Human papillomavirus vaccination in rural Malawi: Identifying factors associated with vaccine uptake using a community-based household survey

Human Vaccines & Immunotherapeutics, Journal Year: 2025, Volume and Issue: 21(1)

Published: April 3, 2025

Uptake of the human papillomavirus (HPV) vaccine is suboptimal globally. Effective interventions are needed to meet global goal vaccinating 90% girls against HPV, and this requires a robust understanding barriers uptake. Using household survey in three communities Malawi with parents/guardians aged 9-13 years, we collected analyzed data about intervention-amenable factors hypothesized be associated girls' HPV vaccination status. The 299 parent/guardian respondents provided information on 382 whom 39.0% (n = 149) had received ≥ 1 dose vaccine. More than half were concerned vaccine's safety. Greater hesitancy was having an unvaccinated daughter adjusted multilevel models (aOR 0.69 [95% CI 0.50-0.93]). Higher odds being vaccinated found among daughters greater knowledge who knew someone cervical cancer. Speaking more people cancer/HPV vaccination, perceiving that other parents their strongly daughters' status 2.03 1.59-2.62] 3.68 1.97-7.18, respectively). Most not experienced, or did anticipate experiencing, challenges accessing services, but those also lower vaccination. Interventions leverage social networks norms, increase confidence safety, work improve access may coverage Malawi.

Language: Английский

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Vaccination willingness, vaccine hesitancy, and estimated coverage of SARS‐CoV‐2 vaccine among healthcare workers in Tanzania: A call for action

Immunity Inflammation and Disease, Journal Year: 2023, Volume and Issue: 11(12)

Published: Dec. 1, 2023

Abstract Background The global COVID‐19 pandemic presented an immense obstacle to public health, with vaccination emerging as a crucial measure curb transmission. This study aimed evaluate the willingness, hesitancy, and coverage of SARS‐CoV‐2 vaccines among healthcare workers (HCWs) in Tanzania reveal their concerns about reasons that might prevent them from getting vaccinated. Methods We conducted cross‐sectional using anonymous online survey October November 2022. multivariate logistic regression model explored factors associated vaccine coverage. Results included 560 HCWs, largest group being doctors (47.9%), followed by nurses (26.9%) other HCWs (25.2%). A total 70.5% reported vaccinated against SARS‐CoV‐2. primary driver for was collective responsibility. 81.4% willing accept vaccines, while 62.5% hesitancy. higher educational qualifications were likelier take vaccine, respondents aged 18–30 years had highest refusal (71.9%). also investigated role source information promote uptake. 79.4% provided advice on vaccines. Conclusion To increase acceptance general population, targeted messaging is needed deliver transparent safety, efficacy, development.

Language: Английский

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Sex and COVID-19 vaccination uptake and intention in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda

Frontiers in Global Women s Health, Journal Year: 2024, Volume and Issue: 5

Published: June 12, 2024

The introduction of vaccines marked a game changer in the fight against COVID-19. In sub-Saharan Africa, studies have documented intention to vaccinate and uptake COVID-19 vaccines. However, little is about how sex differences could impacted vaccination. We conducted multi-country cross-sectional study assess vaccine Democratic Republic Congo (DRC), Nigeria, Senegal, Uganda. This involved analysis data from mobile surveys between March June 2022 among nationally constituted samples adults each country. Bivariate multivariable logistic regression models were run. self-reported was not significantly different males females ( p = 0.47), while higher 0.008). Among males, obtaining information health workers, testing for COVID-19, having high trust Ministry Health associated with vaccination uptake. females, government For vaccinate, who resided semi-urban areas rural had compared their counterparts urban areas. Other factors positively World Organization perceived truthfulness institutions, households socio-economic index those declined before lower intention. Overall, differentiating mostly related respondent's residence. These are key guiding tailoring interventions increase Africa similar contexts.

Language: Английский

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A Systematic Review of Factors Associated with COVID-19 Vaccine Uptake, Hesitancy, and Acceptability Among Adults with HIV: Implications for Integrating COVID-19 Immunization into HIV Care

AIDS Patient Care and STDs, Journal Year: 2024, Volume and Issue: unknown

Published: July 26, 2024

The COVID-19 virus, once a public health emergency, is now endemic. Immunization remains an important measure for mitigating high levels of disease, morbidity, and mortality related to infection. People with HIV (PWH), in particular, benefit from vaccination because increased risk severe However, previous data suggest vaccine hesitancy among this population. Given context the evolving epidemiology COVID-19, review examines factors associated hesitancy, acceptability, uptake adults HIV. Through systematic search electronic databases, we identified 56 peer-reviewed articles published between years 2020 2023 that matched objectives our out total 797 screened citations. Among final sample articles, nearly all global regions were represented, 61% studies recruited only PWH. We eight categories outcomes, including HIV-specific (e.g., CD4 count), attitudes confidence), virus concern about infection), specific accessibility), social norms peer subjective norms), mental anxiety/depression) other psychological substance use), demographic characteristics age), history). Reflecting on these factors, discuss populations need promotion, modifiable targets intervention, integrating immunization into care. Public efforts promote PWH must include educational/informational, peer, structural interventions consider booster doses.

Language: Английский

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COVID-19 information seeking a survey of residents of Chilinde and Chinsapo Townships in Malawi

South African Journal of Libraries and Information Science, Journal Year: 2024, Volume and Issue: 90(1), P. 1 - 15

Published: Jan. 1, 2024

The Coronavirus Disease 2019 (COVID-19) outbreak spread anxiety among the general public, which was exacerbated by an excessive amount of misleading information. This study investigated behaviour Chilinde and Chinsapo residents in seeking COVID-19 used a quantitative research approach, whereby modified Health Information National Trends Survey (HINTS) questionnaire to collect data from 627 participants. Descriptive statistics were summarise characteristics participants sources types information used. Most (71.3%, n=447) reported that they had looked for about different sources. Doctors healthcare providers main on COVID-19. There 58.1% (n=364) who indicated extremely worried getting infected with It further found there limited use online platforms access Multiple logistic regression results showed male respondents higher chance having than their female counterparts. more likely have access, unlike those residing Chinsapo. recommends raising awareness masses regarding reputable crisis situations future.

Language: Английский

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After the pandemic subsides: The impact of motivation for vaccination and attitude toward COVID-19 vaccination certificate toward tourists’ travel intention

Environment and Social Psychology, Journal Year: 2024, Volume and Issue: 9(7)

Published: May 17, 2024

The COVID-19 pandemic has limited human mobility, including in matters of vacation. Governments many countries require their citizens to vaccinate reduce patients and deaths from COVID-19. On the other hand, government also provides concessions residents who want travel if they have received vaccinations. This study examines factors that influence intention tourists during pandemic. predictor used this were motivation for vaccination, perception COVID-19, risk perception, attitude toward vaccination certificate. We conducted a city on island Java, Indonesia. study’s data collection an online questionnaire, participants selected using convenient sampling method. In total, there 212 involved. processed exploratory factor analysis, confirmatory structural equation modelling. As result, significantly affected certificates. Besides, greatly influenced after subsides. deepens field tourism marketing health marketing.

Language: Английский

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Drivers of COVID-19 vaccine uptake among rural populations in Madagascar: a cross-sectional study

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Oct. 17, 2024

The WHO set the global immunisation threshold for COVID-19 at 70% to achieve worldwide protection against disease. To date, vaccine coverage is still below this threshold, in particular several sub-Saharan African (SSA) countries, such as Madagascar. While factors influencing hesitancy have been widely explored past few years, research on drivers of uptake remains scarce. This study aimed investigating associated with Boeny region

Language: Английский

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Perceptions of the COVID-19 Vaccine and Other Adult Vaccinations in Malawi: A Qualitative Assessment

Global Health Science and Practice, Journal Year: 2023, Volume and Issue: 12(Supplement 1), P. e2300146 - e2300146

Published: Dec. 1, 2023

In Malawi, various brands of the COVID-19 vaccine have been offered to population, but factors including fear side effects or other risks, uncertainty about benefits, and misinformation created hesitancy toward them. early 2022, 4% Malawians were fully vaccinated for COVID-19. Despite multiple promotion efforts, by August vaccination nationwide was around 15%. To increase uptake, research team collected qualitative data in 4 districts with coverage levels ranging from 1% 11%. This collection happened during a cholera outbreak that began March 2022 efforts address it. Study participants included male female members general social workers, people comorbidities, health community leaders (224 total, 47% female). focus group discussions (n=27) in-depth interviews (n=17), compared vaccines adult vaccines, such as tetanus toxoid. A thematic analysis identified themes related 3 questions on concerns, confidence, delivery affecting uptake. Differences promotion, (oral versus injection), card structure, boosters, being described required optional all played role distinguishing creating suspicion indifference. Barriers general, rumors knowledge gaps, amplified how novel perceived be changing guidance provided over time. By April 2023, more targeted campaign helped rates 28%. The findings contribute information individuals conceptualize make decisions vaccination, which can, turn, inform strategies integrate disease responses Malawi well routine services similar settings.

Language: Английский

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