Tactics employed by healthcare providers in Denmark to determine the vaccination needs of asylum-seeking children: a qualitative study
Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explor...
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| Published in | BMC health services research Vol. 18; no. 1; p. 859 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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England
BioMed Central Ltd
14.11.2018
BioMed Central BMC |
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| Abstract | Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children.
To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis.
The analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate.
This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. |
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| AbstractList | Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children.
To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis.
The analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate.
This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. Background Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. Methods To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis. Results The analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate. Conclusions This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. Keywords: Refugee children, Asylum-seeking children, Immunization, Vaccination, Healthcare workers, Tactics, Denmark Abstract Background Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. Methods To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis. Results The analysis revealed that healthcare providers adopt a number of tactics to ascertain children’s immunization needs. They ask into the children’s vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate. Conclusions This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. Background Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. Methods To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis. Results The analysis revealed that healthcare providers adopt a number of tactics to ascertain children’s immunization needs. They ask into the children’s vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate. Conclusions This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis. The analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate. This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. BACKGROUNDMany asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children.METHODSTo explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis.RESULTSThe analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate.CONCLUSIONSThis is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records. |
| ArticleNumber | 859 |
| Audience | Academic |
| Author | Nakken, Cathrine S Norredam, Marie Skovdal, Morten |
| Author_xml | – sequence: 1 givenname: Cathrine S surname: Nakken fullname: Nakken, Cathrine S organization: Danish Research Center for Migration, Ethnicity and Health, Section for Health Services, Research, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, København K, Denmark – sequence: 2 givenname: Marie surname: Norredam fullname: Norredam, Marie organization: Section of Immigrant Medicine, Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre Hospital, Hvidovre, Denmark – sequence: 3 givenname: Morten orcidid: 0000-0002-2068-1814 surname: Skovdal fullname: Skovdal, Morten email: m.skovdal@gmail.com organization: Danish Research Center for Migration, Ethnicity and Health, Section for Health Services, Research, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, København K, Denmark. m.skovdal@gmail.com |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30428869$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_jmh_2024_100219 crossref_primary_10_3389_fpubh_2021_686773 crossref_primary_10_1016_j_vaccine_2020_02_025 crossref_primary_10_1177_1059840520978197 crossref_primary_10_1016_j_srhc_2022_100785 crossref_primary_10_1016_S1473_3099_22_00066_4 crossref_primary_10_21615_cesp_6618 |
| Cites_doi | 10.3390/ijerph120911640 10.3362/9781780448534 10.1007/s15010-016-0926-7 10.1016/j.vaccine.2009.02.009 10.1111/j.1440-1754.2011.02099.x 10.1177/146879410100100307 10.1136/jamia.1999.0060368 10.1016/j.arcped.2013.12.003 10.1093/cid/cis927 10.7326/0003-4819-126-5-199703010-00008 10.1016/B978-0-323-03454-8.50017-6 10.1016/j.puhe.2018.02.018 |
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| Copyright | COPYRIGHT 2018 BioMed Central Ltd. 2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Author(s). 2018 |
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| Keywords | Tactics Asylum-seeking children Immunization Vaccination Denmark Healthcare workers Refugee children |
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| References_xml | – ident: 3661_CR10 – volume: 12 start-page: 11640 issue: 9 year: 2015 ident: 3661_CR7 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph120911640 contributor: fullname: F Riccardo – volume-title: Qualitative research for development: a guide for practitioners year: 2015 ident: 3661_CR13 doi: 10.3362/9781780448534 contributor: fullname: M Skovdal – volume-title: The practice of everyday life (S. Rendall, Trans.) year: 1984 ident: 3661_CR9 contributor: fullname: M De Certeau – volume-title: Compilation of data, situation and media reports on children in migration year: 2017 ident: 3661_CR1 contributor: fullname: European Commission – ident: 3661_CR3 – volume-title: Børnevaccinationsprogrammet i Danmark year: 2016 ident: 3661_CR5 contributor: fullname: National Board of Health – volume: 44 start-page: 781 issue: 6 year: 2016 ident: 3661_CR6 publication-title: Infection doi: 10.1007/s15010-016-0926-7 contributor: fullname: A Jablonka – volume-title: A review of evidence on equitable delivery, access and utilization of immunization services for migrants and refugees in the WHO European region year: 2017 ident: 3661_CR4 contributor: fullname: E De Vito – volume: 27 start-page: 2563 issue: 19 year: 2009 ident: 3661_CR21 publication-title: Vaccine doi: 10.1016/j.vaccine.2009.02.009 contributor: fullname: C Poethko-Müller – volume: 47 start-page: 888 issue: 12 year: 2011 ident: 3661_CR8 publication-title: J Paediatr Child Health doi: 10.1111/j.1440-1754.2011.02099.x contributor: fullname: GA Paxton – volume: 1 start-page: 385 issue: 3 year: 2001 ident: 3661_CR14 publication-title: Qual Res doi: 10.1177/146879410100100307 contributor: fullname: J Attride-Stirling – ident: 3661_CR20 – volume: 94 start-page: 290 issue: 10 year: 2011 ident: 3661_CR17 publication-title: Med Health Rhode Island contributor: fullname: D-J Watts – volume: 6 start-page: 368 issue: 5 year: 1999 ident: 3661_CR12 publication-title: J Am Med Inform Assoc doi: 10.1136/jamia.1999.0060368 contributor: fullname: JG Ozbolt – volume: 21 start-page: 329 issue: 3 year: 2014 ident: 3661_CR19 publication-title: Arch Pediatr doi: 10.1016/j.arcped.2013.12.003 contributor: fullname: J-V de Monléon – volume: 56 start-page: 652 issue: 5 year: 2012 ident: 3661_CR16 publication-title: Clin Infect Dis doi: 10.1093/cid/cis927 contributor: fullname: SJ Chai – volume: 126 start-page: 389 issue: 5 year: 1997 ident: 3661_CR11 publication-title: Ann Intern Med doi: 10.7326/0003-4819-126-5-199703010-00008 contributor: fullname: CD Mulrow – start-page: 151 volume-title: Immigrant Medicine year: 2007 ident: 3661_CR18 doi: 10.1016/B978-0-323-03454-8.50017-6 contributor: fullname: Elizabeth D. Barnett – volume: 158 start-page: 110 year: 2018 ident: 3661_CR15 publication-title: Public Health doi: 10.1016/j.puhe.2018.02.018 contributor: fullname: CS Nakken – volume: 59 start-page: A4352 issue: 1 year: 2012 ident: 3661_CR22 publication-title: Dan Med J contributor: fullname: HW Frederiksen – volume-title: Tal og fakta på udlændingeområdet 2016: Udlændingestyrelsen year: 2017 ident: 3661_CR2 contributor: fullname: Udlændingestyrelsen |
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| Snippet | Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result... Background Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes... BACKGROUNDMany asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes... Abstract Background Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine... |
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| SubjectTerms | Adolescent Aged Allied Health Personnel - organization & administration Asylum-seeking children Care and treatment Child Child, Preschool Children & youth Denmark Documentation Families & family life Female Health care Health Personnel - organization & administration Health services Healthcare workers Humans Immunization Infant Interviews Male Measles Medical care needs assessment Medical personnel Medical screening Methods Middle Aged Needs Assessment Nurses Parents Professional ethics Professional Practice - organization & administration Public health Qualitative Research Referral and Consultation Refugee children Refugees Refugees - statistics & numerical data Tactics Vaccination Vaccines |
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| Title | Tactics employed by healthcare providers in Denmark to determine the vaccination needs of asylum-seeking children: a qualitative study |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/30428869 https://www.proquest.com/docview/2135212668/abstract/ https://search.proquest.com/docview/2133823460 https://pubmed.ncbi.nlm.nih.gov/PMC6236986 https://doaj.org/article/a14a9516e07e4afa8ba5a78d2b5b3064 |
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