Page 29 - Preventing pertussis in early infancy - Visser
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If people (i.e. government employees, OV) have come up with this solution, I guess it will be all right.
–Parent
Further, other participants had rather critical beliefs about vaccination in general. Their arguments belonged to three groups. First, they criticised the necessity of new vaccines. They asked themselves: ‘where will it all end?’ They wondered if cocooning just reflected a lobby of the pharmaceutical industry promoting the use of a new vaccine. Second, the participants were suspicious of vaccination in the sense that it was ‘not natural’. Some perceived a vaccination as ‘rubbish that is injected into your body’. Third, some participants claimed that naturally overcoming an infection would improve their health. Notably, most respondents with this critical mindset were professionals.
Isn't it supported by an enormous politically motivated group, or a pharmacological group that has earned lots of money with it?
–Neonatal care nurse
Moral norm
While evaluating their intention to accept pertussis vaccination for cocooning if it were offered to them, the participants’ moral norms seemed to influence them. They gave arguments about their feelings of responsibility and the justification of the programme.
Responsibility
Both professionals and parents said they felt a responsibility towards the infant at risk, and they took this into account when deciding about vaccination. Some professionals related this responsibility to their roles as professionals and said they would accept vaccination as a part of their profession. In contrast, others said that vaccination belonged to the personal domain, and they refused to accept it as a part of their profession. Some parents also felt obliged to set an example by accepting vaccination. They asked themselves: ‘If we don’t accept vaccination, why would others?’
And for the family too. I don't think it looks very professional if you are the one who infects the child.... It is our priority to protect the child... Being there to take care of the child and at the same time infecting it would be rather contradictory.
–Maternity assistant
Justice
In considering whether to accept a possible future pertussis vaccination, the respondents (mainly the professionals) said that they needed to feel that being asked to accept vaccination was fair. Some asked themselves if they thought it fair that they had to take responsibility for the health of a baby by getting vaccinated if parents, in their eyes, did not act responsibly (if they refused vaccination themselves, smoked, or bottle-fed the newborn). Other respondents said it was unfair that healthcare professionals were ‘always’
Qualitative Study
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