Factors associated with a successful expansion of influenza vaccination among pregnant women in Nicaragua |
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| Institution: | 1. Epidemic Intelligence Service Program, Centers for Disease Control and Prevention, Atlanta, GA, USA;2. Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA;3. Pan American Health Organization, Managua, Nicaragua;4. Pan American Health Organization, Washington, DC, USA;1. Dpto. de Ing. Eléctrica, Universidad Autónoma Metropolitana-Iztapalapa, P.O. Box 55-534, México D.F. 09340, Mexico;2. Dpto. de Química, Universidad Autónoma Metropolitana-Iztapalapa, P.O. Box 55-534, México D.F. 09340, Mexico;3. Instituto de Física Aplicada CONICET, Universidad Nacional de San Luis, Ejército de Los Andes 950, San Luis D5700HHW, Argentina;1. Nuffield Department of Population Health, University of Oxford, Oxford, England;2. Influenza Program, Centers for Disease Control and Prevention, Pretoria, South Africa;3. Centre for Respiratory Diseases and Meningitis, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa;4. Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA;5. U.S. Public Health Service, Rockville, MD, USA;1. Initiative for Vaccine Research, World Health Organization, Geneva, Switzerland;2. Department of Health Sciences, VU University Amsterdam, The Netherlands;3. Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom;4. Modelling and Economics Unit, Public Health England, London, United Kingdom;5. Medical Library, University Library, VU University Amsterdam, The Netherlands;6. Department of Health Sciences, Social Medicine, University Medical Center Groningen, The Netherlands;1. Global Health Center, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, USA;2. Division of Infectious Disease, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, USA;3. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;4. Seattle Children''s Hospital and Research Foundation, University of Washington, Seattle, WA, USA;5. School of Medicine, University of Washington, Seattle, WA, USA;6. Nepal Nutrition Intervention Project, Sarlahi, Kathmandu, Nepal;7. Tribhuvan University, Department of Pediatrics and Child Health, Institute of Medicine, Kathmandu, Nepal;8. School of Medicine, University of Washington, Molecular Virology Laboratory, Seattle, WA, USA;9. Harborview Medical Center, Seattle, WA, USA;10. Department of Global Health Milken Institute School of Public Health, George Washington University, Washington, DC, USA;1. Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA;2. U.S. Food and Drug Administration, Center for Tobacco Products, Office of Science, Washington, DC, USA;3. Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA, USA;4. Children''s Global Health Center, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, USA;5. Kaiser Permanente Center for Health Research, Atlanta, GA, USA;6. Office of Maternal and Child Health Epidemiology, Maternal and Child Health Section, Division of Health Promotion, Georgia Department of Public Health, USA;7. Emory Vaccine Center, Atlanta, GA, USA;8. Department of Pediatrics, Emory University School of Medicine and Children''s Healthcare of Atlanta, Atlanta, GA, USA;1. University of Michigan School of Public Health, Department of Epidemiology, 1415 Washington Heights, Ann Arbor, MI 48109, USA;2. Influenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA |
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| Abstract: | BackgroundPregnant women are at risk of severe influenza disease and are a priority group for influenza vaccination programs. Nicaragua expanded recommendations to include influenza vaccination to all pregnant women in the municipality of Managua in 2013.MethodsWe carried out a survey among 1,807 pregnant women who delivered at public hospitals in the municipality of Managua to evaluate the uptake of influenza vaccination and factors associated with vaccination.ResultsWe observed a high (71%) uptake of influenza vaccination among this population, with no differences observed by age, education or parity of the women. Having four antenatal visits and five or more visits were associated with receipt of influenza vaccination (AORs: 2.58; 95% CI: 1.15, 5.81, and 2.37; 95% CI: 1.12, 5.0, respectively). Also, receipt of influenza vaccination recommendation from a health care provider was positively associated with receipt of influenza vaccination (AOR: 14.22; 95% CI: 10.45, 19.33).ConclusionsThe successful expansion of influenza vaccination among pregnant women in the municipality of Managua may be due to ready access to free medical care and health care providers’ recommendation for vaccination at health care clinics that received influenza vaccine. |
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| Keywords: | Influenza vaccination Pregnant women Acceptability |
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