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Cited by 17Vaccine Coverage and HesitancyInfluenza Virus Research StudiesGlobal Maternal and Child Health

Antenatal influenza vaccination in urban Pune, India: clinician and community stakeholders’ awareness, priorities, and practices

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Giduthuri, Joseph G., Purohit, Vidula, Kudale, Abhay, Utzinger, Jürg, Schindler, Christian, Weiss, Mitchell G.·2021·Human Vaccines & Immunotherapeutics
DOI 10.1080/21645515.2020.1806670PMC PMC8018408
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Abstract

The World Health Organization (WHO) recommends antenatal influenza vaccination (AIV) for pregnant women at any stage of pregnancy. This study assessed fundamental aspects of AIV acceptance and demand among key stakeholders in urban Pune, India. Semi-structured interviews for rapid ethnographic assessment of AIV-related awareness, priorities, and practices were used to study clinicians and their communities of practice. A qualitative survey was conducted among 16 private clinicians providing antenatal care (ANC) in slum and middle-class areas of Pune. Following the survey, clinicians were informed about authoritative AIV recommendations. A qualitative community survey was also conducted with 60 women aged 20-35 years and 30 spouses from the same slum and middle-class practice areas of the ANC providers. Subsequently, a second clinician survey was conducted to assess changes in clinicians' awareness, priority, and vaccination practice. After this interview, clinicians were informed of community survey findings. Most community respondents were unaware of AIV, in contrast with well-known and widely used antenatal tetanus vaccination. They expressed confidence in vaccines and trust in the clinicians. Clinicians' advice was reportedly the most important determinant of community vaccine acceptance. Clinicians were confident of the safety of AIV and they anticipated patients' acceptance if recommended. The second clinician interview showed increased awareness of AIV policy, but clinicians were more skeptical about the severity of maternal influenza in their practice. Our findings indicate community acceptance though not demand for AIV. We recommend five essential elements for vaccination program strategies to improve coverage with AIV and other ANC vaccines.

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  • Among married women, spousal support or lack thereof additionally impacts vaccination and healthcare utilization.

    “Among married women, spousal support or lack thereof additionally impacts vaccination and healthcare utilization [27, 28].”

    From Acceptability of HPV vaccination for cervical cancer prevention amongst emerging adult women in rural Mysore, India: a mixed-methods study (2024) · cites this paper as [27]

    The Results report that more than half of women with pregnancy experience would seek their husbands’ advice about antenatal vaccination; the Discussion likewise describes spouses’ role in vaccine decisions. The paper does not establish that spousal support or its absence affects healthcare utilization more generally. (LLM, conf=0.85)

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Authors
Giduthuri, J. G., Purohit, V., Kudale, A., Utzinger, J., Schindler, C., & Weiss, M. G.
Affiliations
  • Swiss Tropical and Public Health Institute (CH)
  • Maharashtra Association of Anthropological Sciences (IN)
Corresponding author
Giduthuri, Joseph G.
ORCID
Venue
Human Vaccines & Immunotherapeutics
Publisher
Informa UK Limited
Published
2020-09-23
Volume
17
Issue
4
Pages
1211-1222
ISSN
  • 2164-5515 (ISSN-L)
  • 2164-554X
DOI
10.1080/21645515.2020.1806670
PMC
PMC8018408
OpenAlex
W3088349438
Cited by
17
References
1
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2023: 2 · 2022: 2 · 2021: 1
FWCI
0.69
Type
journal article
Language
en
Open access
Locations
  • Human Vaccines & Immunotherapeutics (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • edoc (University of Basel) (submittedVersion)
Funders
  • World Health Organization’s Initiative for Vaccine Research
  • World Health Organization Initiative for Vaccine Research (U50CK000431)
  • Joseph G. Giduthuri was the recipient of a Swiss Government Excellence Fellowship
  • State Secretariat for Education, Research and Innovation (ESKAS, grant no. 2016.0408)
Topics
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
pregnant women, vaccine acceptance, vaccine demand, clinician awareness, prenatal care, maternal influenza, vaccine safety confidence, Pune
MeSH terms
Female, Humans, India, Influenza, Human, Influenza Vaccines, Health Knowledge, Attitudes, Practice, Patient Acceptance of Health Care, Pregnancy, Prenatal Care, Vaccination

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