Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain

Abstract Background Pertussis and seasonal influenza are responsible for significant maternal, neonatal, and infant morbidity and mortality, but vaccine coverage rates (VCR) for both pertussis (administered as a tetanus, diphtheria, acellular pertussis [Tdap] vaccination) and seasonal influenza in p...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Théophile Baïssas, Florence Boisnard, Inmaculada Cuesta Esteve, Marta Garcia Sánchez, Christine E. Jones, Thierry Rigoine de Fougerolles, Litjen Tan, Olivier Vitoux, Christina Klein
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Immunisation Influenza Maternal Pregnancy Prenatal Pertussis Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/cdabaf0da6d44f51aa7966cd31a27046
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cdabaf0da6d44f51aa7966cd31a27046
record_format	dspace
spelling	oai:doaj.org-article:cdabaf0da6d44f51aa7966cd31a270462021-12-05T12:09:22ZVaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain10.1186/s12889-021-12198-21471-2458https://doaj.org/article/cdabaf0da6d44f51aa7966cd31a270462021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12198-2https://doaj.org/toc/1471-2458Abstract Background Pertussis and seasonal influenza are responsible for significant maternal, neonatal, and infant morbidity and mortality, but vaccine coverage rates (VCR) for both pertussis (administered as a tetanus, diphtheria, acellular pertussis [Tdap] vaccination) and seasonal influenza in pregnancy remain generally low. Only a small number of countries, including Spain, the United Kingdom (UK), and the United States (US), have high Tdap and seasonal influenza VCRs in pregnancy. The purpose of this study was to identify the key factors that contributed to the high VCRs observed in these countries. Methods The experience from both Tdap and seasonal influenza vaccination programmes during pregnancy were documented in Spain, the UK, and the US using a three-step approach. A literature review yielded 157 publications, and a further 117 documents were selected through desk research. A published five-pillar VCR framework for influenza was amended to evaluate the specific contributing factors leading to high Tdap and seasonal influenza VCRs among pregnant women. Results The analysis identified components that contributed to higher VCR in pregnant women across three different healthcare systems in Spain, UK, and US. The combination of several key interventions in each country led to a rapid increase in VCR that reached near-optimal levels (i.e. 75% for seasonal influenza) within a few years. As well as inclusion in national immunisation programme and vaccine reimbursement, key components that were identified included the mobilisation of health authorities, prenatal care Healthcare Professionals (HCP) and scientific societies, the inclusion of vaccination in antenatal medical guidance, the provision of educational material to HCPs, and a strong disease awareness driven by recent pertussis outbreaks in each country. Conclusions Although there is no simple, universal solution to improving sub-optimal VCRs, the list of components identified in this study from three countries with high-performing Tdap and seasonal influenza vaccination programmes provides a basis for public health and medical stakeholders in other countries to define strategies to successfully implement national vaccination programmes for pregnant women.Théophile BaïssasFlorence BoisnardInmaculada Cuesta EsteveMarta Garcia SánchezChristine E. JonesThierry Rigoine de FougerollesLitjen TanOlivier VitouxChristina KleinBMCarticleImmunisationInfluenzaMaternalPregnancyPrenatalPertussisPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunisation Influenza Maternal Pregnancy Prenatal Pertussis Public aspects of medicine RA1-1270
spellingShingle	Immunisation Influenza Maternal Pregnancy Prenatal Pertussis Public aspects of medicine RA1-1270 Théophile Baïssas Florence Boisnard Inmaculada Cuesta Esteve Marta Garcia Sánchez Christine E. Jones Thierry Rigoine de Fougerolles Litjen Tan Olivier Vitoux Christina Klein Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain
description	Abstract Background Pertussis and seasonal influenza are responsible for significant maternal, neonatal, and infant morbidity and mortality, but vaccine coverage rates (VCR) for both pertussis (administered as a tetanus, diphtheria, acellular pertussis [Tdap] vaccination) and seasonal influenza in pregnancy remain generally low. Only a small number of countries, including Spain, the United Kingdom (UK), and the United States (US), have high Tdap and seasonal influenza VCRs in pregnancy. The purpose of this study was to identify the key factors that contributed to the high VCRs observed in these countries. Methods The experience from both Tdap and seasonal influenza vaccination programmes during pregnancy were documented in Spain, the UK, and the US using a three-step approach. A literature review yielded 157 publications, and a further 117 documents were selected through desk research. A published five-pillar VCR framework for influenza was amended to evaluate the specific contributing factors leading to high Tdap and seasonal influenza VCRs among pregnant women. Results The analysis identified components that contributed to higher VCR in pregnant women across three different healthcare systems in Spain, UK, and US. The combination of several key interventions in each country led to a rapid increase in VCR that reached near-optimal levels (i.e. 75% for seasonal influenza) within a few years. As well as inclusion in national immunisation programme and vaccine reimbursement, key components that were identified included the mobilisation of health authorities, prenatal care Healthcare Professionals (HCP) and scientific societies, the inclusion of vaccination in antenatal medical guidance, the provision of educational material to HCPs, and a strong disease awareness driven by recent pertussis outbreaks in each country. Conclusions Although there is no simple, universal solution to improving sub-optimal VCRs, the list of components identified in this study from three countries with high-performing Tdap and seasonal influenza vaccination programmes provides a basis for public health and medical stakeholders in other countries to define strategies to successfully implement national vaccination programmes for pregnant women.
format	article
author	Théophile Baïssas Florence Boisnard Inmaculada Cuesta Esteve Marta Garcia Sánchez Christine E. Jones Thierry Rigoine de Fougerolles Litjen Tan Olivier Vitoux Christina Klein
author_facet	Théophile Baïssas Florence Boisnard Inmaculada Cuesta Esteve Marta Garcia Sánchez Christine E. Jones Thierry Rigoine de Fougerolles Litjen Tan Olivier Vitoux Christina Klein
author_sort	Théophile Baïssas
title	Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain
title_short	Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain
title_full	Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain
title_fullStr	Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain
title_full_unstemmed	Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain
title_sort	vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the united kingdom, the united states and spain
publisher	BMC
publishDate	2021
url	https://doaj.org/article/cdabaf0da6d44f51aa7966cd31a27046
work_keys_str_mv	AT theophilebaissas vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT florenceboisnard vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT inmaculadacuestaesteve vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT martagarciasanchez vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT christineejones vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT thierryrigoinedefougerolles vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT litjentan vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT oliviervitoux vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain AT christinaklein vaccinationinpregnancyagainstpertussisandseasonalinfluenzakeylearningsandcomponentsfromhighperformingvaccineprogrammesinthreecountriestheunitedkingdomtheunitedstatesandspain
_version_	1718372219875229696

Vaccination in pregnancy against pertussis and seasonal influenza: key learnings and components from high-performing vaccine programmes in three countries: the United Kingdom, the United States and Spain

Ejemplares similares