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Increasing uptake of maternal pertussis vaccinations through funded administration in community pharmacies

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From Māori Health Review Issue 96
Authors:
  • Howe AS et al.
Summary:

Pharmacy funding for pertussis vaccination during pregnancy increases uptake, particularly for Māori women, according to a comparison of demographically similar regions in New Zealand. The pertussis vaccine was funded at pharmacies from November 2016 in the Waikato region, but not in Northland or Hawkes Bay. The National Immunisation Register, general practice and pharmacy claims data, and a maternity database were used to identify pertussis vaccination rates during pregnancy in these regions. Compared with the period November 2015 to October 2016, the odds of pertussis vaccination during pregnancy increased to a greater extent in the Waikato (odds ratio 2.07; 95% CI 1.89-2.27) than Northland or Hawkes Bay (odds ratio 1.67; 95% CI 1.52-1.84) over the period November 2016 to October 2019. The vaccination rate was lower for Māori versus non-Māori, but increased to a great extent in the Waikato compared with Northland or Hawkes Bay.

Comment:
As you will have read/heard, childhood immunisation rates in Aotearoa have dropped over the past two years, but more so for tamariki Māori. Possible solutions, such as the one described in this paper, must be monitored for equity, and if successful, supported in communities most likely to benefit.
Reference: Vaccines (Basel). 2022;10(2):150.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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