Abstract
Perceived feasibility of a prenatal intervention to promote uptake of childhood vaccinations: Findings from a national cross-sectional survey of prenatal providers
APHA 2023 Annual Meeting and Expo
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.
Administer health education strategies, interventions and programs Advocacy for health and health education Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related research Social and behavioral sciences