5Berta Noya Zamora6Victoria Fumadó7Clara Menéndez8Cristina Martínez Bueno9Anna Llupià10Marta López11Anna Goncé12Azucena Bardají13ISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainBCNatal—Barcelona Center of Maternal-Fetal and Neonatal Medicine, Department of Maternal-Fetal Medicine, Hospital Clínic and Hospital Sant Joan de Déu, Universitat de Barcelona, 08007 Barcelona, SpainASSIR Esquerra, Gerència Territorial de Barcelona, Institut Català de la Salut, 08015 Barcelona, SpainASSIR Esquerra, Gerència Territorial de Barcelona, Institut Català de la Salut, 08015 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainASSIR Barcelona Ciutat, Gerència Territorial de Barcelona, Institut Català de la Salut i Universitat de Barcelona, 08007 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainBCNatal—Barcelona Center of Maternal-Fetal and Neonatal Medicine, Department of Maternal-Fetal Medicine, Hospital Clínic and Hospital Sant Joan de Déu, Universitat de Barcelona, 08007 Barcelona, SpainBCNatal—Barcelona Center of Maternal-Fetal and Neonatal Medicine, Department of Maternal-Fetal Medicine, Hospital Clínic and Hospital Sant Joan de Déu, Universitat de Barcelona, 08007 Barcelona, SpainISGlobal, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainThe World Health Organization (WHO) identified vaccine hesitancy as one of the top 10 threats to global health in 2019. Health promotion and education have been seen to improve knowledge and uptake of vaccinations in pregnancy. This qualitative study was conducted based on phenomenology, a methodological approach to understand first-hand experiences, and grounded theory, an inductive approach to analyse data, where theoretical generalisations emerge. Data were collected through semi-structured interviews with pregnant women attending antenatal care services and healthcare workers (HCWs) in Barcelona, Spain. Interviews were audio-recorded, transcribed, and coded, and notes were taken. Inductive thematic analysis was performed, and data were manually coded. Pertussis was reported as the most trusted vaccine among pregnant women due to its long-standing background as a recommended vaccine in pregnancy. The influenza vaccine was regarded as less important since it was perceived to cause mild disease. The COVID-19 vaccine was the least trustworthy for pregnant women due to uncertainties about effectiveness, health effects in the mid- and long-term, the fast development of the vaccine mRNA technology, and the perceptions of limited data on vaccine safety. However, the necessity to be vaccinated was justified by pregnant women due to the exceptional circumstances of the COVID-19 pandemic. The recommendations provided by HCW and the established relationship between the HCW, particularly midwives, and pregnant women were the main factors affecting decision-making. The role of mass media was perceived as key to helping provide reliable messages about the need for vaccines during pregnancy. Overall, vaccines administered during pregnancy were perceived as great tools associated with better health and improved quality of life. Pregnancy was envisioned as a vulnerable period in women’s lives that required risk–benefits assessments for decision-making about maternal vaccinations. A holistic approach involving the community and society was considered crucial for health education regarding maternal vaccines in support of the work conducted by HCWs.https://www.mdpi.com/2076-393X/10/12/2015maternal vaccinesacceptabilitypregnancyhesitancybarriersfacilitators |
| spellingShingle | Anna Marín-Cos Elena Marbán-Castro Ivana Nedic Mara Ferrari Esther Crespo-Mirasol Laia Ferrer Ventura Berta Noya Zamora Victoria Fumadó Clara Menéndez Cristina Martínez Bueno Anna Llupià Marta López Anna Goncé Azucena Bardají “Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain Vaccines maternal vaccines acceptability pregnancy hesitancy barriers facilitators |
| title | “Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain |
| title_full | “Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain |
| title_fullStr | “Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain |
| title_full_unstemmed | “Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain |
| title_short | “Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain |
| title_sort | maternal vaccination greatly depends on your trust in the healthcare system a qualitative study on the acceptability of maternal vaccines among pregnant women and healthcare workers in barcelona spain |
| topic | maternal vaccines acceptability pregnancy hesitancy barriers facilitators |
| url | https://www.mdpi.com/2076-393X/10/12/2015 |
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