Acceptance of vaccination against the 2009 pandemic influenza a among health-care workers in Pune, Maharashtra

Hiremath, Ravishekar N; Kotwal, SM Atul; Kunte, Renuka; Hiremath, Sandhya; Basannar, D.R.; Bhalla, Sandeep

doi:10.4103/0019-557x.111383

Cited by 10 publications

(9 citation statements)

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“…However, this study reveals low rates of immunization against influenza among the doctors in tertiary care health settings of Peshawar, Pakistan, despite the ACIP and CDC recommendations and HCPs being at higher risk of infection. These findings are in line with some published studies that described a lower rate of influenza immunization among HCPs ( 13 , 22 ). Moreover, influenza vaccination rate among doctors figured by the present study is, probably, the lowest among HCPs compared with available literature from different region of the world i.e., “Kuwait (67.2%) Oman (46.4%), Kingdom of Saudi Arabia [KSA (38.0%) and United Arab Emirates (UAE(24.7%)]” ( 12 , 13 ).…”

Section: Discussionsupporting

confidence: 93%

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Knowledge, Attitude, Awareness, and Barriers Toward Influenza Vaccination Among Medical Doctors at Tertiary Care Health Settings in Peshawar, Pakistan–A Cross-Sectional Study

Ali

Ijaz²,

Rehman

et al. 2018

Front. Public Health

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Objective: This study intends to evaluate the knowledge, attitude and awareness of medical doctors toward influenza vaccination and the reasons for not getting vaccinated.Methods: A cross-sectional study was carried out among medical doctors in three major tertiary care health settings in Peshawar, Khyber Pakhtunkhwa (KP), Pakistan. A web-based, pre-tested questionnaire was used for data collection.Results: A total of (n = 300) medical doctors were invited, however only (n = 215) participated in the study with a response rate of 71.7%. Among the participants, 95.3% (n = 205) were males with a mean age of 28.67 ± 3.89 years. By designation, 121(56.3%) were trainee medical officers and 40 (18.6%) were house officers. The majority 102(47.4%) had a job experience of 1–2 years. Of the total sample, 38 (17.7%) doctors reported having received some kind of vaccination, whereas only 19 (8.84%) were vaccinated against influenza. The results identified that the major barriers toward influenza vaccinations included (1) Unfamiliarity with Influenza vaccination availability (Relative Importance Index RII = 0.830), (2) Unavailability of Influenza vaccines due to lack of proper storage area in the institution (RII = 0.634), (3) Cost of vaccine (RII = 0.608), and (4) insufficient staff to administer vaccine (RII = 0.589). Additionally, 156 (72.6%) of doctors were not aware of the influenza immunization recommendation and guidelines published by the Advisory Committee on Immunization Practices (ACIP) and Centre for Disease Control and Prevention (CDC). Physicians obtained a high score (8.27 ± 1.61) of knowledge and understanding regarding influenza and its vaccination followed by medical officers (8.06 ± 1.37). Linear Regression analysis revealed that gender was significantly associated with the knowledge score with males having a higher score (8.0± 1.39) than females (6.80 ± 1.61 β = −1.254 and CI [−2.152 to −0.355], p = 0.006).Conclusion: A very low proportion of doctors were vaccinated against influenza, despite the published guidelines and recommendations. Strategies that address multiple aspects like increasing awareness and the importance of the influenza vaccine, the international recommendations and enhancing access and availability of the vaccine are needed to improve its coverage and health outcomes.

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Section: Discussionsupporting

confidence: 93%

“…Furthermore, our data showed variable levels of knowledge about influenza vaccination. Nearly 97.7% of the doctors have a belief that Influenza is transmitted primarily by coughing and sneezing; broadly in line with other studies ( 13 , 22 , 31 – 33 ). A similar level of response (90.61%) was seen by Alshammari TM ( 12 ).…”

Section: Discussionsupporting

confidence: 80%

Knowledge, Attitude, Awareness, and Barriers Toward Influenza Vaccination Among Medical Doctors at Tertiary Care Health Settings in Peshawar, Pakistan–A Cross-Sectional Study

Ali

Ijaz²,

Rehman

et al. 2018

Front. Public Health

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“…A relatively low percentage of the participants had been vaccinated with the seasonal influenza vaccine. Our findings regarding vaccination rates among healthcare workers were consistent with those reported elsewhere [8,9]. Therefore, understanding the factors that improve the acceptance of vaccination is crucial to design effective public health interventions.…”

Section: Discussionsupporting

confidence: 91%

Knowledge, attitudes, and practice of healthcare workers toward influenza vaccination at Al Jalila Children's Specialty Hospital (AJCH), Dubai, UAE

Hammour

Al-Saleh

2019

International Journal of Pediatrics and Adolescent Medicine

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Background Influenza viruses usually circulate worldwide annually from the late fall through the early spring. Although most people with influenza recover without sequelae, it can cause serious illness and death, particularly among older adults, very young children, pregnant women, and those with certain chronic medical conditions. Aim of the study To describe the knowledge, attitudes, and practice of Al Jalila Children's Specialty Hospital healthcare workers toward influenza vaccination during 2016–2017 and understand their relative importance in promoting influenza vaccine uptake. Method A validated survey self-administered questionnaire was distributed to healthcare workers at AJCH. A descriptive analysis was performed, including an evaluation of associations using the chi-square test, and an alpha level of 0.05 was considered significant. Results The questionnaire was distributed to 350 healthcare workers, and 263 (76%) of them completed the survey. Among the responders, 63% answered that they were not vaccinated for seasonal flu in both years, 32% answered that they were vaccinated once, in either 2016 or 2017, and only 5% answered that they were vaccinated during both years. The analysis of results by gender indicates that influenza vaccination uptake in both years (2016 and 2017) was more common in females than in males. Despite a higher educational level, influenza vaccination remained low among physician, nurses, and postgraduate workers. Conclusion The healthcare workers' knowledge of influenza disease does not reflect their knowledge, attitude, and practice toward influenza vaccination. These results highlight the important predictors that must be targeted to promote hospital awareness campaigns to improve their practice and attitude, which could result in increasing seasonal influenza vaccine uptake.

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“…Problems or side effects of the vaccine were mostly localized and seldom reported as a barrier to vaccine uptake. This is unlike studies from other countries 9,10,37 or studies in India among health care workers 38,39 where perceived side effects from the vaccine were reported as a deterrent to influenza vaccination intention. Although for the majority a vaccine with fewer side effects was preferred, the finding that for some, a localized reaction or physical sensation after vaccination was an indicator of vaccine efficacy and hence desirable, was unique to our study.…”

Section: Discussioncontrasting

confidence: 68%

Community awareness, use and preference for pandemic influenza vaccines in Pune, India

Sundaram

Purohit

Scheffold

et al. 2015

Human Vaccines & Immunotherapeutics

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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.

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Acceptance of vaccination against the 2009 pandemic influenza a among health-care workers in Pune, Maharashtra

Cited by 10 publications

References 0 publications

Knowledge, Attitude, Awareness, and Barriers Toward Influenza Vaccination Among Medical Doctors at Tertiary Care Health Settings in Peshawar, Pakistan–A Cross-Sectional Study

Knowledge, Attitude, Awareness, and Barriers Toward Influenza Vaccination Among Medical Doctors at Tertiary Care Health Settings in Peshawar, Pakistan–A Cross-Sectional Study

Knowledge, attitudes, and practice of healthcare workers toward influenza vaccination at Al Jalila Children's Specialty Hospital (AJCH), Dubai, UAE

Community awareness, use and preference for pandemic influenza vaccines in Pune, India

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