Pregnant women's perspectives about maternal immunization in Latin America

Autores
Fauzia Malik, A.; Belizan, María; Gutierrez, Mariana; Vilajeliu, Alba; Sanclemente, Lauren N.; Gonzalez Casanova, Ines; Jones, Daniel Eduardo; Omer, Saad; Maria Ropero, Alba; Alonso, Juan Pedro
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Maternal immunization rates and vaccine uptake in Latin America vary from country to country. This variability stems from factors related to pregnant women, vaccine recommendations from healthcare providers and the health system. The aim of this paper is to describe women's knowledge and attitudes to maternal immunziation, and barriers to access and vaccination related decision-making processes in Latin American countries. Methods: We conducted focus group discussions (FGD) with pregnant women in five middle-income countries: Argentina, Brazil, Honduras, Mexico and Peru, between July 2016 and July 2018. The FGDs were conducted by trained qualitative researchers in diverse clinics located in the capital cities of these countries. Results: A total of 162 pregnant women participated in the FGDs. In general, participants were aware of the recommendation to receive vaccines during pregnancy but lacked knowledge regarding the diseases prevented by these vaccines. Pregnant women expressed a desire for clearer and more detailed communication on maternal vaccines by their healthcare professionals instead of relying on other sources of information such as the internet. Overall, participants had positive attitudes towards maternal immunization and were open to receiving vaccines in pregnancy based on general trust they have in recommendations made by their healthcare providers. The main obstacles pregnant women said they encounter were mainly centered around their clinical experience: long waiting times, vaccine shortages, and impolite behavior of healthcare providers or clinical staff. Conclusion: Important advances have been made in Latin America to promote maternal immunization. Results from this study show that an important aspect that remains to be addressed, and is crucial in improving vaccine uptake in pregnancy, is women's clinical experience. We recommend pregnant women to be treated as a priority population for providing immunization and related healthcare education. It is imperative to train healthcare providers in health communication so they can effectively communicate with pregnant women regarding maternal vaccines and can fill knowledge gaps that otherwise might be covered by unreliable sources dispensing inaccurate information.
Fil: Fauzia Malik, A.. University of Yale. School of Medicine; Estados Unidos
Fil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Gutierrez, Mariana. University of Emory; Estados Unidos
Fil: Vilajeliu, Alba. Pan American Health Organization; Estados Unidos
Fil: Sanclemente, Lauren N.. University of Emory; Estados Unidos
Fil: Gonzalez Casanova, Ines. Indiana University; Estados Unidos. University of Emory; Estados Unidos
Fil: Jones, Daniel Eduardo. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Omer, Saad. University of Yale; Estados Unidos. University of Yale. School of Medicine; Estados Unidos
Fil: Maria Ropero, Alba. Pan American Health Organization; Estados Unidos
Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Materia
ACCEPTANCE
ATTITUDES
CLINICAL EXPEREINCE
HEALTH EDUCATION
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
VACCINE UPTAKE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/170581

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network_name_str CONICET Digital (CONICET)
spelling Pregnant women's perspectives about maternal immunization in Latin AmericaFauzia Malik, A.Belizan, MaríaGutierrez, MarianaVilajeliu, AlbaSanclemente, Lauren N.Gonzalez Casanova, InesJones, Daniel EduardoOmer, SaadMaria Ropero, AlbaAlonso, Juan PedroACCEPTANCEATTITUDESCLINICAL EXPEREINCEHEALTH EDUCATIONLATIN AMERICAMATERNAL IMMUNIZATIONPREGNANT WOMENVACCINE UPTAKEhttps://purl.org/becyt/ford/5.4https://purl.org/becyt/ford/5Background: Maternal immunization rates and vaccine uptake in Latin America vary from country to country. This variability stems from factors related to pregnant women, vaccine recommendations from healthcare providers and the health system. The aim of this paper is to describe women's knowledge and attitudes to maternal immunziation, and barriers to access and vaccination related decision-making processes in Latin American countries. Methods: We conducted focus group discussions (FGD) with pregnant women in five middle-income countries: Argentina, Brazil, Honduras, Mexico and Peru, between July 2016 and July 2018. The FGDs were conducted by trained qualitative researchers in diverse clinics located in the capital cities of these countries. Results: A total of 162 pregnant women participated in the FGDs. In general, participants were aware of the recommendation to receive vaccines during pregnancy but lacked knowledge regarding the diseases prevented by these vaccines. Pregnant women expressed a desire for clearer and more detailed communication on maternal vaccines by their healthcare professionals instead of relying on other sources of information such as the internet. Overall, participants had positive attitudes towards maternal immunization and were open to receiving vaccines in pregnancy based on general trust they have in recommendations made by their healthcare providers. The main obstacles pregnant women said they encounter were mainly centered around their clinical experience: long waiting times, vaccine shortages, and impolite behavior of healthcare providers or clinical staff. Conclusion: Important advances have been made in Latin America to promote maternal immunization. Results from this study show that an important aspect that remains to be addressed, and is crucial in improving vaccine uptake in pregnancy, is women's clinical experience. We recommend pregnant women to be treated as a priority population for providing immunization and related healthcare education. It is imperative to train healthcare providers in health communication so they can effectively communicate with pregnant women regarding maternal vaccines and can fill knowledge gaps that otherwise might be covered by unreliable sources dispensing inaccurate information.Fil: Fauzia Malik, A.. University of Yale. School of Medicine; Estados UnidosFil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Gutierrez, Mariana. University of Emory; Estados UnidosFil: Vilajeliu, Alba. Pan American Health Organization; Estados UnidosFil: Sanclemente, Lauren N.. University of Emory; Estados UnidosFil: Gonzalez Casanova, Ines. Indiana University; Estados Unidos. University of Emory; Estados UnidosFil: Jones, Daniel Eduardo. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Omer, Saad. University of Yale; Estados Unidos. University of Yale. School of Medicine; Estados UnidosFil: Maria Ropero, Alba. Pan American Health Organization; Estados UnidosFil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaElsevier2021-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/170581Fauzia Malik, A.; Belizan, María; Gutierrez, Mariana; Vilajeliu, Alba; Sanclemente, Lauren N.; et al.; Pregnant women's perspectives about maternal immunization in Latin America; Elsevier; Vaccine; 39; 7-2021; 44-490264-410XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0264410X20311518info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vaccine.2020.09.009info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:21:31Zoai:ri.conicet.gov.ar:11336/170581instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:21:31.434CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Pregnant women's perspectives about maternal immunization in Latin America
title Pregnant women's perspectives about maternal immunization in Latin America
spellingShingle Pregnant women's perspectives about maternal immunization in Latin America
Fauzia Malik, A.
ACCEPTANCE
ATTITUDES
CLINICAL EXPEREINCE
HEALTH EDUCATION
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
VACCINE UPTAKE
title_short Pregnant women's perspectives about maternal immunization in Latin America
title_full Pregnant women's perspectives about maternal immunization in Latin America
title_fullStr Pregnant women's perspectives about maternal immunization in Latin America
title_full_unstemmed Pregnant women's perspectives about maternal immunization in Latin America
title_sort Pregnant women's perspectives about maternal immunization in Latin America
dc.creator.none.fl_str_mv Fauzia Malik, A.
Belizan, María
Gutierrez, Mariana
Vilajeliu, Alba
Sanclemente, Lauren N.
Gonzalez Casanova, Ines
Jones, Daniel Eduardo
Omer, Saad
Maria Ropero, Alba
Alonso, Juan Pedro
author Fauzia Malik, A.
author_facet Fauzia Malik, A.
Belizan, María
Gutierrez, Mariana
Vilajeliu, Alba
Sanclemente, Lauren N.
Gonzalez Casanova, Ines
Jones, Daniel Eduardo
Omer, Saad
Maria Ropero, Alba
Alonso, Juan Pedro
author_role author
author2 Belizan, María
Gutierrez, Mariana
Vilajeliu, Alba
Sanclemente, Lauren N.
Gonzalez Casanova, Ines
Jones, Daniel Eduardo
Omer, Saad
Maria Ropero, Alba
Alonso, Juan Pedro
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ACCEPTANCE
ATTITUDES
CLINICAL EXPEREINCE
HEALTH EDUCATION
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
VACCINE UPTAKE
topic ACCEPTANCE
ATTITUDES
CLINICAL EXPEREINCE
HEALTH EDUCATION
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
VACCINE UPTAKE
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.4
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Background: Maternal immunization rates and vaccine uptake in Latin America vary from country to country. This variability stems from factors related to pregnant women, vaccine recommendations from healthcare providers and the health system. The aim of this paper is to describe women's knowledge and attitudes to maternal immunziation, and barriers to access and vaccination related decision-making processes in Latin American countries. Methods: We conducted focus group discussions (FGD) with pregnant women in five middle-income countries: Argentina, Brazil, Honduras, Mexico and Peru, between July 2016 and July 2018. The FGDs were conducted by trained qualitative researchers in diverse clinics located in the capital cities of these countries. Results: A total of 162 pregnant women participated in the FGDs. In general, participants were aware of the recommendation to receive vaccines during pregnancy but lacked knowledge regarding the diseases prevented by these vaccines. Pregnant women expressed a desire for clearer and more detailed communication on maternal vaccines by their healthcare professionals instead of relying on other sources of information such as the internet. Overall, participants had positive attitudes towards maternal immunization and were open to receiving vaccines in pregnancy based on general trust they have in recommendations made by their healthcare providers. The main obstacles pregnant women said they encounter were mainly centered around their clinical experience: long waiting times, vaccine shortages, and impolite behavior of healthcare providers or clinical staff. Conclusion: Important advances have been made in Latin America to promote maternal immunization. Results from this study show that an important aspect that remains to be addressed, and is crucial in improving vaccine uptake in pregnancy, is women's clinical experience. We recommend pregnant women to be treated as a priority population for providing immunization and related healthcare education. It is imperative to train healthcare providers in health communication so they can effectively communicate with pregnant women regarding maternal vaccines and can fill knowledge gaps that otherwise might be covered by unreliable sources dispensing inaccurate information.
Fil: Fauzia Malik, A.. University of Yale. School of Medicine; Estados Unidos
Fil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Gutierrez, Mariana. University of Emory; Estados Unidos
Fil: Vilajeliu, Alba. Pan American Health Organization; Estados Unidos
Fil: Sanclemente, Lauren N.. University of Emory; Estados Unidos
Fil: Gonzalez Casanova, Ines. Indiana University; Estados Unidos. University of Emory; Estados Unidos
Fil: Jones, Daniel Eduardo. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Omer, Saad. University of Yale; Estados Unidos. University of Yale. School of Medicine; Estados Unidos
Fil: Maria Ropero, Alba. Pan American Health Organization; Estados Unidos
Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
description Background: Maternal immunization rates and vaccine uptake in Latin America vary from country to country. This variability stems from factors related to pregnant women, vaccine recommendations from healthcare providers and the health system. The aim of this paper is to describe women's knowledge and attitudes to maternal immunziation, and barriers to access and vaccination related decision-making processes in Latin American countries. Methods: We conducted focus group discussions (FGD) with pregnant women in five middle-income countries: Argentina, Brazil, Honduras, Mexico and Peru, between July 2016 and July 2018. The FGDs were conducted by trained qualitative researchers in diverse clinics located in the capital cities of these countries. Results: A total of 162 pregnant women participated in the FGDs. In general, participants were aware of the recommendation to receive vaccines during pregnancy but lacked knowledge regarding the diseases prevented by these vaccines. Pregnant women expressed a desire for clearer and more detailed communication on maternal vaccines by their healthcare professionals instead of relying on other sources of information such as the internet. Overall, participants had positive attitudes towards maternal immunization and were open to receiving vaccines in pregnancy based on general trust they have in recommendations made by their healthcare providers. The main obstacles pregnant women said they encounter were mainly centered around their clinical experience: long waiting times, vaccine shortages, and impolite behavior of healthcare providers or clinical staff. Conclusion: Important advances have been made in Latin America to promote maternal immunization. Results from this study show that an important aspect that remains to be addressed, and is crucial in improving vaccine uptake in pregnancy, is women's clinical experience. We recommend pregnant women to be treated as a priority population for providing immunization and related healthcare education. It is imperative to train healthcare providers in health communication so they can effectively communicate with pregnant women regarding maternal vaccines and can fill knowledge gaps that otherwise might be covered by unreliable sources dispensing inaccurate information.
publishDate 2021
dc.date.none.fl_str_mv 2021-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/170581
Fauzia Malik, A.; Belizan, María; Gutierrez, Mariana; Vilajeliu, Alba; Sanclemente, Lauren N.; et al.; Pregnant women's perspectives about maternal immunization in Latin America; Elsevier; Vaccine; 39; 7-2021; 44-49
0264-410X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/170581
identifier_str_mv Fauzia Malik, A.; Belizan, María; Gutierrez, Mariana; Vilajeliu, Alba; Sanclemente, Lauren N.; et al.; Pregnant women's perspectives about maternal immunization in Latin America; Elsevier; Vaccine; 39; 7-2021; 44-49
0264-410X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0264410X20311518
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vaccine.2020.09.009
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
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instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
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repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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