{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:46:28Z","timestamp":1792737988207,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify drivers of routine vaccination for Aboriginal and Torres Strait Islander children, from a health service provider perspective, to increase and maintain uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This qualitative study was designed, analysed and guided by Indigenous data sovereignty and governance principles. Data were analysed using inductive content analysis. Subcategories were refined using Miro (Miro Inc), an online collaboration platform. Aboriginal and Torres Strait Islander worldviews were privileged, with Aboriginal researchers leading data analysis in New South Wales (NSW) and contributing to analysis in the Northern Territory (NT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted in NSW and the NT, Australia, with health service providers from urban, rural and remote settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individual and group interviews were undertaken in person or online between 2 May and 28 August 2024, with 18 health service provider participants in the Hunter New England Local Health District in NSW and 17 health service provider participants in the NT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified six key themes addressing drivers of vaccination for Aboriginal and Torres Strait Islander children for families (knowledge, attitudes and information sources; decision\u2010making), health staff (workforce roles, responsibilities and relationships) and health services (improving access; health service operations; data for decision\u2010making). Providers recommended strategies to improve uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Health service providers in urban, rural and remote locations in Australia can provide valuable insights to inform tailored strategies to improve declining vaccine coverage for Aboriginal and Torres Strait Islander children, aligned with the priorities of the National Immunisation Strategy 2025\u20132030.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5694\/mja2.70233","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:44:18Z","timestamp":1782920658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Drivers of Vaccine Uptake for Aboriginal and Torres Strait Islander Children to Inform Tailored Strategies: A Qualitative Study Exploring Health Service Provider Perspective"],"prefix":"10.5694","volume":"224","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3292-5900","authenticated-orcid":false,"given":"Bianca F.","family":"Middleton","sequence":"first","affiliation":[{"name":"Global and Tropical Health Menzies School of Health Research  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristy","family":"Crooks","sequence":"additional","affiliation":[{"name":"Population Health Hunter New England Local Health District  Wallsend New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Taylor","sequence":"additional","affiliation":[{"name":"Population Health Hunter New England Local Health District  Wallsend New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Harwood","sequence":"additional","affiliation":[{"name":"Population Health Hunter New England Local Health District  Wallsend New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina K.","family":"Clark","sequence":"additional","affiliation":[{"name":"Population Health Hunter New England Local Health District  Wallsend New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Kent","sequence":"additional","affiliation":[{"name":"Global and Tropical Health Menzies School of Health Research  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"McCrory","sequence":"additional","affiliation":[{"name":"Global and Tropical Health Menzies School of Health Research  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marita","family":"Hefler","sequence":"additional","affiliation":[{"name":"National Health and Medical Research Council, Centre of Research Excellence on Achieving the Tobacco Endgame Menzies School of Health Research  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5139-4183","authenticated-orcid":false,"given":"Jessica","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Vaccine Uptake Group Murdoch Children's Research Institute  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David N.","family":"Durrheim","sequence":"additional","affiliation":[{"name":"Department of Medicine and Public Health The University of Newcastle  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margie H.","family":"Danchin","sequence":"additional","affiliation":[{"name":"Vaccine Uptake Group Murdoch Children's Research Institute  Parkville Victoria Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences Royal Children's Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)00850-X"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.18356\/9789210027557"},{"key":"e_1_2_13_4_1","volume-title":"Annual Immunisation Coverage Report 2025\u2014Summary, Key Findings on Vaccination Coverage in Children, Adolescents and Adults in Australia","author":"National Centre for Immunisation Research and Surveillance","year":"2025"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.33321\/cdi.2023.47.32"},{"key":"e_1_2_13_6_1","volume-title":"National Immunisation Strategy for Australia 2025\u20132030","author":"Department of Health, Disability and Ageing","year":"2025"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0317946"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anzjph.2024.100206"},{"key":"e_1_2_13_9_1","volume-title":"About Hunter New England Local Health District","author":"NSW Government","year":"2026"},{"key":"e_1_2_13_10_1","volume-title":"Northern Territory: Aboriginal and Torres Strait Islander Population Summary","author":"Australian Bureau of Statistics","year":"2022"},{"key":"e_1_2_13_11_1","volume-title":"Aboriginal Languages in NT","author":"Northern Territory Government","year":"2025"},{"key":"e_1_2_13_12_1","unstructured":"Microsoft Corporation \u201cMicrosoft Teams [Computer Software] \u201d2024 https:\/\/www.microsoft.com\/microsoft\u2010teams."},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3316\/informit.455663644555599"},{"key":"e_1_2_13_14_1","unstructured":"Miro Inc. \u201cMiro [Online Collaborative Software] \u201d2024 https:\/\/miro.com."},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-020-00959-3"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0815-8"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.22459\/CAEPR38.11.2016"},{"key":"e_1_2_13_19_1","unstructured":"Maiam nayri Wingara Indigenous Data Sovereignty Collective \u201cTaking Control of Our Data: A Discussion Paper on Indigenous Data Governance for Aboriginal and Torres Strait Islander People and Communities \u201dDiscussion Paper Lowitja Institute Melbourne https:\/\/doi.org\/10.48455\/rtvd\u20107782."},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/11771801241235418"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2024-015433"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10111893"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines12101151"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.04.085"},{"key":"e_1_2_13_25_1","volume-title":"Behavioural and Social Drivers of Vaccination: Tools and Practical Guidance for Achieving High Uptake","author":"World Health Organization","year":"2022"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2024.2359623"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3086-x"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2019.07.066"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18995-9"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13472"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11371-8"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12937"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anzjph.2025.100274"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC26025"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-024-00942-9"}],"container-title":["Medical Journal of Australia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.5694\/mja2.70233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.5694\/mja2.70233","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.5694\/mja2.70233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T02:06:43Z","timestamp":1785377203000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.5694\/mja2.70233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":34,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.5694\/mja2.70233"],"URL":"https:\/\/doi.org\/10.5694\/mja2.70233","archive":["Portico"],"relation":{},"ISSN":["0025-729X","1326-5377"],"issn-type":[{"value":"0025-729X","type":"print"},{"value":"1326-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70233"}}