Patient and provider perspectives on how trust influences maternal vaccine acceptance among pregnant women in Kenya
Stacy W. Nganga,Nancy A. Otieno,Maxwell O. Adero,Dominic Ouma,Sandra S. Chaves,Jennifer R. Verani,Marc-Alain Widdowson,Andrew D. Wilson,Irina Bergenfeld,Courtni A. Andrews,Vincent L. Fenimore,Vincent L. Fenimore,Ines Gonzalez-Casanova,Paula M. Frew,Saad B. Omer,Fauzia Malik +15 more
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TLDR
Patient trust in providers is a strong facilitator contributing to vaccine acceptance among pregnant women in Kenya, and providers have a critical role in cultivating a positive environment that allows for favorable interactions and patient health education.Abstract:
Pregnant women and newborns are at high risk for infectious diseases. Altered immunity status during pregnancy and challenges fully vaccinating newborns contribute to this medical reality. Maternal immunization is a strategy to protect pregnant women and their newborns. This study aimed to find out how patient-provider relationships affect maternal vaccine uptake, particularly in the context of a lower middle- income country where limited research in this area exists. We conducted semi-structured, in-depth narrative interviews of both providers and pregnant women from four sites in Kenya: Siaya, Nairobi, Mombasa, and Marsabit. Interviews were conducted in either English or one of the local regional languages. We found that patient trust in health care providers (HCPs) is integral to vaccine acceptance among pregnant women in Kenya. The HCP-patient relationship is a fiduciary one, whereby the patients’ trusts is primarily rooted in the provider’s social position as a person who is highly educated in matters of health. Furthermore, patient health education and provider attitudes are crucial for reinstating and fostering that trust, especially in cases where trust was impeded by rumors, community myths and misperceptions, and religious and cultural factors. Patient trust in providers is a strong facilitator contributing to vaccine acceptance among pregnant women in Kenya. To maintain and increase immunization trust, providers have a critical role in cultivating a positive environment that allows for favorable interactions and patient health education. This includes educating providers on maternal immunizations and enhancing knowledge of effective risk communication tactics in clinical encounters.read more
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Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic.
Aline Semaan,Constance Audet,Elise Huysmans,Bosede B Afolabi,Bouchra Assarag,Aduragbemi Banke-Thomas,Hannah Blencowe,Séverine Caluwaerts,Oona M. R. Campbell,Francesca L. Cavallaro,Leonardo Chavane,Louise T Day,Alexandre Delamou,Therese Delvaux,Wendy J. Graham,Giorgia Gon,Peter Kascak,Mitsuaki Matsui,Sarah G Moxon,Annettee Nakimuli,Andrea B. Pembe,Emma Radovich,Thomas van den Akker,Thomas van den Akker,Lenka Benova +24 more
TL;DR: Substantial knowledge gaps exist in guidance on management of maternity cases with or without COVID-19, and formal information-sharing channels for providers must be established and mental health support provided.
Posted ContentDOI
Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic
Aline Semaan,Constance Audet,Elise Huysmans,Bosede B Afolabi,Bouchra Assarag,Aduragbemi Banke-Thomas,Hannah Blencowe,Séverine Caluwaerts,Oona M. R. Campbell,Francesca L. Cavallaro,Leonardo Chavane,Louise T Day,Alexandre Delamou,Therese Delvaux,Wendy J. Graham,Giorgia Gon,Peter Kascak,Mitsuaki Matsui,Sarah G Moxon,Annettee Nakimuli,Andrea B. Pembe,Emma Radovich,Thomas van den Akker,Lenka Benova +23 more
TL;DR: Substantial knowledge gaps exist in guidance on management of maternity cases with or without COVID-19, and formal information sharing channels for providers must be established and mental health support provided.
Journal ArticleDOI
Maternal immunization: where are we now and how to move forward?
Ivo Vojtek,Ilse Dieussaert,T. Mark Doherty,Valentine Franck,Linda Hanssens,Jacqueline M. Miller,Rafik Bekkat-Berkani,Walid Kandeil,David Prado-Cohrs,Andrew Vyse +9 more
TL;DR: Years of experience suggest that maternal immunization against influenza, tetanus or pertussis has an acceptable safety profile, is well tolerated, effective and confers significant benefits to pregnant women and their infants.
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Shortage of essential antimicrobials: a major challenge to global health security.
Nusrat Shafiq,Avaneesh Kumar Pandey,Samir Malhotra,Alison Holmes,Marc Mendelson,Rohit Malpani,Manica Balasegaram,Esmita Charani +7 more
TL;DR: The lack of access to safe and effective antimicrobials for human populations is a threat to global health security and a contributor to the emergence and spread of antimicrobial resistance (AMR).
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Pregnant women's perceptions of risks and benefits when considering participation in vaccine trials.
TL;DR: Some pregnant women are accepting of participation in vaccine research during infectious disease outbreaks, and incorporating their priorities into trial design may facilitate their participation and generation of evidence for this important population.
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