Maternal pertussis and influenza immunization coverage and attitude of health care workers towards these recommendations in Flanders,Belgium |
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| Affiliation: | 1. Centre for the Evaluation of Vaccination, Vaccine & Infectious Disease Institute, University of Antwerp, Antwerp, Belgium;2. Agency for Care and Health, Infectious Disease Control and Vaccination, Brussels, Belgium;1. Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA;2. National Center for Child and Adolescent Health, Ministry of Health, Francisco de P. Miranda 177, Lomas de Plateros, Álvaro Obregón, 01600 Mexico City, Mexico;3. Sanofi Pasteur, Avenida Universidad 1738, Colonia Coyoacán, 04000 Mexico City, Mexico;4. Emory University School of Medicine, 1648 Pierce Drive NE, Atlanta, GA 30322, USA;1. HealthPartners Institute for Education and Research, Minneapolis, MN, United States;2. Yale University School of Medicine, Department of Obstetrics, Gynecology, & Reproductive Sciences, New Haven, CT, United States;3. Kaiser Permanente of Northern California, Oakland, CA, United States;4. Kaiser Permanente of Southern California, Pasadena, CA, United States;5. Kaiser Permanente Northwest, Portland, OR, United States;6. Harvard Pilgrim Health Care Institute & Harvard Medical School, Boston, MA, United States;7. Institute for Health Research, Kaiser Permanente Colorado and Department of Ambulatory Care Services, Denver Health, Denver, CO, United States;8. Group Health Cooperative, Seattle, WA, United States;9. Kaiser Permanente Georgia, Atlanta, GA, United States;10. Centers for Disease Control and Prevention, Atlanta, GA, United States;1. Research School of Population Health, The Australian National University, 62 Mills Rd, The Australian National University, Acton ACT 2601, Australia;2. Doherty Epidemiology, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Level 5, 792 Elizabeth St, Melbourne, Victoria 3000, Australia;3. Infection and Immunity, Murdoch Childrens Research Institute, Royal Children’s Hospital, Flemington Rd, Parkville 3052, Victoria, Australia;4. School of Medicine, University of Western Australia, Princess Margaret Hospital for Children, Roberts Rd, Subiaco, Perth, WA 6008, Australia;5. Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, The University of Western Australia, 100 Roberts Rd, Subiaco, Perth, WA 6008, Australia;6. Department of Infectious Disease and PathWest Department of Microbiology, Princess Margaret Hospital for Children, Roberts Rd, Subiaco, WA 6008, Australia;1. School of Nursing, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong;2. Dept. of Obstetrics and Gynaecology, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong;3. Dept. of Obstetrics and Gynaecology, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong;4. School of Nursing, University of British Columbia, 3333 University Way, Kelowna, British Columbia, Canada;1. Dirección Nacional de Control de Enfermedades, Ministerio de Salud de la Nación, Argentina;2. Secretaría de Promoción y Programas Sanitarios, Ministerio de Salud de la Nación, Argentina |
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| Abstract: | ![]()
In Belgium, pertussis vaccination is recommended for all pregnant women in every pregnancy. Adults in close contact with young infants are equally advised to receive a pertussis containing booster dose. Maternal influenza vaccination is likewise recommended in Belgium in the second or third trimester of pregnancy, within the influenza season.A quantitative multicenter survey study has been performed between October 2014 and May 2015 in both postpartum women (N = 823, response rate = 89.2%) and health care workers (HCWs) (N = 261) to assess the coverage of both vaccines during pregnancy along with the coverage of the pertussis cocoon strategy, and to evaluate the knowledge and recommending attitude of HCWs towards the maternal vaccination strategies and the cocoon strategy among surveyed women and HCWs.Overall coverage of pertussis vaccination during pregnancy was 64.0%. Most women were vaccinated by their general practitioner (GP) (82.4%), and most often in the third trimester (74.0%) of pregnancy. Overall coverage of influenza vaccination during pregnancy was 45.0%. Again the GP administered most vaccines (67.6%); vaccines were equally administered in the second or third trimester of pregnancy. Educational level had a significant influence on both the pertussis and influenza vaccination coverage during pregnancy while working situation and parity had only an influence on the maternal pertussis vaccination coverage and country of birth only on the maternal influenza vaccination coverage.Overall, 78.4% of gynecologists and GPs recommends both maternal pertussis and influenza vaccination and 67.0% recommends both maternal vaccination strategies and the cocoon strategy. Within the group of the midwives, only 23.7% recommends both maternal pertussis and influenza vaccination and 10.5% recommends both maternal vaccination strategies and the cocoon strategy.High coverage is reached among pregnant women for pertussis and influenza vaccination. Several underserved populations of pregnant women regarding maternal immunization, are identified. |
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| Keywords: | Attitude Coverage Health care workers Influenza Pertussis Pregnancy |
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