Influences and policies that affect immunisation coverage-a summary review of literature

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dc.contributor.author Nowlan, Mary en
dc.contributor.author Willing, E en
dc.contributor.author Turner, Nicola en
dc.date.accessioned 2019-10-29T01:43:24Z en
dc.date.issued 2019-08-30 en
dc.identifier.citation New Zealand Medical Journal 132(1501):79-88 30 Aug 2019 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/48705 en
dc.description.abstract Effective national immunisation programmes require a high proportion of the population to be immunised. Although New Zealand has made significant progress towards immunisation goals over the last two decades, immunisation coverage remains inadequate to prevent intermittent outbreaks of disease, and immunisation inequities persist between geographic, ethnic and socioeconomic groups. Here we summarise a recent literature review that was conducted to identify and examine key factors that influence immunisation coverage, timeliness of vaccinations and the core drivers that affect vaccine uptake. We conclude that well designed systems, taking a holistic approach with multiple components, gain broader community acceptance and trust; early and continual engagement with well-informed healthcare professionals builds trust and improves uptake; the family's experience during vaccination events is important; community-led vaccine advocacy is required to target specific populations to help to promote and improve access to immunisation. Coercive approaches can be marginally effective, but risk disproportionately penalising those already experiencing mistrust and hardship. en
dc.format.medium Electronic en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://www.nzma.org.nz/journal/contribute en
dc.title Influences and policies that affect immunisation coverage-a summary review of literature en
dc.type Journal Article en
pubs.issue 1501 en
pubs.begin-page 79 en
pubs.volume 132 en
dc.rights.holder Copyright: NZMA en
pubs.author-url https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2019/vol-132-no-1501-30-august-2019/7982 en
pubs.end-page 88 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 780887 en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2019-11-11 en
pubs.dimensions-id 31465331 en


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