Abstract

Perceived feasibility of a prenatal intervention to promote uptake of childhood vaccinations: Findings from a national cross-sectional survey of prenatal providers

Lavanya Vasudevan, PhD, MPH, CPH1, Rachael Porter, MPH1, Sandra Stinnett, DrPH2, Elizabeth Turner, PhD2, Leah Zullig, PhD2, Geeta Swamy, MD2, Emmanuel Walter, MD, MPH2, Tara Vogt, PhD, MPH3 and Beverly Gray, MD2
(1)Emory University, Atlanta, GA, (2)Duke University, Durham, NC, (3)Centers for Disease Control and Prevention, Atlanta, GA

APHA 2023 Annual Meeting and Expo

Pregnancy presents a unique opportunity to proactively build confidence in childhood vaccinations. An intervention has been proposed that includes prenatal providers offering childhood vaccine recommendations, a patient-focused educational website, and patient consultations by a vaccine navigator. Prenatal providers’ perceived feasibility of implementing the intervention was assessed.

An online cross-sectional survey of members of two national prenatal provider organizations in the United States was conducted from April-June 2022. Questions assessed provider and practice characteristics, providers’ perceived role as vaccine advocates (Motors of Engagement with Vaccine Advocacy (MoVAd) Scale), training needs, intervention feasibility, and implementation factors.

Of 1179 responses received, 476 responses were included after data validation. Among providers reporting their own vaccination status, most received COVID-19 (primary series, 97.9%) and influenza vaccines (96.9%). Only half (49.1%) reported recommending those vaccines to pregnant individuals routinely. Responding to the MoVAd Scale, providers expressed high autonomy and value in advocating about vaccines but lower impact on changing people’s views. Intervention feasibility was rated highest for the educational website, then provider recommendation, and lowest for vaccine navigator. Implementation challenges included availability of adequate staff resources (47.9%), training needs on childhood vaccines (46.7%), and time constraints during appointments (46.5%).

The study informs the feasibility and potential challenges related to the implementation of the proposed childhood vaccination intervention. The disparity between providers’ own vaccination status and vaccination recommendation to pregnant persons presents an opportunity to also strengthen maternal vaccination recommendations in pregnancy. These results reinforce evidence for the value of promoting maternal and childhood vaccines during pregnancy.

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