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Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers.
- Source :
- Journal of Public Health; Dec2021, Vol. 43 Issue 4, pe675-e683, 9p
- Publication Year :
- 2021
-
Abstract
- Background Gypsies, Roma and Travellers are at risk of low uptake of routine immunizations. Interventions to improve uptake in these communities are seldom evaluated. As part of a qualitative study exploring barriers and facilitators to immunization uptake in Travellers, we report service provider (SP) perspectives. Methods We interviewed immunization SPs working with six Traveller communities across four UK cities. Participants included frontline staff and those with strategic or commissioning roles. Semi-structured interviews explored perceived attitudes of Travellers to vaccinations, local service delivery, and opportunities and challenges to improving uptake. Audio-recordings were transcribed, analyzed thematically and mapped to a socio-ecological model of health. Results 39 SPs participated. Four overarching themes were identified: building trusting relationships between SPs and Travellers; facilitating attendance at appointments; improving record keeping and monitoring and responding to local and national policy change. Travellers were perceived as largely supportive of immunizations, though system and organizational processes were recognized barriers to accessing services. Conclusions Findings were broadly consistent across Traveller groups and settings. The barriers identified could often be addressed within existing infrastructure, though require system or policy change. Development of a culturally competent system appears important to enable equity in access to immunizations for Travellers. [ABSTRACT FROM AUTHOR]
- Subjects :
- VACCINATION
HEALTH policy
IMMUNIZATION
HEALTH services accessibility
ATTITUDES of medical personnel
ATTITUDE (Psychology)
RESEARCH methodology
INTERVIEWING
MEDICAL protocols
QUALITATIVE research
DOCUMENTATION
SOUND recordings
RESEARCH funding
DESCRIPTIVE statistics
THEMATIC analysis
MEDICAL appointments
DATA analysis software
TRAVEL hygiene
TRUST
Subjects
Details
- Language :
- English
- ISSN :
- 17413842
- Volume :
- 43
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 155321739
- Full Text :
- https://doi.org/10.1093/pubmed/fdaa100