Barriers and facilitators of immunisation in refugees and migrants in Australia: an east-African case study |
| |
| Affiliation: | 1. Research Center for Vitamins and Vaccines (CVIVA), Bandim Health Project, Statens Serum Institut, Artillerivej 5, DK-2300 Copenhagen S, Denmark;2. OPEN, Odense University Hospital/Institute of Clinical Research, University of Southern Denmark, Odense, Denmark;3. Section of Epidemiology, Department of Public Health, University of Copenhagen, Copenhagen, Denmark;4. Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark;5. Novo Nordisk Foundation Center for Basic Metabolic Research, Section on Metabolic Genetics, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark;6. Bandim Health Project, Indepth Network, Apartado 861, Bissau, Guinea-Bissau;7. Department of Clinical Epidemiology, Aarhus University, Aarhus, Denmark;1. Health Analysis Division, Statistics Canada, Ottawa, Ontario, Canada;2. Migration Health Branch, Immigration, Refugees and Citizenship Canada, Ottawa, Ontario, Canada;3. Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada;1. Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, University of Western Australia, WA, Australia;2. Department of Medicine, School of Clinical Medicine, University of Cambridge, UK;3. Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, NSW, Australia;4. School of Mathematics and Statistics, University of Western Australia, WA, Australia;5. Perth Children’s Hospital, WA, Australia;6. School of Public Health, Curtin University, WA, Australia;7. Menzies School of Health Research and Charles Darwin University, NT, Australia;1. Department of Neurodevelopment and Disability, The Royal Children’s Hospital, Melbourne, Australia;2. The Department of Paediatrics, The University of Melbourne, Melbourne, Australia;3. Developmental Disability and Rehabilitation Research Group, Murdoch Children’s Research Institute, Melbourne, Australia;4. Department of Haematology, The Royal Children’s Hospital, Melbourne, Australia;5. Nursing Research, The Royal Children’s Hospital, Melbourne, Australia;6. Clinical Haematology Research Group, Murdoch Children’s Research Institute, Australia;7. The Department of Nursing, The University of Melbourne, Melbourne, Australia;8. Clinical Learning and Development Unit, Bendigo Health, Victoria, Australia;9. Department of General Medicine, The Royal Children’s Hospital, Melbourne, Australia;10. Vaccine and Immunisation Research Group, Murdoch Children’s Research Institute, Melbourne, Australia;11. The School of Population Health, The University of Melbourne, Melbourne, Australia;1. NHS Lothian, Directorate of Public Health and Health Policy, Edinburgh, UK;2. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK;1. Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India;2. Socio-Behavioural and Health Systems Research Division, Indian Council of Medical Research, New Delhi, India |
| |
| Abstract: | ![]()
BackgroundImmunisation programs available in low and middle-income countries include fewer vaccines in comparison to Australia’s National Immunisation Program. As a result, refugees and migrants may have a heightened risk of being inadequately immunised upon arrival to Australia. Several studies have suggested that East African immigrants have low vaccination coverage. As such, the aim of this study was to explore the underlying attitudes, barriers and facilitators to immunisation in east African communities in two states of Australia: New South Wales and Victoria.MethodsA qualitative study involving 17 semi-structured, in-depth interviews were undertaken with East African refugees and migrants living in two states of Australia: New South Wales and Victoria. These refugees and migrants were from four key East African countries: Kenya, Somalia, Ethiopia and South Sudan. Thematic analysis was undertaken to analyse and interpret the results.ResultsLanguage barriers, low risk perception and a lack of education were the key barriers identified by participants. Facilitators mentioned included the development of resources in participants’ languages and the implementation of reminder systems consistently across all GP practices. There was also a unanimous agreement amongst participants that community organisations need to play a greater role in the dissemination of information about immunisation.ConclusionsFurther research needs to be undertaken with regards to how education about immunisation is delivered and disseminated to refugee and migrant communities. Current findings also support the need to improve the health literacy of refugees and migrants by providing culturally and linguistically appropriate resources in participants’ respective languages. |
| |
| Keywords: | Immunisation Refugees Migrants Africa Barriers Vaccine |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
