Antenatal care providers’ attitudes and beliefs towards maternal vaccination in Kenya translation missing: zh.hyrax.visibility.files_restricted.text

Chander, Subhash (Fall 2018)

Permanent URL: https://etd.library.emory.edu/concern/etds/2j62s589g?locale=zh
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Abstract

Antenatal care providers’ attitudes and beliefs towards maternal vaccination in Kenya By

Subhash Chander

Background: Immunization provides critical protection against infectious diseases. Maternal immunization provides vital immunity against devastating infectious diseases that afflict many children under the age of five[1, 2]. Mothers in at-risk areas require significant antenatal care due to their vulnerability to infectious diseases. As antenatal care clinics (ANC) are primary care centers for new mothers, ANC providers are crucial for vaccine acceptance [3]. Although antenatal care data is available for high income countries, lack of data from middle to low income countries [4] demands research on attitudes and behaviors of ANC providers and receivers. Hence, we aimed to understand the beliefs and attitudes of ANC providers in Kenya.

Methods: We conducted a survey with questions to assess knowledge, attitudes and beliefs (KAB) of 150 antenatal care providers from clinics and hospitals across four different regions of Kenya.

Results: Antenatal care providers in this large sample from Kenya had positive attitudes towards maternal vaccination. 99% of the providers recommended maternal vaccinations. 80% of them reported flu as one of the main concerns in pregnant women. Majority of the providers reported that religious beliefs, ethnicity, cultural background and political leaders does not affect their attitude or beliefs towards vaccine acceptance or recommendation.

Conclusions: The results highlight an opportunity for the introduction of new maternal vaccines in Kenya and to implement maternal vaccine promotion campaigns in partnership with these providers.

Table of Contents

Chapter 1: Literature Review and Background ...................................................................1

Immunization......................................................................................................................1

Vaccine Advancement..........................................................................................................2

Limitations to vaccine administration and opportunities for adequate vaccine coverage....... 2

Healthcare worker and Immunization................ .................................................... .............3

Chapter 2: Thesis Manuscript.............................................................................................5

Introduction ........................................................................................................................07

Methods and Material...................................................................................................... ....08

Results ................................................................................................................................09

Chapter 3: Discussion/Conclusions ....................................................................................11

Appendices and Tables ........................................................................................................15

References: .........................................................................................................................27

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