Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Vaccination | Research article

Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: a qualitative study

Authors: Maria Ganczak, Klaudia Bielecki, Marzena Drozd-Dąbrowska, Katarzyna Topczewska, Daniel Biesiada, Agnieszka Molas-Biesiada, Paulina Dubiel, Dermot Gorman

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Ukrainians numbering approximately 1.2 million are the largest migrant group in Poland. Data on vaccination coverage among migrants are not collected in EU, including Poland. Therefore, this qualitative study aimed to identify vaccination practices in this migrant group, to explore facilitators and barriers to vaccination and related access to Polish healthcare services.

Methods

In September 2019, a qualitative study of Ukrainian migrants (UMs) living in Szczecin, Poland, and recruited through a snowball sampling method, was conducted. Using a semi-structured topic guide, four focus groups were held with 22 UMs aged 18–45. Participants were asked about their attitudes towards vaccination in general with comparison between services in Poland and Ukraine. Following transcription and translation, a thematic analysis was conducted.

Results

Respondents were distrustful of Ukrainian vaccination policy, medical personnel and individual vaccines, however, they often returned to Ukraine for dental and gynaecological appoint-ments. While critical with regards to registering with Polish GPs practices, UMs were confident in health professionals, as well as vaccine delivery. Vaccines were perceived as safer and of better quality than in Ukraine. Difficulties in translating vaccination records were rarely reported, verbal communi-cation was not problematic due to language similarities. All UM parents reported vaccinating their children according to the Polish schedule. However, a significant number of adult UMs have not completed mandatory vaccinations, although they may have obtained false immunization certificates; according to UMs those can be obtained by bribing. Participants reported lower acceptance of the influenza vaccine, mainly due to perceptions around its importance; none had been vaccinated against influenza. None of UMs had heard of the HPV vaccine. UMs experienced challenges in accessing credible online vaccination information in Ukrainian, no official local health authority vaccination material existed either, except for information about measles.

Conclusions

This study pinpointed positive UM attitudes and practices regarding child vaccination in the Polish healthcare system and identified issues for improvement, such as adult vaccination. Health communication should be more tailored within UMs information delivery systems to enable migrants to make informed choices about vaccination. Further research is needed to better assess factors affecting vaccine uptake identified in this study.
Appendix
Available only for authorised users
Literature
5.
go back to reference European Centre for Disease Prevention and Control. Review of outbreaks and barriers to MMR vaccination coverage among hard-to-reach populations in Europe. Stockholm: ECDC; 2013. European Centre for Disease Prevention and Control. Review of outbreaks and barriers to MMR vaccination coverage among hard-to-reach populations in Europe. Stockholm: ECDC; 2013.
8.
go back to reference De Vito E. A review of evidence on equitable delivery, access and utilization of immunization services for migrants and refugees in the WHO European Region. Copenhagen: WHO Regional Office for Europe (Health Evidence Network (HEN) synthesis report 53); 2017. De Vito E. A review of evidence on equitable delivery, access and utilization of immunization services for migrants and refugees in the WHO European Region. Copenhagen: WHO Regional Office for Europe (Health Evidence Network (HEN) synthesis report 53); 2017.
9.
go back to reference Delivery of immunization services for refugees and migrants. Copenhagen: WHO Regional Office for Europe; 2019 (Technical guidance on refugee and migrant health). Delivery of immunization services for refugees and migrants. Copenhagen: WHO Regional Office for Europe; 2019 (Technical guidance on refugee and migrant health).
18.
go back to reference Stefanoff P, Czarkowski MP. Measles in Poland in 2003. Przegl Epidemiol. 2005;59(2):201–7.PubMed Stefanoff P, Czarkowski MP. Measles in Poland in 2003. Przegl Epidemiol. 2005;59(2):201–7.PubMed
19.
go back to reference Gorman DR, Bielecki K, Willocks LJ, Pollock KG. A qualitative study of vaccination behaviour amongst female polish migrants in Edinburgh, Scotland. Vaccine. 2019;37(20):2741–7.CrossRef Gorman DR, Bielecki K, Willocks LJ, Pollock KG. A qualitative study of vaccination behaviour amongst female polish migrants in Edinburgh, Scotland. Vaccine. 2019;37(20):2741–7.CrossRef
23.
go back to reference Francis JJ, Johnston M, Robertson C, Glidewell L, Entwhistle V, Eccles MP, et al. What is an adequate sample size? Operationalising data saturation for theory-driven interview studies. Psychol Health. 2010;25(10):1229–45.CrossRef Francis JJ, Johnston M, Robertson C, Glidewell L, Entwhistle V, Eccles MP, et al. What is an adequate sample size? Operationalising data saturation for theory-driven interview studies. Psychol Health. 2010;25(10):1229–45.CrossRef
25.
go back to reference Saunders M, Lewis P, Thornhill A. Research methods for business students 7th ed. Hounslow: Pearson Education; 2003. p. 210–55. Saunders M, Lewis P, Thornhill A. Research methods for business students 7th ed. Hounslow: Pearson Education; 2003. p. 210–55.
26.
go back to reference Bowen GA. Naturalistic inquiry and the saturation concept: a research note. Qual Res. 2008;8(1):137–52.CrossRef Bowen GA. Naturalistic inquiry and the saturation concept: a research note. Qual Res. 2008;8(1):137–52.CrossRef
28.
go back to reference Czapka EA, Sagbakken M. “Where to find those doctors?” A qualitative study on barriers and facilitators in access to and utilization of health care services by Polish migrants in Norway. BMC Health Serv Res. 2016;16:460.CrossRef Czapka EA, Sagbakken M. “Where to find those doctors?” A qualitative study on barriers and facilitators in access to and utilization of health care services by Polish migrants in Norway. BMC Health Serv Res. 2016;16:460.CrossRef
30.
go back to reference Adams J, Bateman B, Becker F, Cresswell T, Flynn D, McNaughton R, et al. Effectiveness and acceptability of parental financial incentives and quasi-mandatory schemes for increasing uptake of vaccinations in preschool children: systematic review, qualitative study and discrete choice experiment. Health Technol Assess. 2015;19(94):1–176. https://doi.org/10.3310/hta19940.CrossRefPubMedPubMedCentral Adams J, Bateman B, Becker F, Cresswell T, Flynn D, McNaughton R, et al. Effectiveness and acceptability of parental financial incentives and quasi-mandatory schemes for increasing uptake of vaccinations in preschool children: systematic review, qualitative study and discrete choice experiment. Health Technol Assess. 2015;19(94):1–176. https://​doi.​org/​10.​3310/​hta19940.CrossRefPubMedPubMedCentral
37.
go back to reference Sime D. 'I think that polish doctors are better': newly arrived migrant children and their parents’ experiences and views of health services in Scotland. Health Place. 2014;30:86–93.CrossRef Sime D. 'I think that polish doctors are better': newly arrived migrant children and their parents’ experiences and views of health services in Scotland. Health Place. 2014;30:86–93.CrossRef
38.
go back to reference Migge B, Gilmartin M. Migrants and healthcare: investigating patient mobility among migrants in Ireland. Health Place. 2011;17:1144–9.CrossRef Migge B, Gilmartin M. Migrants and healthcare: investigating patient mobility among migrants in Ireland. Health Place. 2011;17:1144–9.CrossRef
43.
go back to reference Hardin R. Trust and trustworthiness. New York: Russell Sage Foundation Series on Trust; 2002. Hardin R. Trust and trustworthiness. New York: Russell Sage Foundation Series on Trust; 2002.
56.
go back to reference Lisek-Michalska J. Badania fokusowe. Problemy metodologiczne i etyczne. Łódź: Wydawnictwo Uniwersytetu Łódzkiego; 2013. ISBN 978-83-7525-896-7.CrossRef Lisek-Michalska J. Badania fokusowe. Problemy metodologiczne i etyczne. Łódź: Wydawnictwo Uniwersytetu Łódzkiego; 2013. ISBN 978-83-7525-896-7.CrossRef
Metadata
Title
Vaccination concerns, beliefs and practices among Ukrainian migrants in Poland: a qualitative study
Authors
Maria Ganczak
Klaudia Bielecki
Marzena Drozd-Dąbrowska
Katarzyna Topczewska
Daniel Biesiada
Agnieszka Molas-Biesiada
Paulina Dubiel
Dermot Gorman
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Vaccination
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-020-10105-9

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue