PDF(Pubmed)
Abstract：
In Aotearoa New Zealand, there has been a marked decrease in the uptake of routine childhood vaccinations since the onset of the COVID-19 pandemic, particularly among Māori and Pacific children. This Māori and Pacific-centered research used an interpretive description methodology. We undertook culturally informed interviews and discussions with Māori and Pacific caregivers (n = 24) and healthcare professionals (n = 13) to understand their perceptions of routine childhood vaccines. Data were analyzed using reflexive thematic analysis and privileged respective Māori and Pacific worldviews. Four themes were constructed. \"We go with the norm\" reflected how social norms, health personnel and institutions promoted (and sometimes coerced) participants\' acceptance of routine vaccines before the pandemic. \"Everything became difficult\" explains how the pandemic added challenges to the daily struggles of whānau (extended family networks) and healthcare professionals. Participants noted how information sources influenced disease and vaccine perceptions and health behaviors. \"It needed to have an ethnic-specific approach\" highlighted the inappropriateness of Western-centric strategies that dominated during the initial pandemic response that did not meet the needs of Māori and Pacific communities. Participants advocated for whānau-centric vaccination efforts. \"People are now finding their voice\" expressed renewed agency among whānau about vaccination following the immense pressure to receive COVID-19 vaccines. The pandemic created an opportune time to support informed parental vaccine decision-making in a manner that enhances the mana (authority, control) of whānau. Māori and Pacific-led vaccination strategies should be embedded in immunization service delivery to improve uptake and immunization experiences for whānau.
摘要：
在新西兰Aotearoa,自COVID-19大流行以来，儿童常规疫苗接种的摄入量显着下降，特别是在毛利人和太平洋儿童中。这项以毛利人和太平洋为中心的研究使用了解释性描述方法。我们与毛利人和太平洋照顾者（n=24）和医疗保健专业人员（n=13）进行了文化知情的访谈和讨论，以了解他们对常规儿童疫苗的看法。使用反身主题分析和各自的毛利人和太平洋世界观对数据进行了分析。构建了四个主题。“我们遵循规范”反映了社会规范，卫生人员和机构在大流行前促进(有时是胁迫)参与者接受常规疫苗。“一切都变得困难”解释了大流行如何为whhānau（大家庭网络）和医疗保健专业人员的日常斗争增加了挑战。与会者注意到信息来源如何影响疾病和疫苗的看法和健康行为。“它需要采取针对种族的方法”强调了以西方为中心的战略的不适当性，这些战略在最初的大流行应对中占主导地位，无法满足毛利人和太平洋社区的需求。与会者提倡以whānau为中心的疫苗接种工作。“人们现在正在寻找自己的声音，”在接受COVID-19疫苗的巨大压力之后，whānau对疫苗接种表示了新的代理。大流行创造了一个适当的时间，以增强法力（权威，控制）whānau。毛利人和太平洋地区主导的疫苗接种策略应纳入免疫服务的提供中，以改善whānau的吸收和免疫经验。
