Page 117 - Preventing pertussis in early infancy - Visser

Implications of this thesis
The findings of this thesis lead to recommendations for public health practice, policy and future research, which are summarised below.
Recommendations for public health practice and policy
Development of vaccination programmes
In the development or adaptation of vaccination programmes it is important to align the programme components with the most relevant and changeable determinants that are applicable for the programme-specific vaccine, target group and setting. Using an approach which systematically integrates behavioural change theories, literature and practice is key in the design of future vaccination programmes or the adaptation of existing programmes. Intervention Mapping is such a method where input from theory, evidence and practice is systematically applied.
The determinants of vaccination acceptance differs for each vaccine, target group and setting. Our theoretical framework provides concrete measurable concepts and is thoroughly connected with psychological theories of behavioural change. We expect this framework to cover a broad range of vaccination determinants and thereby to be able to measure the most important determinants of vaccination acceptance for every vaccination situation.
Recommendation 1: We recommend to use the theoretical framework we presented in the process of development or adaptation of vaccination programmes. Our theoretical framework can assist in identifying the determinants that a theory- and evidence-based vaccination programme should account for.
Recommendation 2: Upon implementation of pertussis vaccination for HCWs, we recommend to use the outline for the vaccination programme as described in chapter 6, and adapt it to include other ecological levels and specific organisational factors. If implementation of pertussis vaccination for parents should become opportune, we recommend using an Intervention Mapping approach and the determinants presented in the chapters 2 and 4.
Experience, information and trust
It became clear that the experiences respondents had, played a part in how they viewed a vaccination offer. Also, respondents of our studies indicated to perceive information from public health providers as biased. This indicates that a potentially restricted influence is to be expected from information delivered by public health providers. Furthermore, respondents indicated to have the need to know what information to trust, and what to distrust. Our research showed that there is a gap to be filled, because some respondents were unable to determine the trustworthiness of information from existing sources.
Recommendation 3: We recommend to address previous experiences when designing a 119
General discussion
General discussion
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