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Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers
Journal of Public Health, Volume: 43, Issue: 4
Swansea University Author: Louise Condon
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DOI (Published version): 10.1093/pubmed/fdaa100
Abstract
BackgroundGypsies, 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 (S...
Published in: | Journal of Public Health |
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ISSN: | 1741-3842 1741-3850 |
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Oxford University Press (OUP)
2020
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URI: | https://cronfa.swan.ac.uk/Record/cronfa54788 |
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2022-01-04T16:22:47.4140183 v2 54788 2020-07-22 Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers 6e94805454a9baebe13c15c17f09f3ab Louise Condon Louise Condon true false 2020-07-22 FGMHL BackgroundGypsies, 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.MethodsWe 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.Results39 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.ConclusionsFindings 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. Journal Article Journal of Public Health 43 4 Oxford University Press (OUP) 1741-3842 1741-3850 cultural identity, ethnicity, immunization 9 7 2020 2020-07-09 10.1093/pubmed/fdaa100 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2022-01-04T16:22:47.4140183 2020-07-22T19:23:58.1208550 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Julie Mytton 1 Helen Bedford 2 Louise Condon 3 Cath Jackson 4 (UNITING team) 5 54788__17762__9b600675dba443d5adf55cb47729191a.pdf 54788.pdf 2020-07-23T09:26:41.9927566 Output 188238 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution Non-Commercial License (CC-BY-NC). true eng http://creativecommons.org/licenses/by-nc/4.0/ |
title |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers |
spellingShingle |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers Louise Condon |
title_short |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers |
title_full |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers |
title_fullStr |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers |
title_full_unstemmed |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers |
title_sort |
Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers |
author_id_str_mv |
6e94805454a9baebe13c15c17f09f3ab |
author_id_fullname_str_mv |
6e94805454a9baebe13c15c17f09f3ab_***_Louise Condon |
author |
Louise Condon |
author2 |
Julie Mytton Helen Bedford Louise Condon Cath Jackson (UNITING team) |
format |
Journal article |
container_title |
Journal of Public Health |
container_volume |
43 |
container_issue |
4 |
publishDate |
2020 |
institution |
Swansea University |
issn |
1741-3842 1741-3850 |
doi_str_mv |
10.1093/pubmed/fdaa100 |
publisher |
Oxford University Press (OUP) |
college_str |
Faculty of Medicine, Health and Life Sciences |
hierarchytype |
|
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facultyofmedicinehealthandlifesciences |
hierarchy_top_title |
Faculty of Medicine, Health and Life Sciences |
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facultyofmedicinehealthandlifesciences |
hierarchy_parent_title |
Faculty of Medicine, Health and Life Sciences |
department_str |
School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing |
document_store_str |
1 |
active_str |
0 |
description |
BackgroundGypsies, 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.MethodsWe 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.Results39 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.ConclusionsFindings 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. |
published_date |
2020-07-09T04:08:33Z |
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1763753604590600192 |
score |
11.036815 |