Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review
Maternal immunization (MI) is an emerging strategy to combat infant mortality in low-income (LIC) and lower-middle income countries (LMIC). We conducted a systematic review to identify the facilitators and barriers to MI and strategies that improve uptake in LICs and LMICs. We searched PubMed, Cochr...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/21645515.2024.2411823 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849717225157558272 |
|---|---|
| author | Tila Khan Simran Malik Liya Rafeekh Sayantan Halder Sapna Desai Sangeeta Das Bhattacharya |
| author_facet | Tila Khan Simran Malik Liya Rafeekh Sayantan Halder Sapna Desai Sangeeta Das Bhattacharya |
| author_sort | Tila Khan |
| collection | DOAJ |
| description | Maternal immunization (MI) is an emerging strategy to combat infant mortality in low-income (LIC) and lower-middle income countries (LMIC). We conducted a systematic review to identify the facilitators and barriers to MI and strategies that improve uptake in LICs and LMICs. We searched PubMed, Cochrane Library, and Scopus for quantitative, qualitative, and mixed-methods studies published in English from January 1, 2011, to October 31, 2021, from all LICs and LMICs. Data was appraised using the Mixed Methods Appraisal Tool. 55 studies were included. The major barriers were low knowledge and concern of vaccine safety among pregnant women and healthcare providers (HCP). HCP’s recommendation, maternal knowledge, vaccine confidence and ≥4 antenatal care (ANC) visits facilitated uptake. The key strategies encompassed health financing, reminders, intersectoral coordination, integration, community engagement, capacity building, and education. Community-based delivery models were effective. Tailored programs are needed to improve ANC access, and educate pregnant women and HCPs. |
| format | Article |
| id | doaj-art-96a295ccf8ce49fba57df522f416407a |
| institution | DOAJ |
| issn | 2164-5515 2164-554X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj-art-96a295ccf8ce49fba57df522f416407a2025-08-20T03:12:43ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2411823Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic reviewTila Khan0Simran Malik1Liya Rafeekh2Sayantan Halder3Sapna Desai4Sangeeta Das Bhattacharya5School of Medical Science & Technology, Indian Institute of Technology, Kharagpur, IndiaSchool of Medical Science & Technology, Indian Institute of Technology, Kharagpur, IndiaSchool of Medical Science & Technology, Indian Institute of Technology, Kharagpur, IndiaSchool of Medical Science & Technology, Indian Institute of Technology, Kharagpur, IndiaPopulation Council Institute, New Delhi, IndiaSchool of Medical Science & Technology, Indian Institute of Technology, Kharagpur, IndiaMaternal immunization (MI) is an emerging strategy to combat infant mortality in low-income (LIC) and lower-middle income countries (LMIC). We conducted a systematic review to identify the facilitators and barriers to MI and strategies that improve uptake in LICs and LMICs. We searched PubMed, Cochrane Library, and Scopus for quantitative, qualitative, and mixed-methods studies published in English from January 1, 2011, to October 31, 2021, from all LICs and LMICs. Data was appraised using the Mixed Methods Appraisal Tool. 55 studies were included. The major barriers were low knowledge and concern of vaccine safety among pregnant women and healthcare providers (HCP). HCP’s recommendation, maternal knowledge, vaccine confidence and ≥4 antenatal care (ANC) visits facilitated uptake. The key strategies encompassed health financing, reminders, intersectoral coordination, integration, community engagement, capacity building, and education. Community-based delivery models were effective. Tailored programs are needed to improve ANC access, and educate pregnant women and HCPs.https://www.tandfonline.com/doi/10.1080/21645515.2024.2411823BarrierfacilitatorLICLMICpregnancystrategies |
| spellingShingle | Tila Khan Simran Malik Liya Rafeekh Sayantan Halder Sapna Desai Sangeeta Das Bhattacharya Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review Human Vaccines & Immunotherapeutics Barrier facilitator LIC LMIC pregnancy strategies |
| title | Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review |
| title_full | Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review |
| title_fullStr | Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review |
| title_full_unstemmed | Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review |
| title_short | Facilitators and barriers to maternal immunization and strategies to improve uptake in low-income and lower-middle income countries: A systematic review |
| title_sort | facilitators and barriers to maternal immunization and strategies to improve uptake in low income and lower middle income countries a systematic review |
| topic | Barrier facilitator LIC LMIC pregnancy strategies |
| url | https://www.tandfonline.com/doi/10.1080/21645515.2024.2411823 |
| work_keys_str_mv | AT tilakhan facilitatorsandbarrierstomaternalimmunizationandstrategiestoimproveuptakeinlowincomeandlowermiddleincomecountriesasystematicreview AT simranmalik facilitatorsandbarrierstomaternalimmunizationandstrategiestoimproveuptakeinlowincomeandlowermiddleincomecountriesasystematicreview AT liyarafeekh facilitatorsandbarrierstomaternalimmunizationandstrategiestoimproveuptakeinlowincomeandlowermiddleincomecountriesasystematicreview AT sayantanhalder facilitatorsandbarrierstomaternalimmunizationandstrategiestoimproveuptakeinlowincomeandlowermiddleincomecountriesasystematicreview AT sapnadesai facilitatorsandbarrierstomaternalimmunizationandstrategiestoimproveuptakeinlowincomeandlowermiddleincomecountriesasystematicreview AT sangeetadasbhattacharya facilitatorsandbarrierstomaternalimmunizationandstrategiestoimproveuptakeinlowincomeandlowermiddleincomecountriesasystematicreview |