Exploring the impact of the COVID-19 pandemic on perceptions of national scheduled childhood vaccines among Māori and Pacific caregivers, whānau, and healthcare professionals in Aotearoa New Zealand.

IF 4.1 4区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-01-11 DOI:10.1080/21645515.2023.2301626
Nadia A Charania, Daysha Tonumaipe'a, Te Wai Barbarich-Unasa, Leon Iusitini, Georgina Davis, Gail Pacheco, Denise Wilson
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Abstract

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 (n = 24) and healthcare professionals (n = 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. "We go with the norm" reflected how social norms, health personnel and institutions promoted (and sometimes coerced) participants' acceptance of routine vaccines before the pandemic. "Everything became difficult" 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. "It needed to have an ethnic-specific approach" 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. "People are now finding their voice" 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.

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探索 COVID-19 大流行对新西兰奥特亚罗瓦毛利人和太平洋地区护理人员、毛利人以及医疗保健专业人员对国家儿童计划疫苗的看法的影响。
在新西兰奥特亚罗瓦,自 COVID-19 大流行以来,儿童常规疫苗接种率明显下降,特别是在毛利族和太平洋裔儿童中。这项以毛利人和太平洋裔人为中心的研究采用了解释性描述方法。我们对毛利族和太平洋岛屿族裔的护理人员(24 人)和医疗保健专业人员(13 人)进行了有文化背景的访谈和讨论,以了解他们对常规儿童疫苗的看法。我们采用反思性主题分析法对数据进行了分析,并对毛利人和太平洋岛民各自的世界观进行了优选。共构建了四个主题。"我们遵循规范 "反映了社会规范、卫生人员和机构如何在大流行之前促进(有时是强迫)参与者接受常规疫苗。"一切都变得困难重重 "解释了大流行如何给大家庭网络和医疗保健专业人员的日常工作增加了挑战。与会者指出,信息来源如何影响人们对疾病和疫苗的认识以及健康行为。"需要采取针对特定种族的方法 "强调了以西方为中心的战略的不适宜性,这种战略在最初的大流行应对措施中占主导地位,不能满足毛利人和太平洋裔社区的需求。与会者主张开展以毛利人为中心的疫苗接种工作。"人们现在找到了自己的声音",这表达了在接种 COVID-19 疫苗的巨大压力下,毛利人对疫苗接种的重新认同。这次大流行为支持家长在知情的情况下做出疫苗接种决策创造了有利时机,从而增强了毛利人的mana(权威、控制)。毛利人和太平洋岛屿族裔主导的疫苗接种战略应纳入免疫接种服务中,以提高毛利人的接种率和免疫接种体验。
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来源期刊
Human Vaccines & Immunotherapeutics
Human Vaccines & Immunotherapeutics BIOTECHNOLOGY & APPLIED MICROBIOLOGY-IMMUNOLOGY
CiteScore
7.90
自引率
8.30%
发文量
489
审稿时长
3-6 weeks
期刊介绍: (formerly Human Vaccines; issn 1554-8619) Vaccine research and development is extending its reach beyond the prevention of bacterial or viral diseases. There are experimental vaccines for immunotherapeutic purposes and for applications outside of infectious diseases, in diverse fields such as cancer, autoimmunity, allergy, Alzheimer’s and addiction. Many of these vaccines and immunotherapeutics should become available in the next two decades, with consequent benefit for human health. Continued advancement in this field will benefit from a forum that can (A) help to promote interest by keeping investigators updated, and (B) enable an exchange of ideas regarding the latest progress in the many topics pertaining to vaccines and immunotherapeutics. Human Vaccines & Immunotherapeutics provides such a forum. It is published monthly in a format that is accessible to a wide international audience in the academic, industrial and public sectors.
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