Working With Vaccine-hestiant Parents Flashcards
What percent of children will receive all routine immunisation?
> 90%
What percent of children have measles-containing vaccine exemptions
<2.5%
What are the 5 key steps in addressing vaccine hesitant parents
- Understand the key role that sound vaccine from a HCP can play in parental decision-making, and do not dismiss vaccine refuses from practice
- Use presumptive and MI techniques to understand a parent’s specific vaccine concerns
- Use simple, clear language to present evidence of disease risks and vaccine benefits, fairly and accurately
- Address pain head on
- Community protection dose not guarantee personal protection
What information factors effect parents’ decision to immunize
- Information from HCP, esp if HCP is uptodate with immunization
- Discussion about benefits, risk and VPDs
How many parents will never change their mind about immunizations?
<2%
Is it okay to withhold care from a child to prompt vaccinations?
No
What is an presumptive approach?
“Sarah needs to be immunized today”
What is motivational interviewing?
Client-centered, semi-directive, intended to change behavior
Open ended questions, affirm what’s heard, reflective listening, summarizing key components
What should you do if parents have concerns about vaccine safety?
Discuss robustness of Canada’s vaccine safety system
Tell a compelling story
Address health equity - “do you want your child to have the same health advantages you had”
What is positive framing?
Using positive gains of getting a vaccine instead of negative loss
Does herd immunity exist for all VPDs
No
Why is the “wait and see” attitude risky?
No protection when there’s disease outbreaks
For some you need more than 1 dose of a vaccine
May act too slowly to reliably protect a child - need 2-3 weeks to get protective antibody levels
Who else do immunization protect
Immunocompromised
Old people
Pregnant women
Infants too young to be immunized
