Health care providers perspectives about maternal immunization in Latin America

Autores
Malik, Fauzia A.; Alonso, Juan Pedro; Sanclemente, Lauren N.; Vilajeliu, Alba; Gutierrez, Mariana; Gonzalez Casanova, Ines; Jones, Daniel Eduardo; Omer, Saad; Ropero, Alba-Maria; Belizán, María Melina Eleonora
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Antenatal care providers have a key role in providing appropriate information and immunization recommendations to improve pregnant women's vaccine uptake. The objective of this study is to describe health care providers' perspectives and experience regarding the implementation of maternal immunization programs in Latin America. Methods: We conducted 33 in-depth interviews of health care providers from Argentina, Brazil, Honduras, Mexico, and Peru (6–7 per country). Qualitative data analysis was conducted using a combination of both manual techniques and the computer software program NVivo. We identified and coded main themes related to maternal immunization. Results: The main themes identified in this analysis were practices related to maternal immunization, knowledge and training, resource availability and interactions with pregnant women. Healthcare providers knew that recommendations exists but some did not know their content; they expressed concerns about insufficient training. Providers from all five countries expressed the need for additional human resources and supplies. They also expressed a desire for women to be more proactive and ask more questions during the health visits. Conclusion: This is the first multi-country study assessing the perspectives of health care providers about maternal immunization practices at the facility level in Latin America. Recommendations based on the results from this study include implementing additional trainings around maternal immunization, especially targeting obstetricians and midwives. These trainings should be conducted in coordination with improvements to supply chain and other structural issues.
Fil: Malik, Fauzia A.. University of Yale; Estados Unidos
Fil: Alonso, Juan Pedro. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Sanclemente, Lauren N.. University of Emory; Estados Unidos
Fil: Vilajeliu, Alba. Organización Panamericana de la Salud; Estados Unidos
Fil: Gutierrez, Mariana. University of Emory; Estados Unidos
Fil: Gonzalez Casanova, Ines. University of Emory; Estados Unidos. Indiana University; 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
Fil: Ropero, Alba-Maria. Organización Panamericana de la Salud; Estados Unidos
Fil: Belizán, María Melina Eleonora. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
HEALTH CARE PROVIDERS
HEALTH WORKERS
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
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:11336/153680
Acceder
id CONICETDig_a61ddb9d2ca52561291f3b044bcbb61e
oai_identifier_str oai:ri.conicet.gov.ar:11336/153680
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Health care providers perspectives about maternal immunization in Latin AmericaMalik, Fauzia A.Alonso, Juan PedroSanclemente, Lauren N.Vilajeliu, AlbaGutierrez, MarianaGonzalez Casanova, InesJones, Daniel EduardoOmer, SaadRopero, Alba-MariaBelizán, María Melina EleonoraHEALTH CARE PROVIDERSHEALTH WORKERSLATIN AMERICAMATERNAL IMMUNIZATIONPREGNANT WOMENUPTAKEhttps://purl.org/becyt/ford/5.4https://purl.org/becyt/ford/5Background: Antenatal care providers have a key role in providing appropriate information and immunization recommendations to improve pregnant women's vaccine uptake. The objective of this study is to describe health care providers' perspectives and experience regarding the implementation of maternal immunization programs in Latin America. Methods: We conducted 33 in-depth interviews of health care providers from Argentina, Brazil, Honduras, Mexico, and Peru (6–7 per country). Qualitative data analysis was conducted using a combination of both manual techniques and the computer software program NVivo. We identified and coded main themes related to maternal immunization. Results: The main themes identified in this analysis were practices related to maternal immunization, knowledge and training, resource availability and interactions with pregnant women. Healthcare providers knew that recommendations exists but some did not know their content; they expressed concerns about insufficient training. Providers from all five countries expressed the need for additional human resources and supplies. They also expressed a desire for women to be more proactive and ask more questions during the health visits. Conclusion: This is the first multi-country study assessing the perspectives of health care providers about maternal immunization practices at the facility level in Latin America. Recommendations based on the results from this study include implementing additional trainings around maternal immunization, especially targeting obstetricians and midwives. These trainings should be conducted in coordination with improvements to supply chain and other structural issues.Fil: Malik, Fauzia A.. University of Yale; Estados UnidosFil: Alonso, Juan Pedro. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Sanclemente, Lauren N.. University of Emory; Estados UnidosFil: Vilajeliu, Alba. Organización Panamericana de la Salud; Estados UnidosFil: Gutierrez, Mariana. University of Emory; Estados UnidosFil: Gonzalez Casanova, Ines. University of Emory; Estados Unidos. Indiana University; 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 UnidosFil: Ropero, Alba-Maria. Organización Panamericana de la Salud; Estados UnidosFil: Belizán, María Melina Eleonora. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaElsevier2021-07-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/153680Malik, Fauzia A.; Alonso, Juan Pedro; Sanclemente, Lauren N.; Vilajeliu, Alba; Gutierrez, Mariana; et al.; Health care providers perspectives about maternal immunization in Latin America; Elsevier; Vaccine; 39; 2; 30-7-2021; B50-B540264-410X1873-2518CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0264410X20311567info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vaccine.2020.09.014info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:20:17Zoai:ri.conicet.gov.ar:11336/153680instacron: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:34982025-09-10 13:20:17.353CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Health care providers perspectives about maternal immunization in Latin America
title Health care providers perspectives about maternal immunization in Latin America
spellingShingle Health care providers perspectives about maternal immunization in Latin America
Malik, Fauzia A.
HEALTH CARE PROVIDERS
HEALTH WORKERS
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
UPTAKE
title_short Health care providers perspectives about maternal immunization in Latin America
title_full Health care providers perspectives about maternal immunization in Latin America
title_fullStr Health care providers perspectives about maternal immunization in Latin America
title_full_unstemmed Health care providers perspectives about maternal immunization in Latin America
title_sort Health care providers perspectives about maternal immunization in Latin America
dc.creator.none.fl_str_mv Malik, Fauzia A.
Alonso, Juan Pedro
Sanclemente, Lauren N.
Vilajeliu, Alba
Gutierrez, Mariana
Gonzalez Casanova, Ines
Jones, Daniel Eduardo
Omer, Saad
Ropero, Alba-Maria
Belizán, María Melina Eleonora
author Malik, Fauzia A.
author_facet Malik, Fauzia A.
Alonso, Juan Pedro
Sanclemente, Lauren N.
Vilajeliu, Alba
Gutierrez, Mariana
Gonzalez Casanova, Ines
Jones, Daniel Eduardo
Omer, Saad
Ropero, Alba-Maria
Belizán, María Melina Eleonora
author_role author
author2 Alonso, Juan Pedro
Sanclemente, Lauren N.
Vilajeliu, Alba
Gutierrez, Mariana
Gonzalez Casanova, Ines
Jones, Daniel Eduardo
Omer, Saad
Ropero, Alba-Maria
Belizán, María Melina Eleonora
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv HEALTH CARE PROVIDERS
HEALTH WORKERS
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
UPTAKE
topic HEALTH CARE PROVIDERS
HEALTH WORKERS
LATIN AMERICA
MATERNAL IMMUNIZATION
PREGNANT WOMEN
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: Antenatal care providers have a key role in providing appropriate information and immunization recommendations to improve pregnant women's vaccine uptake. The objective of this study is to describe health care providers' perspectives and experience regarding the implementation of maternal immunization programs in Latin America. Methods: We conducted 33 in-depth interviews of health care providers from Argentina, Brazil, Honduras, Mexico, and Peru (6–7 per country). Qualitative data analysis was conducted using a combination of both manual techniques and the computer software program NVivo. We identified and coded main themes related to maternal immunization. Results: The main themes identified in this analysis were practices related to maternal immunization, knowledge and training, resource availability and interactions with pregnant women. Healthcare providers knew that recommendations exists but some did not know their content; they expressed concerns about insufficient training. Providers from all five countries expressed the need for additional human resources and supplies. They also expressed a desire for women to be more proactive and ask more questions during the health visits. Conclusion: This is the first multi-country study assessing the perspectives of health care providers about maternal immunization practices at the facility level in Latin America. Recommendations based on the results from this study include implementing additional trainings around maternal immunization, especially targeting obstetricians and midwives. These trainings should be conducted in coordination with improvements to supply chain and other structural issues.
Fil: Malik, Fauzia A.. University of Yale; Estados Unidos
Fil: Alonso, Juan Pedro. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Sanclemente, Lauren N.. University of Emory; Estados Unidos
Fil: Vilajeliu, Alba. Organización Panamericana de la Salud; Estados Unidos
Fil: Gutierrez, Mariana. University of Emory; Estados Unidos
Fil: Gonzalez Casanova, Ines. University of Emory; Estados Unidos. Indiana University; 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
Fil: Ropero, Alba-Maria. Organización Panamericana de la Salud; Estados Unidos
Fil: Belizán, María Melina Eleonora. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Background: Antenatal care providers have a key role in providing appropriate information and immunization recommendations to improve pregnant women's vaccine uptake. The objective of this study is to describe health care providers' perspectives and experience regarding the implementation of maternal immunization programs in Latin America. Methods: We conducted 33 in-depth interviews of health care providers from Argentina, Brazil, Honduras, Mexico, and Peru (6–7 per country). Qualitative data analysis was conducted using a combination of both manual techniques and the computer software program NVivo. We identified and coded main themes related to maternal immunization. Results: The main themes identified in this analysis were practices related to maternal immunization, knowledge and training, resource availability and interactions with pregnant women. Healthcare providers knew that recommendations exists but some did not know their content; they expressed concerns about insufficient training. Providers from all five countries expressed the need for additional human resources and supplies. They also expressed a desire for women to be more proactive and ask more questions during the health visits. Conclusion: This is the first multi-country study assessing the perspectives of health care providers about maternal immunization practices at the facility level in Latin America. Recommendations based on the results from this study include implementing additional trainings around maternal immunization, especially targeting obstetricians and midwives. These trainings should be conducted in coordination with improvements to supply chain and other structural issues.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-30
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/11336/153680
Malik, Fauzia A.; Alonso, Juan Pedro; Sanclemente, Lauren N.; Vilajeliu, Alba; Gutierrez, Mariana; et al.; Health care providers perspectives about maternal immunization in Latin America; Elsevier; Vaccine; 39; 2; 30-7-2021; B50-B54
0264-410X
1873-2518
CONICET Digital
CONICET
url http://hdl.handle.net/11336/153680
identifier_str_mv Malik, Fauzia A.; Alonso, Juan Pedro; Sanclemente, Lauren N.; Vilajeliu, Alba; Gutierrez, Mariana; et al.; Health care providers perspectives about maternal immunization in Latin America; Elsevier; Vaccine; 39; 2; 30-7-2021; B50-B54
0264-410X
1873-2518
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/S0264410X20311567
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vaccine.2020.09.014
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
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)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.48226

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