Health Systems Determinants of Delivery and Uptake of Maternal Vaccines in Low- and Middle-Income Countries: A Qualitative Systematic Review

被引:12
|
作者
Davies, Bronte [1 ,2 ]
Olivier, Jill [1 ]
Amponsah-Dacosta, Edina [2 ]
机构
[1] Univ Cape Town, Fac Hlth Sci, Sch Publ Hlth & Family Med, Hlth Policy & Syst Div,Observ, ZA-7925 Cape Town, South Africa
[2] Univ Cape Town, Inst Infect Dis & Mol Med, Fac Hlth Sci, Vaccines Afr Initiat, ZA-7925 Cape Town, South Africa
关键词
vaccine; pregnancy; maternal health; health system; low- and middle-income countries; SCENARIO-BASED PROJECTIONS; PREGNANT-WOMEN; INFLUENZA VACCINE; CHILD HEALTH; IMMUNIZATION; IMPLEMENTATION; ATTITUDES; SAFETY; PERCEPTIONS; CHALLENGES;
D O I
10.3390/vaccines11040869
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Maternal vaccination is considered a key component of the antenatal care package for improving maternal and child health. Low- and middle-income countries (LMICs) fall short of global targets to prevent maternal and neonatal deaths, with a disproportionate burden of vaccine-preventable diseases. Strategies towards ending preventable maternal mortality necessitate a health systems approach to adequately respond to this burden. This review explores the health systems determinants of delivery and uptake of essential maternal vaccines in LMICs. We conducted a qualitative systematic review of articles on maternal vaccination in LMICs, published between 2009 and 2023 in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Thematic analysis was conducted to identify key themes in the literature, interpreted within a conceptual framing that explores the systems determinants influencing maternal vaccines. Our search yielded 1309 records, of which 54 were included, covering 34 LMICs. Most of the included studies were from South America (28/54) and included pregnant women as the primary study population (34/54). The studies explored influenza (25/54) and tetanus toxoid (20/54) vaccines predominantly. The findings suggest that systems hardware (lack of clear policy guidelines, ineffective cold-chain management, limited reporting and monitoring systems) are barriers to vaccine delivery. Systems software (healthcare provider recommendations, increased trust, higher levels of maternal education) are enablers to maternal vaccine uptake. Findings show that formulation, dissemination and communication of context-specific policies and guidelines on maternal vaccines should be a priority for decision-makers in LMICs.
引用
收藏
页数:22
相关论文
共 50 条
  • [21] Maternal Healthcare in Low- and Middle-Income Countries: A Scoping Review
    Kitila, Sena Belina
    Feyissa, Garumma Tolu
    Olika, Alemi Kebede
    Wordofa, Muluemebet Abera
    HEALTH SERVICES INSIGHTS, 2022, 15
  • [22] Assessing and preparing health systems for integration of services in low- and middle-income countries - a systematic review
    Topp, S. M.
    Abimbola, S.
    Joshi, R.
    Negin, J.
    TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2017, 22 : 74 - 74
  • [23] The impacts of health systems financing fragmentation in low- and middle-income countries: a systematic review protocol
    Marina Siqueira
    Maíra Coube
    Christopher Millett
    Rudi Rocha
    Thomas Hone
    Systematic Reviews, 10
  • [24] The impacts of health systems financing fragmentation in low- and middle-income countries: a systematic review protocol
    Siqueira, Marina
    Coube, Maira
    Millett, Christopher
    Rocha, Rudi
    Hone, Thomas
    SYSTEMATIC REVIEWS, 2021, 10 (01)
  • [25] Efficiency Measurement in Health Facilities: A Systematic Review in Low- and Middle-Income Countries
    Hafidz, Firdaus
    Ensor, Tim
    Tubeuf, Sandy
    APPLIED HEALTH ECONOMICS AND HEALTH POLICY, 2018, 16 (04) : 465 - 480
  • [26] Determinants of delayed childhood cancer care in low- and middle-income countries: A systematic review
    Cotache-Condor, Cesia
    Kantety, Vinootna
    Grimm, Andie
    Williamson, Jahsarah
    Landrum, Kelsey R.
    Schroeder, Kristin
    Staton, Catherine
    Majaliwa, Esther
    Tang, Shenglan
    Rice, Henry E.
    Smith, Emily R.
    PEDIATRIC BLOOD & CANCER, 2023, 70 (03)
  • [27] Spillover effects on health outcomes in low- and middle-income countries: a systematic review
    Benjamin-Chung, Jade
    Abedin, Jaynal
    Berger, David
    Clark, Ashley
    Jimenez, Veronica
    Konagaya, Eugene
    Tran, Diana
    Arnold, Benjamin F.
    Hubbard, Alan E.
    Luby, Stephen P.
    Miguel, Edward
    Colford, John M., Jr.
    INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2017, 46 (04) : 1251 - 1276
  • [28] Mental health and poverty: A systematic review of the research in low- and middle-income countries
    Lund, Crick
    Breen, Alison
    Flisher, Alan J.
    Kakuma, Ritsuko
    Swartz, Leslie
    Joska, John
    Corrigall, Joanne
    Patel, Vikram
    Consortium, MHapp Res Programme
    SOUTH AFRICAN JOURNAL OF PSYCHIATRY, 2008, 14 (03) : 104 - +
  • [29] Maternal depression in low- and middle-income countries
    Hanlon, Charlotte
    INTERNATIONAL HEALTH, 2013, 5 (01): : 4 - 5
  • [30] Mode of delivery for malpresentation and maternal outcomes in low- and middle-income countries
    Duffy, Cassandra
    Moore, Janet
    Saleem, Sarah
    Tshefu, Antoinette
    Bose, Carl
    Chomba, Elwyn
    Carlo, Waldemar
    Garces, Ana
    Krebs, Nancy
    Hambidge, Michael
    Goudar, Shivaprasad
    Dernam, Richard
    Patel, Archana
    Hibberd, Patricia
    Esamai, Fabian
    Liechty, Edward
    Koso-Thomas, Marion
    Miodovnik, Menachem
    Wallace, Dennis
    McClure, Elizabeth
    Goldenberg, Robert
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2018, 218 (01) : S554 - S555