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Volume 10
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Article

Increasing Uptake of Maternal Pertussis Vaccinations through Funded Administration in Community Pharmacies

by
Anna S. Howe
1,2,*,
Natalie J. Gauld
3,4,
Alana Y. Cavadino
5,
Helen Petousis-Harris
1,
Felicity Dumble
6,
Owen Sinclair
7 and
Cameron C. Grant
3,8
1
Department of General Practice and Primary Health Care, University of Auckland, Auckland 1023, New Zealand
2
School of Health Sciences, University of Canterbury, Christchurch 1023, New Zealand
3
Department of Paediatrics, Child and Youth Health, University of Auckland, Auckland 1023, New Zealand
4
School of Pharmacy, University of Auckland, Auckland 1023, New Zealand
5
Department of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland 1023, New Zealand
6
Waikato District Health Board, Hamilton 3240, New Zealand
7
Child, Women and Family Services, Waitakere Hospital, Waitemata District Health Board, Auckland 0610, New Zealand
8
General Paediatrics, Starship Children’s Hospital, Auckland District Health Board, Auckland 1023, New Zealand
*
Author to whom correspondence should be addressed.
Vaccines 2022, 10(2), 150; https://doi.org/10.3390/vaccines10020150
Submission received: 7 November 2021 / Revised: 17 January 2022 / Accepted: 17 January 2022 / Published: 20 January 2022
(This article belongs to the Special Issue Feature Papers of Epidemiology and Vaccines)
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Abstract

Although maternal pertussis vaccination is recommended, uptake is suboptimal in New Zealand (NZ), despite full funding in general practice and hospitals. We determined whether funding maternal pertussis vaccination in community pharmacy increases its uptake. Pertussis vaccination during pregnancy was compared between non-contiguous, demographically similar regions of NZ. The pertussis vaccine was funded at pharmacies from Nov 2016 in one NZ region (Waikato), but not in comparator regions (Northland, Hawkes Bay). Vaccinations during pregnancy were determined from the National Immunisation Register, general practice and pharmacy claims data, and a maternity database. Comparisons were made using adjusted odds ratios (OR) and 95% confidence intervals (CI) for Nov 2015 to Oct 2016 versus Nov 2016 to Oct 2019. The odds of pregnancy pertussis vaccination increased in the post-intervention versus pre-intervention period with this increase being larger (p = 0.0014) in the intervention (35% versus 21%, OR = 2.07, 95% CI 1.89–2.27) versus the control regions (38% versus 26%, OR = 1.67, 95% CI 1.52–1.84). Coverage was lower for Māori versus non-Māori, but increased more for Māori in the intervention versus control regions (117% versus 38% increase). It was found that funding maternal pertussis vaccination in pharmacy increases uptake, particularly for Māori women. Measures to increase coverage should include reducing barriers to vaccines being offered by non-traditional providers, including pharmacies.
Keywords: pharmacists; immunisation; pregnancy; vaccination; vaccination coverage pharmacists; immunisation; pregnancy; vaccination; vaccination coverage

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MDPI and ACS Style

Howe, A.S.; Gauld, N.J.; Cavadino, A.Y.; Petousis-Harris, H.; Dumble, F.; Sinclair, O.; Grant, C.C. Increasing Uptake of Maternal Pertussis Vaccinations through Funded Administration in Community Pharmacies. Vaccines 2022, 10, 150. https://doi.org/10.3390/vaccines10020150

AMA Style

Howe AS, Gauld NJ, Cavadino AY, Petousis-Harris H, Dumble F, Sinclair O, Grant CC. Increasing Uptake of Maternal Pertussis Vaccinations through Funded Administration in Community Pharmacies. Vaccines. 2022; 10(2):150. https://doi.org/10.3390/vaccines10020150

Chicago/Turabian Style

Howe, Anna S., Natalie J. Gauld, Alana Y. Cavadino, Helen Petousis-Harris, Felicity Dumble, Owen Sinclair, and Cameron C. Grant. 2022. "Increasing Uptake of Maternal Pertussis Vaccinations through Funded Administration in Community Pharmacies" Vaccines 10, no. 2: 150. https://doi.org/10.3390/vaccines10020150

APA Style

Howe, A. S., Gauld, N. J., Cavadino, A. Y., Petousis-Harris, H., Dumble, F., Sinclair, O., & Grant, C. C. (2022). Increasing Uptake of Maternal Pertussis Vaccinations through Funded Administration in Community Pharmacies. Vaccines, 10(2), 150. https://doi.org/10.3390/vaccines10020150

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