Charania Nadia A, Watson Donna G, Turner Nikki M
Department of Public Health, Auckland University of Technology, Auckland, New Zealand.
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
J Paediatr Child Health. 2018 Jan;54(1):28-35. doi: 10.1111/jpc.13661. Epub 2017 Aug 9.
The varicella vaccine has been proposed to be added to the childhood immunisation schedule in New Zealand as the fourth injectable at the 15-month event. We sought to understand the perceptions of caregivers and health-care providers regarding the potential introduction of routine varicella vaccination.
A qualitative exploratory study was conducted using semi-structured interviews with caregivers and providers (N = 20) in Auckland. Key themes from the interviews were identified through thematic analysis using a combination of deductive and inductive coding.
All of the participants were aware of varicella but levels of awareness varied among caregivers regarding the varicella vaccine. Participants expressed positive support towards universal varicella vaccination and a high intention to vaccinate if available as a routine vaccine. However, many concerns were raised about multiple injections at a single immunisation visit, and participants suggested alternative scheduling options.
The results indicated a need to raise awareness among caregivers about the varicella vaccine, focusing on positive health beliefs about vaccination in terms of protecting the child's health and reducing the impact of a child getting varicella on the family. Health-care providers and government health authorities may play an important role in increasing positive health beliefs about the varicella vaccine. Should the varicella vaccine be introduced as proposed, our findings recommend an educational campaign to address both caregiver and provider concerns about multiple injections and how to manage alternative immunisation schedules. These insights may help inform national strategies for the proposed addition to increase acceptance of the varicella vaccination.
水痘疫苗已被提议添加到新西兰儿童免疫计划中，作为15个月龄时接种的第四种注射疫苗。我们试图了解照顾者和医疗保健提供者对常规接种水痘疫苗可能性的看法。
在奥克兰对照顾者和提供者（N = 20）进行半结构式访谈，开展了一项定性探索性研究。通过结合演绎编码和归纳编码的主题分析，确定访谈中的关键主题。
所有参与者都知晓水痘，但照顾者对水痘疫苗的知晓程度各不相同。参与者对普遍接种水痘疫苗表示积极支持，并且如果有常规疫苗可用，接种意愿很高。然而，许多人对在一次免疫接种就诊时进行多次注射提出了担忧，参与者还提出了其他接种安排选项。
结果表明有必要提高照顾者对水痘疫苗的认识，重点是关于接种疫苗对保护儿童健康以及减少儿童感染水痘对家庭影响的积极健康观念。医疗保健提供者和政府卫生当局在增强对水痘疫苗的积极健康观念方面可能发挥重要作用。如果按提议引入水痘疫苗，我们的研究结果建议开展一场教育活动，以解决照顾者和提供者对多次注射以及如何安排替代免疫接种计划的担忧。这些见解可能有助于为拟议添加疫苗以提高水痘疫苗接种接受度的国家战略提供参考。
