Abstract
BackgroundEffective and safe vaccines are available outside national immunization programs (NIP). Increased awareness and vaccine uptake can improve public health. Before the inclusion of maternal pertussis vaccination (MPV) in the Dutch NIP in December 2019, extra communication efforts were undertaken. Here we examine the success of these efforts, investigating women’s awareness of and their decision-making process regarding MPV.MethodsBetween December 2018 and January 2019, one year before the introduction of MPV in the NIP, and about three years after MPV was recommended by the Dutch Health Council, pregnant and non-pregnant women (i.e. child younger than two years) were invited to fill out an online questionnaire. Participant’s decision-making processes regarding MPV were assessed with an adapted Precaution Adoption Process Model (PAPM), including stages of awareness, engagement, information-seeking, and vaccination behaviour. Furthermore, factors related to the decision-making process were examined.ResultsIn total, 942 women were included, of whom 62% were non-pregnant. Most of the pregnant and nonpregnant women were aware of MPV during pregnancy (respectively 69 and 56%). Most aware women had heard about MPV through their midwife and the Public Health Institute (PHI) website. Women unaware of MPV reported a need for information, preferably from their midwives. Most aware women felt MPV was important to them (88%) and were classified as “engaged”. Of the eligible and “engaged” pregnant women, 58% were vaccinated, versus 38% of “engaged” non-pregnant women.ConclusionsAs the most preferred and trusted source of information, midwives are essential to increasing awareness of MPV. The PHI website is considered to be a reliable information source and is often consulted. To increase awareness, appropriate healthcare workers should be encouraged to actively inform target groups about available, additional vaccinations.
Highlights
Effective and safe vaccines are available outside national immunization programs (NIP)
The process can be explained within the framework of the Precaution Adoption Process Model (PAPM)
We firstly aim to examine the awareness of women regarding maternal pertussis vaccination (MPV), to investigate the success of the 2017/2018 MPV communication efforts
Summary
Effective and safe vaccines are available outside national immunization programs (NIP). Increased awareness and vaccine uptake can improve public health. We examine the success of these efforts, investigating women’s awareness of and their decision-making process regarding MPV. There are additional, effective, and safe vaccines available that are not yet recommended or included in these programmes. In the Netherlands, the National Immunization Program (NIP) offers vaccines free of van Zoonen et al BMC Public Health (2021) 21:1257. Information seeking, and engagement are essential to the vaccination decision-making process. The model identifies factors (such as barriers to health care, self-efficacy, trust in information sources, decision-making styles, educational level, attitude, and intention) that facilitate or impede movement through the seven stages [3, 5,6,7]
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