THE BARRIERS AND FACILITATORS OF UNDERTAKING FLU VACCINATION IN PREGNANT WOMEN IN THE UNITED KINGDOM: A QUALITATIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.17501/24246735.2022.7103Keywords:
barriers, facilitators, flu vaccination, pregnant women, United KingdomAbstract
Pregnant women are classified as one of the groups who have a high risk of flu
complications. the flu vaccination uptake in pregnant women in the United Kingdom is
still low and a slight decrease reported which was from 45.2% in 2018-2019 to 43.7% in
2019-2020. This systematic review aims to explore the factors which influence pregnant
women undertaking or refusing flu vaccination. Six electronic databases were included,
such as MEDLINE, CINAHL, PsycInfo, EMBASE, PubMed, Scopus, and grey literature.
This systematic review selected full texts English language and the studies from 2009 to
2019. Data were assessed using CASP checklists, extracted, and synthesised. The results
of the review are the views of pregnant women from the multicultural community from
many different countries aged 18-48 based on 4 included studies. The themes were
grouped using thematic analysis and produced 7 new analytic themes. The barriers are
acceptability; service provision; lack of information; communication and interaction. The
facilitators are benefits for the babies and the vulnerable environment. One theme that
acted as a barrier and facilitator is the influence of others, such as family, friends and
community. Reducing the barriers will lead to an increasing in flu vaccination uptake in
pregnant women, therefore, the improvement of health care services and providing greater
information regarding flu vaccination are needed. The facilitators should be used as ways
to inform pregnant women about the benefits and risks.
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References
Bell, S., Edelstein, M., Zatoński, M., Ramsay, M., & Mounier-Jack, S. (2019) ‘I don’t think anybody explained to me how it works’: qualitative study exploring vaccination and primary health service access and uptake amongst Polish and Romanian communities in England. BMJ open. 9(7), e028228.
Bisset, K. A. and Paterson, P. (2018) Strategies for increasing uptake of vaccination in pregnancy in high-income countries: A systematic review. Vaccine. 36(20), 2751-2759.
CDC (2019a) Key Facts about Influenza (Flu). Centers for Disease Control and Prevention https://www.cdc.gov/flu/about/keyfacts.htm accessed 27 December 2019.
CDC (2019b) Flu Vaccine Safety and Pregnancy. Centers for Disease Control and Prevention https://www.cdc.gov/flu/highrisk/qa_vacpregnant.htm accessed 28 December 2019.
CDC (2020) Frequently Asked Influenza (Flu) Questions: 2020-2021 Season. Centers for Disease Control and Prevention https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm accessed 2 August 2020.
ECDC (2018) Seasonal influenza vaccination and antiviral use in EU/EEA Member States. European Centre for Disease Prevention and Control. https://www.ecdc.europa.eu/sites/portal/files/documents/Seasonal-influenza-antiviral-use-EU-EEA-Member-States-December-2018_0.pdf accessed 1 March 2020.
Fink, G., Orlova-Fink, N., Schindler, T., Grisi, S., Ferrer, A.P., Daubenberger, C. and Brentani, A. (2020) Inactivated trivalent influenza vaccine is associated with lower mortality among Covid-19 patients in Brazil. medRxiv. https://doi.org/10.1101/2020.06.29.20142505 accessed 2 August 2020.
Li, Q., Tang, B., Bragazzi, N.L., Xiao, Y. and Wu, J. (2020) Modeling the impact of mass influenza vaccination and public health interventions on COVID-19 epidemics with limited detection capability. Mathematical Biosciences. 108378. https://doi.org/10.1016/j.mbs.2020.108378 accessed 2 August 2020.
Maisa, A., Milligan, S., Quinn, A., Boulter, D., Johnston, J., Treanor, C. and Bradley, D. T. (2018) Vaccination against pertussis and influenza in pregnancy: a qualitative study of barriers and facilitators. Public health. 162, 111-117.
Mosby, L. G., Rasmussen, S. A., & Jamieson, D. J. (2011b). 2009 pandemic influenza A (H1N1) in pregnancy: a systematic review of the literature. American journal of obstetrics and gynecology, 205(1), 10-18.
Naidu MA, Krishnaswamy S, Wallace EM, Giles ML (2017) Pregnant women's attitudes toward antenatal pertussis vaccination. Aust N Z J Obstet Gynaecol. 57(2), 235.
NCT (2018) Flu and Pregnancy. National Childbirth Trust. https://www.nct.org.uk/pregnancy/worries-and-discomforts/symptoms-watch-out-for/flu-and-pregnancy accessed 28 December 2019.
NHS (2019) Flu Jab in Pregnancy. National Health Services. https://www.nhs.uk/conditions/pregnancy-and-baby/flu-jab-vaccine-pregnant/ accessed 28 December 2019.
Nunes, M. C., Aqil, A. R., Omer, S. B., and Madhi, S. A. (2016) The Effects of Influenza Vaccination during Pregnancy on Birth Outcomes: A Systematic Review and Meta-Analysis. American Journal Of Perinatology. 33(11), 1104–1114. https://doi-org.brad.idm.oclc.org/10.1055/s-0036-1586101 accessed 28 December 2019.
PHE (2020a) Seasonal influenza vaccine uptake in GP patients: winter season 2019 to 2020. Public Health England. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/894970/Annual-Report_SeasonalFlu-Vaccine_GPs_2019-20_FINAL.PDF accessed 15 June 2020.
PHE (2020b) The national flu immunisation programme 2020 to 2021- update. Public Health England. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/907149/Letter_annualflu_2020_to_2021_update.pdf accessed 5 August 2020.
Regan AK, Mak DB, Hauck YL, Gibbs R, Tracey L, Effler PV (2016) Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: implications for midwives. Women Birth. 29(5), 423e9.
Roshental, L. and Burchum, J. (2017) Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants. China: Elsevier Health Sciences.
Salem, M.L. and El-Hennawy, D. (2020) The possible beneficial adjuvant effect of influenza vaccine to minimize the severity of COVID-19. Medical Hypotheses. 140, 109752. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194943/ accessed 2 August 2020.
Sim, J. A., Ulanika, A. A., Katikireddi, S. V. and Gorman, D. (2011) ‘Out of two bad choices, I took the slightly better one’: vaccination dilemmas for Scottish and Polish migrant women during the H1N1 influenza pandemic. Public health. 125 (8), 505-511.
Wilson, R., Paterson, P., & Larson, H. J. (2019) Strategies to improve maternal vaccination acceptance. BMC public health. 19(1), 342.
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