Department of Public Health, Auckland University of Technology, Auckland, New Zealand.
New Zealand Work Research Institute, Auckland University of Technology, Auckland, New Zealand.
Hum Vaccin Immunother. 2024 Dec 31;20(1):2301626. doi: 10.1080/21645515.2023.2301626. Epub 2024 Jan 11.
In Aotearoa New Zealand, there has been a marked decrease in the uptake of routine childhood vaccinations since the onset of the COVID-19 pandemic, particularly among Māori and Pacific children. This Māori and Pacific-centered research used an interpretive description methodology. We undertook culturally informed interviews and discussions with Māori and Pacific caregivers ( = 24) and healthcare professionals ( = 13) to understand their perceptions of routine childhood vaccines. Data were analyzed using reflexive thematic analysis and privileged respective Māori and Pacific worldviews. Four themes were constructed. "" reflected how social norms, health personnel and institutions promoted (and sometimes coerced) participants' acceptance of routine vaccines before the pandemic. explains how the pandemic added challenges to the daily struggles of whānau (extended family networks) and healthcare professionals. Participants noted how information sources influenced disease and vaccine perceptions and health behaviors. highlighted the inappropriateness of Western-centric strategies that dominated during the initial pandemic response that did not meet the needs of Māori and Pacific communities. Participants advocated for whānau-centric vaccination efforts. expressed renewed agency among whānau about vaccination following the immense pressure to receive COVID-19 vaccines. The pandemic created an opportune time to support informed parental vaccine decision-making in a manner that enhances the mana (authority, control) of whānau. Māori and Pacific-led vaccination strategies should be embedded in immunization service delivery to improve uptake and immunization experiences for whānau.
在新西兰，自 COVID-19 大流行以来，常规儿童疫苗接种率显著下降，尤其是毛利人和太平洋岛民儿童。这项以毛利人和太平洋岛民为中心的研究采用了解释性描述方法。我们对毛利人和太平洋岛民照顾者（ = 24）和医疗保健专业人员（ = 13）进行了文化知情访谈和讨论，以了解他们对常规儿童疫苗的看法。使用反思性主题分析对数据进行了分析，并尊重各自的毛利人和太平洋岛民世界观。构建了四个主题。“”反映了社会规范、卫生人员和机构如何在大流行之前促进（有时是强制）参与者接受常规疫苗。“解释了大流行如何给家庭（大家庭网络）和医疗保健专业人员的日常斗争带来挑战。参与者指出了信息来源如何影响疾病和疫苗认知以及健康行为。“强调了在大流行初期反应中占主导地位的以西方为中心的策略的不适当性，这些策略不符合毛利人和太平洋岛民社区的需求。参与者倡导以家庭为中心的疫苗接种工作。“表达了家庭在接种 COVID-19 疫苗方面的巨大压力之后，对疫苗接种的重新掌控。大流行为以知情的父母疫苗决策提供了一个支持机会，从而增强了家庭的权威（权力、控制）。应以毛利人和太平洋岛民为主导的疫苗接种策略嵌入免疫服务提供中，以提高家庭的接种率和免疫体验。
