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Volume 10
Issue 3
10.3390/vaccines10030415
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Article

Assessing Community Acceptance of Maternal Immunisation in Rural KwaZulu-Natal, South Africa: A Qualitative Investigation

by
Rujeko Samanthia Chimukuche
1,*,
Nothando Ngwenya
1,2,
Janet Seeley
1,2,3,
Petronella Samukelisiwe Nxumalo
1,
Zama Pinky Nxumalo
1,
Motlatso Godongwana
4,
Nomasonto Radebe
5,
Nellie Myburgh
5,6,
Sunday A. Adedini
4,7 and
Clare Cutland
5,6
1
Social Science Department, Africa Health Research Institute, Mtubatuba 3935, South Africa
2
School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa
3
Department of Global Health and Development, London School of Tropical Hygiene and Medicine, London WC1H 9SH, UK
4
Programme in Demography and Population Studies, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa
5
Medical Research Council: Wits Vaccines and Infectious Diseases Analytics Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa
6
African Leadership in Vaccinology Expertise (Alive), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2050, South Africa
7
Demography and Social Statistics Department, Federal University, Oye-Ekiti 371104, Nigeria
*
Author to whom correspondence should be addressed.
Vaccines 2022, 10(3), 415; https://doi.org/10.3390/vaccines10030415
Submission received: 9 January 2022 / Revised: 27 February 2022 / Accepted: 28 February 2022 / Published: 10 March 2022
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Abstract

Despite the significant benefits of maternal immunisation, uptake remains low in many parts of the world. In this qualitative study, we aimed to assess the factors that influence pregnant women’s decision to engage with maternal immunisation in rural KwaZulu-Natal, South Africa. We conducted in-depth interviews with a total of 28 purposively sampled pregnant women and key informants using semi-structured topic guides. Data analysis was conducted using a modified Health Belief Model framework that included constructs of barriers to action, modifying factors of cue to action and perceived social norms. The findings show that traditional customs and institutional barriers such as low-quality health service delivery, long queues, and distance to the health facilities, immunisation vaccine stockouts and low levels of maternal knowledge influence the choice and decision to engage with maternal immunisation. Understanding health-related behaviours and addressing barriers to care is important in facilitating vaccination uptake. This study contributes to the understanding of maternal immunisation uptake in low-resource settings.
Keywords: maternal immunisation; maternal healthcare; tetanus toxoid; vaccine uptake maternal immunisation; maternal healthcare; tetanus toxoid; vaccine uptake

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MDPI and ACS Style

Chimukuche, R.S.; Ngwenya, N.; Seeley, J.; Nxumalo, P.S.; Nxumalo, Z.P.; Godongwana, M.; Radebe, N.; Myburgh, N.; Adedini, S.A.; Cutland, C. Assessing Community Acceptance of Maternal Immunisation in Rural KwaZulu-Natal, South Africa: A Qualitative Investigation. Vaccines 2022, 10, 415. https://doi.org/10.3390/vaccines10030415

AMA Style

Chimukuche RS, Ngwenya N, Seeley J, Nxumalo PS, Nxumalo ZP, Godongwana M, Radebe N, Myburgh N, Adedini SA, Cutland C. Assessing Community Acceptance of Maternal Immunisation in Rural KwaZulu-Natal, South Africa: A Qualitative Investigation. Vaccines. 2022; 10(3):415. https://doi.org/10.3390/vaccines10030415

Chicago/Turabian Style

Chimukuche, Rujeko Samanthia, Nothando Ngwenya, Janet Seeley, Petronella Samukelisiwe Nxumalo, Zama Pinky Nxumalo, Motlatso Godongwana, Nomasonto Radebe, Nellie Myburgh, Sunday A. Adedini, and Clare Cutland. 2022. "Assessing Community Acceptance of Maternal Immunisation in Rural KwaZulu-Natal, South Africa: A Qualitative Investigation" Vaccines 10, no. 3: 415. https://doi.org/10.3390/vaccines10030415

APA Style

Chimukuche, R. S., Ngwenya, N., Seeley, J., Nxumalo, P. S., Nxumalo, Z. P., Godongwana, M., Radebe, N., Myburgh, N., Adedini, S. A., & Cutland, C. (2022). Assessing Community Acceptance of Maternal Immunisation in Rural KwaZulu-Natal, South Africa: A Qualitative Investigation. Vaccines, 10(3), 415. https://doi.org/10.3390/vaccines10030415

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