Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study
Introduction Uptake of maternal vaccinations (MVs) is suboptimal in Aotearoa New Zealand, particularly for Māori. Aim To describe Māori women’s journeys regarding maternal pertussis and influenza vaccinations and explore influences on uptake. Methods Semi-structured interviews were conducted in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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CSIRO Publishing
2022-01-01
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| Series: | Journal of Primary Health Care |
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| Online Access: | https://www.publish.csiro.au/hc/pdf/HC21166 |
| _version_ | 1797979894515236864 |
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| author | Cameron C. Grant Helen Petousis-Harris Felicity Dumble Owen (Te Rarawa) Sinclair Samuel (Nga Puhi) Martin Natalie Gauld |
| author_facet | Cameron C. Grant Helen Petousis-Harris Felicity Dumble Owen (Te Rarawa) Sinclair Samuel (Nga Puhi) Martin Natalie Gauld |
| author_sort | Cameron C. Grant |
| collection | DOAJ |
| description |
Introduction
Uptake of maternal vaccinations (MVs) is suboptimal in Aotearoa New Zealand, particularly for Māori.
Aim
To describe Māori women’s journeys regarding maternal pertussis and influenza vaccinations and explore influences on uptake.
Methods
Semi-structured interviews were conducted in Waikato, Aotearoa New Zealand, with pregnant or recently pregnant Māori women, and separately with Māori healthcare professionals (HCPs) to understand women’s decisions regarding MVs and enablers and barriers to uptake.
Results
Nine women and nine HCPs were interviewed. Verbal communications from midwives, general practice and pharmacy strongly influenced women’s journeys. Women’s decisions appeared largely straight-forward, with influences including awareness, knowledge, underlying beliefs and previous MVs. Enablers for MV uptake included HCPs’ discussions, pro-vaccination beliefs, and accessibility. Barriers for MV uptake included poverty (and transport), lack of awareness, insufficient knowledge of benefits, late presentation to the midwife and other commitments or challenges in the women’s lives affecting prioritisation of the vaccine. Misconceptions, seasonality, and lower HCP emphasis impaired influenza vaccination uptake.
Discussion
With multiple barriers to accessing MVs, HCPs who see pregnant women are the primary resource to improve awareness, knowledge, and access through kōrero (discussions) with the woman and, where possible, being able to administer the vaccinations. These HCPs need to be well-informed, aware of likely concerns women may have and how to address them, encourage these discussions and preferably be trusted.
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| first_indexed | 2024-04-11T05:46:04Z |
| format | Article |
| id | doaj.art-c4bdf9e59ce942e7b8a77f55d57d7ad9 |
| institution | Directory Open Access Journal |
| issn | 1172-6156 |
| language | English |
| last_indexed | 2024-04-11T05:46:04Z |
| publishDate | 2022-01-01 |
| publisher | CSIRO Publishing |
| record_format | Article |
| series | Journal of Primary Health Care |
| spelling | doaj.art-c4bdf9e59ce942e7b8a77f55d57d7ad92022-12-22T04:42:14ZengCSIRO PublishingJournal of Primary Health Care1172-61562022-01-01144352362HC21166Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative studyCameron C. Grant0Helen Petousis-Harris1Felicity Dumble2Owen (Te Rarawa) Sinclair3Samuel (Nga Puhi) Martin4Natalie Gauld5Department of Paediatrics: Child and Youth Health, The University of Auckland, and Starship Children’s Health, Auckland, New Zealand.Department of General Practice, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.Public Health, Waikato District Health Board, Waikato, New Zealand.Paediatrics, Waitemata District Health Board, Auckland, New Zealand.Huntly West Pharmacy, Huntly, Waikato, New Zealand.Department of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, and School of Pharmacy, The University of Auckland, Auckland, New Zealand. Introduction Uptake of maternal vaccinations (MVs) is suboptimal in Aotearoa New Zealand, particularly for Māori. Aim To describe Māori women’s journeys regarding maternal pertussis and influenza vaccinations and explore influences on uptake. Methods Semi-structured interviews were conducted in Waikato, Aotearoa New Zealand, with pregnant or recently pregnant Māori women, and separately with Māori healthcare professionals (HCPs) to understand women’s decisions regarding MVs and enablers and barriers to uptake. Results Nine women and nine HCPs were interviewed. Verbal communications from midwives, general practice and pharmacy strongly influenced women’s journeys. Women’s decisions appeared largely straight-forward, with influences including awareness, knowledge, underlying beliefs and previous MVs. Enablers for MV uptake included HCPs’ discussions, pro-vaccination beliefs, and accessibility. Barriers for MV uptake included poverty (and transport), lack of awareness, insufficient knowledge of benefits, late presentation to the midwife and other commitments or challenges in the women’s lives affecting prioritisation of the vaccine. Misconceptions, seasonality, and lower HCP emphasis impaired influenza vaccination uptake. Discussion With multiple barriers to accessing MVs, HCPs who see pregnant women are the primary resource to improve awareness, knowledge, and access through kōrero (discussions) with the woman and, where possible, being able to administer the vaccinations. These HCPs need to be well-informed, aware of likely concerns women may have and how to address them, encourage these discussions and preferably be trusted. https://www.publish.csiro.au/hc/pdf/HC21166access to medicineshealth equityhealthcare professionalsIndigenous populationinfluenza vaccinationMaori |
| spellingShingle | Cameron C. Grant Helen Petousis-Harris Felicity Dumble Owen (Te Rarawa) Sinclair Samuel (Nga Puhi) Martin Natalie Gauld Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study Journal of Primary Health Care access to medicines health equity healthcare professionals Indigenous population influenza vaccination Maori |
| title | Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study |
| title_full | Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study |
| title_fullStr | Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study |
| title_full_unstemmed | Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study |
| title_short | Mapping the maternal vaccination journey and influencing factors for Māori women in Aotearoa New Zealand: a qualitative study |
| title_sort | mapping the maternal vaccination journey and influencing factors for maori women in aotearoa new zealand a qualitative study |
| topic | access to medicines health equity healthcare professionals Indigenous population influenza vaccination Maori |
| url | https://www.publish.csiro.au/hc/pdf/HC21166 |
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