Artículo
Health care providers perspectives about maternal immunization in Latin America
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
Fecha de publicación:
30/07/2021
Editorial:
Elsevier
Revista:
Vaccine
ISSN:
0264-410X
e-ISSN:
1873-2518
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
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.
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Citación
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
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