Knowledge, Attitudes and Perceptions About Influenza Vaccination Among Pregnant Women in Kuwait

Maternal influenza vaccination (MIV) is the most effective measure of preventing severe influenza-related complications in pregnant women. However, there is limited knowledge about MIV uptake in Kuwait. This study aimed to assess pregnant women’s knowledge, attitudes, and perceptions regarding MIV uptake and provision. Methods: A cross-sectional online survey, based on the TIP-FLU framework, was conducted among 272 pregnant and recently delivered women attending government maternity hospitals and antenatal clinics across Kuwait. Results: The influenza vaccination rate was low, with only 8.1% of participants vaccinated. Additionally, 58.8% of participants had a knowledge score on influenza infection and prevention below the median, while 92% had a knowledge score on MIV uptake below the median. Furthermore, 63% reported that their healthcare providers (HCPs) did not recommend MIV. Participants expressed neutral responses regarding social relationships, media, and religion as influences on MIV uptake (median=3.0; IQRs=2.0, 1.0) on a 1–5 scale. Strategies to improve uptake were identified, with participants emphasising the importance of obstetricians recommending MIV during pregnancy (median=5.0; IQR=1.0). They also highlighted the need for accessible educational materials, such as posters, leaflets, or social media content from the Ministry of Health (median=5.0; IQR=1.0). Conclusions: Health promotion campaigns are needed to increase MIV awareness and acceptance among pregnant women. Further research is required to explore MIV provision and uptake from HCPs’ perspectives.