Apte Aditi, Roy Sudipto, Bavdekar Ashish, Juvekar Sanjay, Hirve Siddhivinayak
a Department of Pediatric Research, KEM Hospital Research Centre , Pune , India.
b Vadu Rural Health Program, KEM Hospital Research Centre , Pune , India.
Hum Vaccin Immunother. 2018;14(11):2760-2767. doi: 10.1080/21645515.2018.1489190. Epub 2018 Jul 12.
We performed a systematic review to evaluate factors affecting uptake of rotavirus vaccine amongst physicians, parents and health system. We identified 15 studies that met the inclusion criteria from 790 screened studies published between Jan 2005 to Jan 2016. Perceived severity of rotavirus disease, efficacy of vaccine and recommendation by health authorities positively influenced uptake of vaccine amongst health care providers. Routine and timely vaccination with routine vaccines and availability of rotavirus vaccine in public health programme facilitated uptake. Family income, parental education and employment status positively influenced the decision to vaccinate by parents. Concerns about safety, high cost, additional workload and logistic problems in acquiring vaccine stocks were perceived as barriers. Improved awareness regarding the rotavirus vaccination amongst public and scientific community and strengthening of public health system for better and timely immunisation coverage are important factors to maximize uptake of rotavirus vaccine in India.
我们进行了一项系统评价，以评估影响医生、家长和卫生系统对轮状病毒疫苗接种率的因素。我们从2005年1月至2016年1月发表的790项筛查研究中确定了15项符合纳入标准的研究。轮状病毒疾病的感知严重程度、疫苗的有效性以及卫生当局的推荐对医疗保健提供者对疫苗的接种率产生了积极影响。常规疫苗的常规及时接种以及公共卫生项目中轮状病毒疫苗的可获得性促进了接种。家庭收入、父母教育程度和就业状况对家长的疫苗接种决定产生了积极影响。对安全性、高成本、额外工作量以及获取疫苗库存的后勤问题的担忧被视为障碍。提高公众和科学界对轮状病毒疫苗接种的认识，以及加强公共卫生系统以实现更好和及时的免疫覆盖，是在印度最大限度提高轮状病毒疫苗接种率的重要因素。
