Nalubega Phiona, Karafillakis Emilie, Atuhaire Lydia, Akite Pamela, Zalwango Flavia, Chantler Tracey, Cochet Madeleine, Seeley Janet, Le Doare Kirsty
Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda.
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Vaccines (Basel). 2021 May 25;9(6):552. doi: 10.3390/vaccines9060552.
We investigated pregnant women, community leaders, healthcare workers (HCWs) and programme managers' perceptions of maternal vaccination in Kampala, Uganda. We conducted focus group discussions, key informant interviews and in-depth discussions with HCWs (3), community leaders (3), pregnant women (8) and programme managers (10) between November 2019 and October 2020. Data were analysed thematically. Pregnant women, community leaders and some HCWs had limited maternal immunisation knowledge. There was confusion over what constitutes a vaccine. Pregnant women may not receive vaccines because of mistrust of government; use of expired vaccines; reliance on traditional medicine; religious beliefs; fear of side effects; HCWs attitudes; and logistical issues. The key facilitators of maternal vaccination were a desire to prevent diseases, positive influences from HCWs and information about vaccine side effects. Community leaders and some pregnant women highlighted that pregnant women do not make decisions about maternal vaccination independently and are influenced by different individuals, including other pregnant women, older people, partners, relatives (parents), community leaders, HCWs and the government. Our results indicate that public health messaging should target all community members, including partners and parents of pregnant women as well as HCWs, to improve knowledge of and confidence in maternal vaccines.
我们调查了乌干达坎帕拉的孕妇、社区领袖、医护人员及项目管理人员对孕产妇疫苗接种的看法。2019年11月至2020年10月期间，我们组织了焦点小组讨论、关键信息人访谈，并与3名医护人员、3名社区领袖、8名孕妇和10名项目管理人员进行了深入讨论。对数据进行了主题分析。孕妇、社区领袖和部分医护人员对孕产妇免疫的知识有限。对于什么是疫苗存在混淆。孕妇可能因不信任政府、使用过期疫苗、依赖传统药物、宗教信仰、害怕副作用、医护人员的态度以及后勤问题而无法接种疫苗。孕产妇疫苗接种的主要促进因素是预防疾病的愿望、医护人员的积极影响以及有关疫苗副作用的信息。社区领袖和部分孕妇强调，孕妇不会独立做出孕产妇疫苗接种的决定，而是受到包括其他孕妇、老年人、伴侣、亲属（父母）、社区领袖、医护人员和政府在内的不同个体的影响。我们的结果表明，公共卫生宣传应针对所有社区成员，包括孕妇的伴侣和父母以及医护人员，以提高对孕产妇疫苗的认识和信心。
