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. Author manuscript; available in PMC: 2019 Oct 1.
Published in final edited form as: Vaccine. 2019 May 6;37(25):3267–3277. doi: 10.1016/j.vaccine.2019.04.075

Table 3.

Some barriers that impact Healthcare Workers (HCW) provision of vaccines during pregnancy and measures to address them.

Barriers

  • Lack of knowledge and education

  • Misconceptions about the risk of the disease

  • Concerns about the need for vaccination during pregnancy and vaccine safety and efficacy

  • Lack of training on the technical and communication aspects

  • Vaccination not being part of their routine practice

  • Misconceptions regarding their patients preference for vaccination doing pregnancy

  • Lack of time, staff, vaccines, syringes, needles, cold chain equipment

  • Increased workload

  • Inadequate reimbursement

  • Concern about liability

  • Inconsistent guidelines

  • Inability to track vaccination status of pregnant women

Measures to address the barriers

  • Chart reminders

  • Documentation in pregnancy records

  • Medical notes and perinatal guidelines

  • Education tailored to the needs of physicians (including family physicians and obstetricians),

    HCW and Pregnant Women (including peer to peer training/ mentoring)

  • Comprehensive guidelines

  • Computer decision supporting algorithms that aid in identifying women needing immunization

  • Standing and opt-in orders for vaccination

  • Addressing liability issues

  • Avoiding the administration of vaccines during the first trimester

  • Information technology support for timely monitoring of program successes, challenges and impact of adding Immunisation in Pregnancy to the existing Programs

  • Single-dose vaccination schedules