Josephine van Dongen

7 Evaluation of implementing a targeted rotavirus vaccine program 167 Theme 1. Information provision Among HCP, 93 (72.1%) stated that the information provision was clear and 70/115 (60.9%) felt sufficiently informed about rotavirus vaccination. Among parents of vaccinated infants, 149 (85.6%) were positive about the amount of information they received and, 159 parents (91.4%) thought the provided information was clear. Five parents of unvaccinated infants (29.4%) stated they did not receive enough information to base their decision on and three found the information was unclear (17.6%). A pediatric research nurse in a secondary care facility mentioned during the interview on information provision: “ The age period for the first dose is actually no real limitation, when parents of eligible infants are properly informed at eight weeks of age there is ample opportunity to vaccinate them in time. “ (Int. HCP2). The other two interviewees mentioned parents of eligible infants were overwhelmed and wondered how much of the information provided shor tly after bir th on this new vaccine would linger. “ In the two years the project has run in both hospitals I have spoken to many parents of eligible children. Most parents were overwhelmed by the situation they were in.” (Int. HCP1) “How much information lingers shortly after delivery? ” (Int. HCP3). Explicitly focusing on the favorable characteristics of HRV administration in the information provision; being non-invasive (oral), quick, the possibility for concomitant administration with other NIP vaccines, was mentioned as facilitating factor. “… parents of young premature infants are benevolent to vaccination. Because of oral administration, they are more inclined to choose rotavirus vaccination for their child .” (Int. HCP2). Theme 2. Program execution Among HCP, 96 (76.2%) agreed to the statement “In my hospital all eligible infants are routinely informed about rotavirus vaccination” and 66 HCP (52.8%) agreed that the vaccine was routinely offered to eligible infants. Among parents of vaccinated infants, 139 (80.3%) agreed to the statement “I received timely information about rotavirus vaccination; I had sufficient time to decide whether I wanted to vaccinate my child.” whereas among parents of unvaccinated infants, eight (50.0%) agreed to this statement. Among parents of vaccinated infants, 59 parents (34.1%) agreed to the statement “I was first informed about rotavirus vaccination by a pediatric doctor/nurse as par t of standard care”, and among parents of unvaccinated infants five (38.5%) agreed. An infant related barrier was the health status of the infant during the age-window for first rotavirus vaccination, as was expressed by an on-site research nurse: “ In general the infants admitted to the tertiary center, especially in the case of severe congenital