Interventions to improve vaccine coverage of pregnant women in Aotearoa New Zealand
Flynn Macredie 1 , Esther Willing
2 , Pauline Dawson 3 , Anna Howe 4 , Amber Young 1 *
1 School of Pharmacy, University of Otago, Dunedin, New Zealand.
2 Kōhatu – The Centre for Hauora Māori, University of Otago, Dunedin, New Zealand.
3 Department of Women’s and Children’s Health, University of Otago, Dunedin, New Zealand.
4 Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.
Journal of Primary Health Care 15(3) 230-237 https://doi.org/10.1071/HC23041
Published: 13 July 2023
Abstract
Maternal vaccination against influenza and pertussis protects mothers and babies from severe disease and is recommended and funded in Aotearoa New Zealand. Despite this, maternal vaccination uptake is low, varies by region and is inequitable, with Māori and Pacific māmā (mothers) less likely to receive vaccination.
To determine what interventions currently exist to support and encourage maternal vaccination against influenza and pertussis and what changes and interventions could be implemented to improve coverage, with a focus on Māori and Pacific hapū māmā (pregnant mothers).
Interviews with six participants with diverse roles in the vaccination workforce were conducted. Participants were involved in education, certification and supporting vaccinators, high-level strategising, and vaccination. Interviews aimed to determine what interventions currently exist for hapū māmā, what changes need to be made to improve coverage and how Māori and Pacific people have been specifically engaged. Qualitative data analysis was used to determine themes.
Participants identified that interventions must focus on prioritising and emphasising the importance of maternal vaccination, promoting collaboration and innovation, making interventions accessible, and empowering Māori- and Pacific-driven avenues to vaccination. To create positive foundations, participants identified the importance of building and maintaining trust and affording mothers’ time and autonomy in vaccination.
Healthcare professionals need to proactively engage hapū māmā about vaccination and collaborate in service delivery. Interventions must be suitably accessible and allow for the autonomy of hapū māmā over vaccination decisions. Equity should be considered at the foundation of vaccine interventions to improve the accessibility of vaccines to all communities.
Keywords: communication, health services, immunisation, influenza, Maori health services, maternity care, pregnancy, primary health care, vaccinations.
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