Razai Mohammad S, Hargreaves Sally, Oakeshott Pippa
Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, East Forvie Building, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK.
George's School of Health and Medical Sciences, Population Health Research Institute, City St George's, University of London, London, UK.
J Public Health Policy. 2025 Jun;46(2):411-422. doi: 10.1057/s41271-025-00548-y. Epub 2025 Jan 22.
Vaccination during pregnancy is crucial due to increased maternal vulnerability to infectious diseases. However, uptake of recommended vaccines (influenza, pertussis, COVID-19) remains suboptimal, particularly among disadvantaged groups. This qualitative study explored healthcare professionals' (HCPs) perspectives, selected purposively, on factors influencing maternal vaccination in London. Data from a workshop transcript and an online quality improvement survey involving 15 GPs, two midwives, two obstetricians and one pharmacist were thematically analysed. HCPs highlighted that pregnant women perceive the benefits of pertussis vaccination more positively than other vaccines. Clear, consistent communication and integrating vaccinations into routine antenatal care were identified as essential for improving accessibility and convenience. The critical role of midwives influencing vaccination decisions was emphasised. While recognising the potential of AI-based technologies to disseminate vaccine information, concerns were raised about trust, digital literacy and information quality, highlighting the need for tailored, reliable strategies to boost maternal vaccination rates and improve health outcomes.
由于孕期母亲对传染病的易感性增加，孕期接种疫苗至关重要。然而，推荐疫苗（流感、百日咳、新冠疫苗）的接种率仍不理想，尤其是在弱势群体中。这项定性研究有目的地选取了医疗保健专业人员（HCPs），探讨了影响伦敦孕妇接种疫苗的因素。对来自一个研讨会记录以及一项在线质量改进调查的数据进行了主题分析，该调查涉及15名全科医生、两名助产士、两名产科医生和一名药剂师。HCPs强调，孕妇对百日咳疫苗益处的认知比其他疫苗更为积极。明确、一致的沟通以及将疫苗接种纳入常规产前护理被认为是提高可及性和便利性的关键。助产士在影响疫苗接种决策方面的关键作用得到了强调。虽然认识到基于人工智能的技术在传播疫苗信息方面的潜力，但人们对信任、数字素养和信息质量表示担忧，这凸显了需要制定量身定制的可靠策略来提高孕妇接种率并改善健康结果。
