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Improving immunization uptake rates among Gypsies, Roma and Travellers: a qualitative study of the views of service providers

Julie Mytton, Helen Bedford, Louise Condon, Cath Jackson, (UNITING team)

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...

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Published in: Journal of Public Health
ISSN: 1741-3842 1741-3850
Published: Oxford University Press (OUP) 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa54788
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first_indexed 2020-07-22T18:27:58Z
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spelling 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 College of Human and Health Sciences 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 College of Human and Health Sciences
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hierarchy_top_id collegeofhumanandhealthsciences
hierarchy_top_title College of Human and Health Sciences
hierarchy_parent_id collegeofhumanandhealthsciences
hierarchy_parent_title College of Human and Health Sciences
department_str Nursing{{{_:::_}}}College of Human and Health Sciences{{{_:::_}}}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 2020-07-09T04:09:33Z
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