tetano
Editor, Senior Moderator
Hum Vaccin Immunother. 2015 Jun 25:0. [Epub ahead of print]
[h=1]Community awareness, use and preference for pandemic influenza vaccines in Pune, India.[/h] Sundaram N[SUP]1[/SUP], Purohit V, Schaetti C, Kudale A, Joseph S, Weiss MG.
[h=3]Author information[/h]
[h=3]Abstract[/h] Vaccination is a cornerstone of influenza prevention, but limited vaccine uptake was a problem worldwide during the 2009-2010 pandemic. Community acceptance of a vaccine is a critical determinant of its effectiveness, but studies have been confined to high-income countries. We conducted a cross-sectional, mixed-method study in urban and rural Pune, India in 2012-2013. Semi-structured explanatory model interviews were administered to community residents (n=436) to study awareness, experience and preference between available vaccines for pandemic influenza. Focus group discussions and in-depth interviews complemented the survey. Awareness of pandemic influenza vaccines was low (25%). Some respondents did not consider vaccines relevant for adults, but nearly all (94.7%), when asked, believed that a vaccine would prevent swine flu. Reported vaccine uptake however was 8.3%. Main themes identified as reasons for uptake were having heard of a death from swine flu, health care provider recommendation or affiliation with the health system, influence of peers and information from media. Reasons for non-use were low perceived personal risk, problems with access and cost, inadequate information and a perceived lack of a government mandate endorsing influenza vaccines. A majority indicated a preference for injectable over nasal vaccines, especially in remote rural areas. Hesitancy from a lack of confidence in pandemic influenza vaccines appears to have been less of an issue than access, complacency and other sociocultural considerations. Recent influenza outbreaks in 2015 highlight a need to reconsider policy for routine influenza vaccination while paying attention to sociocultural factors and community preferences for effective vaccine action.
[h=4]KEYWORDS:[/h] Community study; EMIC: Explanatory model interview catalogue; FGD: Focus groups discussion; IDI: In-depth interview; IIV: Inactivated influenza vaccine; India; Influenza; LAIV: Live attenuated influenza vaccine; Mixed-methods; Pandemic; SSI: Semi-structured interview; USA: United States of America; Vaccine hesitancy; Vaccine uptake; WHO: World Health Organization
PMID: 26110454 [PubMed - as supplied by publisher]
[h=1]Community awareness, use and preference for pandemic influenza vaccines in Pune, India.[/h] Sundaram N[SUP]1[/SUP], Purohit V, Schaetti C, Kudale A, Joseph S, Weiss MG.
[h=3]Author information[/h]
[h=3]Abstract[/h] Vaccination is a cornerstone of influenza prevention, but limited vaccine uptake was a problem worldwide during the 2009-2010 pandemic. Community acceptance of a vaccine is a critical determinant of its effectiveness, but studies have been confined to high-income countries. We conducted a cross-sectional, mixed-method study in urban and rural Pune, India in 2012-2013. Semi-structured explanatory model interviews were administered to community residents (n=436) to study awareness, experience and preference between available vaccines for pandemic influenza. Focus group discussions and in-depth interviews complemented the survey. Awareness of pandemic influenza vaccines was low (25%). Some respondents did not consider vaccines relevant for adults, but nearly all (94.7%), when asked, believed that a vaccine would prevent swine flu. Reported vaccine uptake however was 8.3%. Main themes identified as reasons for uptake were having heard of a death from swine flu, health care provider recommendation or affiliation with the health system, influence of peers and information from media. Reasons for non-use were low perceived personal risk, problems with access and cost, inadequate information and a perceived lack of a government mandate endorsing influenza vaccines. A majority indicated a preference for injectable over nasal vaccines, especially in remote rural areas. Hesitancy from a lack of confidence in pandemic influenza vaccines appears to have been less of an issue than access, complacency and other sociocultural considerations. Recent influenza outbreaks in 2015 highlight a need to reconsider policy for routine influenza vaccination while paying attention to sociocultural factors and community preferences for effective vaccine action.
[h=4]KEYWORDS:[/h] Community study; EMIC: Explanatory model interview catalogue; FGD: Focus groups discussion; IDI: In-depth interview; IIV: Inactivated influenza vaccine; India; Influenza; LAIV: Live attenuated influenza vaccine; Mixed-methods; Pandemic; SSI: Semi-structured interview; USA: United States of America; Vaccine hesitancy; Vaccine uptake; WHO: World Health Organization
PMID: 26110454 [PubMed - as supplied by publisher]