Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health?
Abstract Objective: To identify behavioural barriers of service provision within general practice that may be impacting the vaccination coverage rates of Aboriginal children in Perth, Western Australia (WA). Methods: A purposive developed survey was distributed to 316 general practices across Perth...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-12-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12937 |
| _version_ | 1797709301310029824 |
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| author | Rebecca Carman Lesley Andrew Amanda Devine Jacques Oosthuizen |
| author_facet | Rebecca Carman Lesley Andrew Amanda Devine Jacques Oosthuizen |
| author_sort | Rebecca Carman |
| collection | DOAJ |
| description | Abstract Objective: To identify behavioural barriers of service provision within general practice that may be impacting the vaccination coverage rates of Aboriginal children in Perth, Western Australia (WA). Methods: A purposive developed survey was distributed to 316 general practices across Perth and three key informant interviews were conducted using a mixed‐methods approach. Results: Of the surveyed participants (n=101), 67.4% were unaware of the low vaccination coverage in Aboriginal children; 64.8% had not received cultural sensitivity training in their workplace and 46.8% reported having inadequate time to follow up overdue child vaccinations. Opportunistic vaccination was not routinely performed by 30.8% of participants. Key themes identified in the interviews were awareness, inclusion and cultural safety. Conclusion: Inadequate awareness of the current rates, in association with a lack of cultural safety training, follow‐up and opportunistic practice, may be preventing greater vaccination uptake in Aboriginal children in Perth. Cultural safety is a critical component of the acceptability and accessibility of services; lack of awareness may restrict the development of strategies designed to equitably address low coverage. Implications: The findings of this study provide an opportunity to raise awareness among clinicians in general practice and inform future strategies to equitably deliver targeted vaccination services to Aboriginal children. |
| first_indexed | 2024-03-12T06:35:30Z |
| format | Article |
| id | doaj.art-d780f884f1354897aaa8d46b89476984 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T06:35:30Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-d780f884f1354897aaa8d46b894769842023-09-03T01:24:30ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052019-12-0143656356910.1111/1753-6405.12937Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health?Rebecca Carman0Lesley Andrew1Amanda Devine2Jacques Oosthuizen3School of Medical and Health Sciences Edith Cowan University Western AustraliaSchool of Medical and Health Sciences Edith Cowan University Western AustraliaSchool of Medical and Health Sciences Edith Cowan University Western AustraliaSchool of Medical and Health Sciences Edith Cowan University Western AustraliaAbstract Objective: To identify behavioural barriers of service provision within general practice that may be impacting the vaccination coverage rates of Aboriginal children in Perth, Western Australia (WA). Methods: A purposive developed survey was distributed to 316 general practices across Perth and three key informant interviews were conducted using a mixed‐methods approach. Results: Of the surveyed participants (n=101), 67.4% were unaware of the low vaccination coverage in Aboriginal children; 64.8% had not received cultural sensitivity training in their workplace and 46.8% reported having inadequate time to follow up overdue child vaccinations. Opportunistic vaccination was not routinely performed by 30.8% of participants. Key themes identified in the interviews were awareness, inclusion and cultural safety. Conclusion: Inadequate awareness of the current rates, in association with a lack of cultural safety training, follow‐up and opportunistic practice, may be preventing greater vaccination uptake in Aboriginal children in Perth. Cultural safety is a critical component of the acceptability and accessibility of services; lack of awareness may restrict the development of strategies designed to equitably address low coverage. Implications: The findings of this study provide an opportunity to raise awareness among clinicians in general practice and inform future strategies to equitably deliver targeted vaccination services to Aboriginal children.https://doi.org/10.1111/1753-6405.12937immunisationAboriginal childrencoverage ratesPerthWestern Australiageneral practice |
| spellingShingle | Rebecca Carman Lesley Andrew Amanda Devine Jacques Oosthuizen Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? Australian and New Zealand Journal of Public Health immunisation Aboriginal children coverage rates Perth Western Australia general practice |
| title | Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? |
| title_full | Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? |
| title_fullStr | Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? |
| title_full_unstemmed | Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? |
| title_short | Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? |
| title_sort | barriers to vaccination service delivery within general practice opportunity to make a sustainable difference in aboriginal child health |
| topic | immunisation Aboriginal children coverage rates Perth Western Australia general practice |
| url | https://doi.org/10.1111/1753-6405.12937 |
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