Health Literacy: a crucial determinant of vaccination decision-making

We read with interest the Review by Buchy et al. (2020) summarizing the evidence on the micro (patients, healthcare workers), meso (vaccine manufacturers), and macro (wider society) determinant sof influenza vaccination in pregnant women worldwide. We agree with the authors that improvements in vaccination coverage could be gained with better training for health care workers about communicating the benefits of vaccination and the risks associated with influenza infection, as well as education about such benefits to pregnant women