The faces of influenza vaccine recommendation: A Literature review of the determinants and barriers to health providers’ recommendation of influenza vaccine in pregnancy

Autor: Lisa Menning, Kathleen F. Morales, Philipp Lambach
Rok vydání: 2020
Předmět:
Health Knowledge
Attitudes
Practice
OR
Odds Ratio
MIC
Middle-income countries
Seasonal influenza
0302 clinical medicine
Pregnancy
SEAR
The South East-Asian Region
030212 general & internal medicine
Pregnancy Complications
Infectious
Determinants
Vaccination
ObGyn(s)
Obstetrician Gynecologist(s)
Infectious Diseases
LIC
Low-income countries
Influenza Vaccines
GP(s)
General Practitioner(s)
Evaluated data
Molecular Medicine
Female
Health worker
Influenza vaccine
PP(s)
Prenatal Provider(s)
030231 tropical medicine
Context (language use)
Health provider
Article
Odds
03 medical and health sciences
Environmental health
Influenza
Human
WPR
The Western Pacific Region
medicine
Humans
General Veterinary
General Immunology and Microbiology
AMR
The Americas Region
business.industry
Public Health
Environmental and Occupational Health
HP(s)
Health Providers(s)
Recommendation
medicine.disease
CI
Confidence Interval
Influenza
PR
Prevalence Ratio
EUR
The European Region
Pregnant Women
business
Vaccine
Healthcare providers
Zdroj: Vaccine
ISSN: 0264-410X
DOI: 10.1016/j.vaccine.2020.04.033
Popis: Introduction WHO recommends influenza vaccination for pregnant women and health providers (HPs), yet global uptake for both is persistently low. Research suggests that HPs greatly influence uptake of influenza vaccine in pregnant women. Our review studies HPs’ recommendation of influenza vaccine to pregnant women, determinants and barriers to recommendation, and the role that HPs may play in global influenza vaccine coverage. Methods We undertook a comprehensive global review of literature relating to HPs’ recommendation of seasonal influenza vaccines to pregnant women and the determinants and barriers to recommendation and how this may vary by country and context. We evaluated data from each study including frequency of HP recommendation, vaccine coverage, determinants and barriers to recommendation, and the odds of recommending. We tracked the frequency of determinants and barriers to recommendation in heat maps and organized data by world regions and income classifications. Results From 32 studies in 15 countries, we identified 68 determinants or barriers to HPs’ recommendation. Recommendation rates were highest (77%) in the Americas and lowest in South East Asia (18%). A HP’s own influenza vaccine status was a main determinant of recommendation in multiple country contexts and from different provider types. Financial barriers to recommendation were present in higher-income countries and policy-related barriers were highlighted in lower-income countries. HP perceptions of safety, efficacy, and the utility of vaccine were the most frequently cited barriers, relevant in almost every context. Conclusions HP recommendation is important to influenza vaccine implementation in pregnant women. A HP’s own status is an important recommendation determinant in multiple contexts. Vaccine program implementation plans should consider the impact of HPs' knowledge, awareness and vaccine confidence on their own uptake and recommendation practices, as well as on the uptake among pregnant women. Addressing safety and efficacy concerns is relevant in all contexts for HPs and pregnant women.
Databáze: OpenAIRE
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