Knowledge and attitudes of parents and professionals to neonatal BCG vaccination in light of recent UK policy changes: A questionnaire study

Gordon, Morris; Roberts, Hannah A.; Odeka, E. B.

doi:10.1186/1471-2334-7-82

Cited by 12 publications

(3 citation statements)

References 9 publications

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“…Even if regular changes are required to follow the evolution of advanced vaccinology and epidemiological characteristics, their impact on the health professional’s practices should be taken into account. In Great Britain, two years after the cessation of routine BCG vaccination in 2005 and the implementation of targeted vaccination, two-thirds of parents and professionals interviewed were not aware of the new recommendation [25]. About multiplying specific indications, a French study of 2009 on the determinants of BCG vaccination showed that the probability of an eligible child being properly vaccinated increased with the number of instructions known by the physician [26].…”

Section: Discussionmentioning

confidence: 99%

How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups

Lungarde

Blaizeau²,

Auger-Aubin

et al. 2013

BMC Fam Pract

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BackgroundAs in other European countries, the French vaccination schedule changes according to epidemiological and socio-economic situations. Further changes are planned for 2013, including the withdrawal of one dose for primary vaccination against diphtheria, tetanus, polio, pertussis and Haemophilus influenzae. A partnership between the French Technical Vaccination Committee and the French Institute for Health and Medical Research designed a study to assess primary care physicians’ agreement about this modification.MethodsQualitative study with focus groups and semi-structured interviews in France. Four focus groups were conducted with physicians, supplemented by four individual interviews.ResultsThe physicians of the survey had accepted the suggested vaccination schedule well. A few concerns had been underlined: fear of less follow-up care for infants resulting from the removal of one visit driven by the primary vaccination; fear of loss of vaccine efficacy; suspicion of the existence of financial arguments at the origin of this change; and adjustment to current vaccination schedule. Several suggestions were made: providing strong support from health authorities; developing stable and simple recommendations; providing effective tools for monitoring patient’s vaccination status.ConclusionsPhysicians’ opinions suggested a good acceptance of a possible change about primary vaccination against diphtheria, tetanus, polio, pertussis and Haemophilus influenzae. Physicians’ suggestions resulted from this qualitative study on a new vaccination schedule. It showed how that their involvement was feasible for preparing the implementation of a new vaccination schedule.

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Section: Discussionmentioning

confidence: 99%

How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups

Lungarde

Blaizeau²,

Auger-Aubin

et al. 2013

BMC Fam Pract

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show abstract

“…In addition, our findings suggest that some health professionals involved in the BCG vaccination programme might be unfamiliar with recommended eligibility criteria; this could contribute to low coverage rates. 21 A standardised pathway to identify eligible infants, with clear responsibilities and roles and regular training of staffs involved, could contribute to high vaccination coverage in PCTs with selective vaccination policy. 22 23 In addition to the correct identification of infants at risk, assuring that the vaccine is administered is another challenge of a targeted vaccination policy.…”

Section: Discussionmentioning

confidence: 99%

BCG vaccination in England since 2005: a survey of policy and practice

et al. 2012

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ObjectiveAssess the current BCG vaccination policies and delivery pathways for immunisation in Primary Care Trusts (PCTs) in England since the 2005 change in recommendations.DesignA survey of key informants across PCTs using a standardised, structured questionnaire.Setting152 PCTs in England.ResultsComplete questionnaires were returned from 127 (84%) PCTs. Sixteen (27%) PCTs reported universal infant vaccination and 111 (73%) had selective infant vaccination. Selective vaccination outside infancy was also reported from 94 (74%) PCTs. PCTs with selective infant policy most frequently vaccinated on postnatal wards (51/102, 50%), whereas PCTs with universal infant vaccination most frequently vaccinated in community clinics (9/13, 69%; p=0.011). To identify and flag up eligible infants in PCTs with targeted infant immunisation, those who mostly vaccinate on postnatal wards depend on midwives and maternity records, whereas those who vaccinate primarily in the community rely more often on various healthcare professionals.ConclusionsTargeted infant vaccination has been implemented in most PCTs across the UK. PCTs with selective infant vaccination provide BCG vaccine via a greater variety of healthcare professionals than those with universal infant vaccination policies. Data on vaccine coverage would help evaluate the effectiveness of delivery. Interruptions of delivery noted here emphasise the importance of not just an agreed, standardised, local pathway, but also a named person in charge.

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“…In Australia, routine BCG vaccination ceased in 1985, and vaccination of children now effectively relies on the initiative of parents. A study in the United Kingdom reported that only 6% of parents were aware of national BCG vaccination recommendations 3 . We aimed to determine the proportion of mothers from high‐TB‐prevalence countries giving birth in Australia who were planning to travel to these countries with their newborn child, and to assess their knowledge of the need to BCG‐vaccinate their child.…”

mentioning

confidence: 99%

Infants born in Australia to mothers from countries with a high prevalence of tuberculosis: to BCG or not to BCG?

Gwee

Rodrigo

Casalaz

et al. 2013

Medical Journal of Australia

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Knowledge and attitudes of parents and professionals to neonatal BCG vaccination in light of recent UK policy changes: A questionnaire study

Cited by 12 publications

References 9 publications

How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups

How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups

BCG vaccination in England since 2005: a survey of policy and practice

Infants born in Australia to mothers from countries with a high prevalence of tuberculosis: to BCG or not to BCG?

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