Articlegold2020

Antenatal care providers’ attitudes and beliefs towards maternal vaccination in Kenya

Subhash Chander · Inés González-Casanova · Sandra S. Chaves · Nancy A. Otieno · Marc‐Alain Widdowson · Jennifer R. Verani +4 more

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Vaccine Coverage and Hesitancy Global Maternal and Child Health Intramuscular injections and effects

Abstract

Background: Maternal immunization is known to be one of the best strategies to protect both mothers and their infants from infectious diseases. Studies have shown that healthcare providers play a critical role in implementation of maternal immunization. However, little is known about providers’ attitudes and beliefs towards vaccination that can influence their vaccine recommendations, specifically in low to middle income countries (LMIC). Methods: A self-administrated knowledge, attitude and behavior (KAB) survey was provided to 150 antenatal care providers across four different regions (Nairobi, Mombasa, Marsabit, and Siaya counties) of Kenya. The research staff visited the 150 clinics and hospitals and distributed a quantitative KAB survey. Results: Nearly all of the antenatal care providers (99%) recommended tetanus maternal vaccination. Similarly, 99% of the providers agreed that they would agree to provide additional vaccinations for pregnant women and reported that they always advise their patients to get vaccinated. Between 80 and 90% of the providers reported that religious beliefs, ethnicity, cultural background and political leaders do not affect their attitude or beliefs towards recommending vaccines. Conclusions: Considering the positive responses of healthcare providers towards vaccine acceptance and recommendation, these results highlight an opportunity to work in partnership with these providers to improve coverage of maternal vaccination and to introduce additional vaccines (such as influenza). In order to achieve this, logistical barriers that have affected the coverage of the currently recommended vaccines, should be addressed as part of this partnership.

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References

2016Barriers to timely administration of birth dose vaccines in The Gambia, West Africa 2017Challenges of immunization in the African region 2013Barriers to influenza vaccination among pregnant women 2008Childhood vacination in Africa and Asia: the effects of parents' knowledge and attitudes 2015Estimating the costs of the vaccine supply chain and service delivery for selected districts in Kenya and Tanzania 2014Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated 2018Influenza vaccination in pregnancy: vaccine uptake, maternal and healthcare providers’ knowledge and attitudes. A quantitative study 2017Attitudes towards Zika screening and vaccination acceptability among pregnant women in Malaysia

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