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Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework

Kate Lloyd, Sara Jones Orcid Logo

Public Health Challenges, Volume: 4, Issue: 3, Start page: e70114

Swansea University Authors: Kate Lloyd, Sara Jones Orcid Logo

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DOI (Published version): 10.1002/puh2.70114

Abstract

Introduction: Vaccinations are vital for global health; however, since the onset of the COVID-19 pandemic in 2020, there has been a notable decline in maternal vaccine acceptance in Wales, UK. It is a key part of a midwife's role to promote vaccine uptake in pregnancy. Therefore, gaining an und...

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Published in: Public Health Challenges
ISSN: 2769-2450 2769-2450
Published: Wiley 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa68861
first_indexed 2025-02-11T16:01:52Z
last_indexed 2025-09-20T04:36:06Z
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spelling 2025-09-19T16:27:43.5229746 v2 68861 2025-02-11 Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework 0d8b6e12a75980ec16dd610cd1b2d5b3 Kate Lloyd Kate Lloyd true false e6ed433db8a59b5e3077e3de5888a98a 0000-0003-2182-6314 Sara Jones Sara Jones true false 2025-02-11 Introduction: Vaccinations are vital for global health; however, since the onset of the COVID-19 pandemic in 2020, there has been a notable decline in maternal vaccine acceptance in Wales, UK. It is a key part of a midwife's role to promote vaccine uptake in pregnancy. Therefore, gaining an understanding of midwives’ perceptions of the issue is crucial for identifying factors influencing vaccine uptake in Wales. Methods: A quantitative, cross-sectional descriptive survey was conducted amongst 143 registered midwives working in Wales using the Capability, Opportunity, Motivation-Behaviour (COM-B) approach to identify factors affecting vaccine uptake. Results: Midwives lacked training and confidence to promote vaccines, and some noted language barriers as a problem to providing equitable care. Other problems included lack of access to vaccination appointments and inconsistencies in vaccine promotion depending on care provider. Midwives perceived vaccine hesitancy to be high, with 71% saying they thought vaccine hesitancy was common amongst pregnant women and 40% saying they thought it was common amongst their colleagues. Conclusion: A national approach is required to ensure effective vaccination training amongst midwives in Wales, as well as improved availability of language diverse resources. Additional qualitative research is needed in Wales and the United Kingdom to further understand vaccine hesitancy and barriers to promoting vaccine uptake in pregnancy. Journal Article Public Health Challenges 4 3 e70114 Wiley 2769-2450 2769-2450 capability, opportunity, motivation-behaviour (COM-B), midwives, perceptions, pregnancy, vaccination, Wales 7 9 2025 2025-09-07 10.1002/puh2.70114 COLLEGE NANME COLLEGE CODE Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2025-09-19T16:27:43.5229746 2025-02-11T09:08:00.2276102 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Kate Lloyd 1 Sara Jones 0000-0003-2182-6314 2 68861__35145__e9948284d6574e118f41b10f2400f104.pdf 68861.VOR.pdf 2025-09-19T16:23:21.9900595 Output 836546 application/pdf Version of Record true © 2025 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License (CC BY). true eng http://creativecommons.org/licenses/by/4.0/
title Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
spellingShingle Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
Kate Lloyd
Sara Jones
title_short Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
title_full Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
title_fullStr Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
title_full_unstemmed Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
title_sort Midwives’ Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM‐B Framework
author_id_str_mv 0d8b6e12a75980ec16dd610cd1b2d5b3
e6ed433db8a59b5e3077e3de5888a98a
author_id_fullname_str_mv 0d8b6e12a75980ec16dd610cd1b2d5b3_***_Kate Lloyd
e6ed433db8a59b5e3077e3de5888a98a_***_Sara Jones
author Kate Lloyd
Sara Jones
author2 Kate Lloyd
Sara Jones
format Journal article
container_title Public Health Challenges
container_volume 4
container_issue 3
container_start_page e70114
publishDate 2025
institution Swansea University
issn 2769-2450
2769-2450
doi_str_mv 10.1002/puh2.70114
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Introduction: Vaccinations are vital for global health; however, since the onset of the COVID-19 pandemic in 2020, there has been a notable decline in maternal vaccine acceptance in Wales, UK. It is a key part of a midwife's role to promote vaccine uptake in pregnancy. Therefore, gaining an understanding of midwives’ perceptions of the issue is crucial for identifying factors influencing vaccine uptake in Wales. Methods: A quantitative, cross-sectional descriptive survey was conducted amongst 143 registered midwives working in Wales using the Capability, Opportunity, Motivation-Behaviour (COM-B) approach to identify factors affecting vaccine uptake. Results: Midwives lacked training and confidence to promote vaccines, and some noted language barriers as a problem to providing equitable care. Other problems included lack of access to vaccination appointments and inconsistencies in vaccine promotion depending on care provider. Midwives perceived vaccine hesitancy to be high, with 71% saying they thought vaccine hesitancy was common amongst pregnant women and 40% saying they thought it was common amongst their colleagues. Conclusion: A national approach is required to ensure effective vaccination training amongst midwives in Wales, as well as improved availability of language diverse resources. Additional qualitative research is needed in Wales and the United Kingdom to further understand vaccine hesitancy and barriers to promoting vaccine uptake in pregnancy.
published_date 2025-09-07T12:19:53Z
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