Behavioral Insights from Vaccine Adoption in Nigeria: Cross-Sectional Survey Findings (Preprint) DOI
Sohail Agha, Ifeanyi Nsofor, Drew Bernard

et al.

Published: April 2, 2023

BACKGROUND To generate behavioral insights for the development of effective vaccination interventions, we need approaches that combine rapid and inexpensive survey data collection with instruments based on easy-to-use behavior models. This study demonstrates how an digital helped identify drivers COVID-19 in Nigeria. OBJECTIVE aims to illustrate can be generated through surveys. METHODS We designed conducted a cross-sectional multistage sampling. Data were collected from Nigerians (aged ≥18 years) 120 strata age, sex, state, urban or rural location. Respondents recruited via advertisements Meta platforms (Facebook Instagram) using Virtual Lab open-source tool. used Messenger chatbot collection; participants compensated 400 naira (US $0.87 cents). took 2 weeks. In total, 957 respondents completed survey, at advertising cost US $1.55 per respondent. An 18-item instrument measuring core motivators, ability barriers, sociodemographic characteristics, respondents’ status was pretested before collection. ran separate logistic regression models examine relationships between vaccine uptake variables. A final model predicted included all 3 sets RESULTS About 56% (n=540) reported they had received least 1 vaccination. Three motivators positively associated uptake: belief promised better life (adjusted odds ratio [aOR] 3.51, 95% CI 2.23-5.52), would allow do more things enjoyed (aOR 1.97, 1.33-2.93), perception their friends family members accepted decision get vaccinated 1.62, 1.06-2.48). Two barriers negatively cost- income-related concerns lowered being 0.35, 0.24-0.50) lack availability vaccines places routinely visited also 0.29, 0.21-0.40). After adjusting other variables, perceived fear getting hardship disease no longer uptake. CONCLUSIONS These findings suggest hope is important than when it comes adoption, enjoying worrying about disease, approval powerful disapproval. emphasizing benefits leading fuller after likely succeed increasing Nigerians’ COVID-19. identifies very different set factors adoption previous Nigerian studies.

Language: Английский

Willingness to accept malaria vaccines amongst women presenting at outpatient and immunization clinics in Enugu state, Southeast Nigeria DOI Creative Commons

Awoere T. Chinawa,

Edmund Ndudi Ossai, Vivian Ozoemena Onukwuli

et al.

Malaria Journal, Journal Year: 2024, Volume and Issue: 23(1)

Published: April 25, 2024

There are giant steps taken in the introduction of novel malaria vaccine poised towards reducing mortality and morbidity associated with malaria.

Language: Английский

Citations

9
A systematic review of measures of healthcare workers’ vaccine confidence DOI Creative Commons
Kofoworola O. Akinsola, Ayobami A. Bakare, Elisa Gobbo

et al.

Human Vaccines & Immunotherapeutics, Journal Year: 2024, Volume and Issue: 20(1)

Published: March 20, 2024

Healthcare workers (HCW) perceptions toward vaccines influence patient and community vaccine decision making. In an era of rising hesitancy, understanding HCW confidence is critical. This systematic review aims to instruments that have been validated measure confidence. We conducted a search in five databases June 2023. Data was descriptively synthesized. Twelve articles describing 10 different tools were included. Most included dimensions or items on knowledge (n = 9), safety 8), usefulness recommendation behavior self-vaccination practice 7). All, except one study, high-income countries. There variability the quality validation process. limited existing literature development for Based currently available, Pro-VC-Be tool most well validated. Further research needs include low- middle-income contexts.

Language: Английский

Citations

7
Vaccine inequity: a threat to Africa’s recovery from COVID-19 DOI Creative Commons
Calvin R. Wei,

Samuel Kamande,

Godwin C. Lang’at

et al.

Tropical Medicine and Health, Journal Year: 2023, Volume and Issue: 51(1)

Published: Dec. 19, 2023

Abstract Background Vaccine inequity is a reality facing the Sub-Saharan Africa region as vaccine nationalism from high-income countries (HICs) leads to limited access lifesaving vaccines needed end pandemic. In Africa, significant portion of population has yet be vaccinated against Covid-19; however, barriers accessing such vaccines, including capacity challenges, still persist despite implementation COVAX facility meant support lower- and middle-income (LMICs) boost vaccination. Methods This study involved systemic narrative review where literature search was conducted using NCBI’s PMC BMC databases based on defined keywords. Three authors were in consensus applied settle disagreements validate findings. Results this systematic review, we report that remains challenge for LMICs HICs hoard even bypass procure doses directly manufacturers. Factors promote hesitancy include misinformation regarding Covid-19 vaccine, lack trust politicians pharmaceutical industry, concerns about safety efficacy. The policies implemented enhance coverage mandates, community engagement, partnerships, all seek equity vaccination ending Covid-19. Conclusion persists contributes prolonged pandemic LMICs. response, African governments have taken certain measures uptake but more needs done address resistance vaccines.

Language: Английский

Citations

14
COVID-19 Vaccine Hesitancy: A Content Analysis of Nigerian YouTube Videos DOI Creative Commons
M. S. Sadiq, Stephen M. Croucher, Debalina Dutta

et al.

Vaccines, Journal Year: 2023, Volume and Issue: 11(6), P. 1057 - 1057

Published: June 2, 2023

Vaccination is key to developing herd immunity against COVID-19; however, the attitude of Nigerians towards being vaccinated stalled at 70% vaccination target. This study engages Theory Planned Behaviour analyse tone Nigerian YouTube headlines/titles, and users' comments examine causes COVID-19 vaccine hesitancy. videos uploaded between March 2021 December 2022 were analysed using a content analytic approach. Results show 53.5% had positive tone, while 40.5% negative, 6% neutral. Second, findings indicate most neutral (62.6%), 32.4%, 5% positive. From antivaccine themes, analysis shows people's lack trust in government on vaccines (15.7%) presence conspiracy theories mostly related expressions religion biotechnology (46.08%) main hesitancy Nigeria. The presents implications for theory recommends ways governments develop better communication strategies.

Language: Английский

Citations

10
Intention to receive new vaccines post-COVID-19 pandemic among adults and health workers in Lusaka, Zambia DOI Creative Commons
Anjali Sharma, Andrew D. Kerkhoff,

Mwiza Haambokoma

et al.

Vaccine, Journal Year: 2025, Volume and Issue: 50, P. 126846 - 126846

Published: Feb. 11, 2025

To estimate intention to receive newly introduced adult vaccines among community members and healthcare workers (HCWs) in Lusaka, Zambia the context of previous COVID-19 vaccine uptake perceived disease threat and, identify trusted sources information. We conducted a cross-sectional survey random sample convenience HCWs from 13 November 15 December 2023. evaluated future vaccination intentions by self-reported uptake, role, type (COVID-19 booster, HIV, tuberculosis, malaria, pneumonia, diarrheal disease) source information using adjusted, mixed effects Poisson regression adjusted probability models. enrolled 395 (79.2 %) 104 (20.8 (N = 499). There was high new (mean score 83.6 86.0 %), though varied type. Prior (0, 1, 2+ doses) impacted novel (43.3 %, 62.8 79.7 respectively) but were not associated with any other types. Intention strongly severity susceptibility as well age, sex, education, household income. Social media lower overall members, while health system higher vaccines. Government highly all participants. did predict non-COVID-19 Zambia. Perceived select socio-demographic factors key predictors, suggesting need for rapid research design communication strategies per target population.

Language: Английский

Citations

0
Improving Vaccination Coverage through Access to Vaccination Services in Community Pharmacies: A Case Study of Nigeria’s Situation DOI Creative Commons
Yejide Olukemi Oseni

IntechOpen eBooks, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 19, 2025

Vaccination as a health intervention is one of the most successful and cost-effective methods addressing preventable disease. Community pharmacies are easily accessible healthcare facilities placed to help improve capacity effectiveness services. Globally, use community deliver vaccination services has been hampered by several factors policies that do not support pharmacists’ participation. With advent COVID-19 pandemic, many developed countries have included pharmacists in coverage. However, challenges still occur developing countries. This paper assessed perception pharmacists, perceived benefits, potential barriers take up this extended role. It described delivery pharmacies, how their involvement impacted coverage, experience can be used policy revisions recognizing delivery.

Language: Английский

Citations

0
Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria DOI Creative Commons
Adewale Victor Opayele, Adeniyi Francis Fagbamigbe, Chinwe Lucia Ochu

et al.

Journal of Public Health in Africa, Journal Year: 2025, Volume and Issue: 16(1)

Published: April 26, 2025

Vaccine hesitancy among healthcare workers (HCWs) hinders coronavirus disease 2019 (COVID-19) control efforts. The aim of the study was to assess enhancers and barriers uptake COVID-19 vaccine HCWs in Ibadan, Nigeria. Health facility-based cross-sectional a metropolitan city Oyo state, A questionnaire administered using REDCap assessed HCW vaccination status, attitudes access Behavioural Social drivers (BeSD) framework. Data analysis performed STATA version 17 included descriptive statistics modified Poisson regression. Of 1227 recruited, 82.8% received at least one dose. higher older compared those below 25 years (45-54 years: prevalence ratio [PR] = 1.20, 95% confidence interval [CI]: 1.09, 1.33 ≥ 55 PR 1.17, CI: 1.05, 1.30) private health centres (PR 1.15, 1.08, 1.22). Most (83.5%) believed for infectious diseases, but only 61.9% felt same about vaccines. major reasons unvaccinated beliefs that development authorisation were rushed (47 [26.1%]) concerns serious side effects (32 [17.8%]). This found uncertainty safety is key barrier its uptake. Therefore, targeted education communication strategies improve are crucial. identifies why Nigeria hesitant getting vaccinated. information can help rates this group. It fits with journal's focus on making African public responses stronger.

Language: Английский

Citations

0
Covid-19 vaccine hesitancy among the working population in urban areas of Benue State, North-Central Nigeria DOI Creative Commons

Samuel Olusegun Itodo,

Stephen Olaide Aremu, Jeremiah John Oloche

et al.

Deleted Journal, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 26, 2025

Language: Английский

Citations

0
The impact of strengthened ward development committees on utilisation of reproductive maternal and child health services in Bayelsa State, Nigeria DOI Creative Commons
Chijioke Kaduru,

Ganiyat Eshikhena,

Eghe Abe

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 29, 2025

Maternal and Child Health (MCH) conditions continue to be a major public health concern in low- middle-income countries (LMICs), which account for 94% of maternal deaths worldwide. Despite documented successes from government interventions at all levels, child mortality remains high Nigeria. The purpose this study is assess the impact strengthened Ward Development Committees (WDCs) on use reproductive services specific local area (LGA) Bayelsa State, A quasi-experimental design without control group was used, with data collected baseline, midline endline using pre-posttest questionnaire. This determine outcome WDC State's Kolokuma/Opokuma LGA. Existing WDCs were by providing funding, Reproductive, Maternal, Newborn, Child, Adolescent Nutrition (RMNCH + N) commodities, outreach, human resource support, technical assistance. Caregivers children between ages 0 59 months randomly selected participate study. Cochrane Friedman test used analyse changes over time key indicators, statistical significance set P < 0.05, while logistic regression examine influence socio-demographic factors service utilisation. Following intervention, significant improvements observed reproductive, maternal, (RMCH) indicators. Family planning utilisation increased markedly 0% baseline 62% (P 0.001). Similarly, proportion facility deliveries rose 46 72% 0.001), antenatal care (ANC) attendance four or more visits improved 78 92% Postnatal (PNC) also showed increase, 52% 93% Logistic analysis further revealed that women aged 31-40 years significantly likely utilise family compared those 15-20 (OR = 5.29; 95% CI: 1.61-17.36; 0.0059). Marital status had strong influence, single demonstrating higher odds married 6.39; 2.81-14.50; strengthening intervention led utilisation, uptake, postnatal attendance. Socio-demographic such as age marital important determinants older these services. However, declines caregivers' knowledge acceptability interventions, particularly vaccines, highlight need targeted education communication strategies. Getting communities involved effective ways share information are recommended maintain improve outcomes similar settings.

Language: Английский

Citations

0
Behavioral Insights from Vaccine Adoption in Nigeria: Cross-Sectional Survey Findings DOI Creative Commons
Sohail Agha, Ifeanyi Nsofor, Drew Bernard

et al.

Interactive Journal of Medical Research, Journal Year: 2024, Volume and Issue: 13, P. e47817 - e47817

Published: Feb. 26, 2024

To generate behavioral insights for the development of effective vaccination interventions, we need approaches that combine rapid and inexpensive survey data collection with instruments based on easy-to-use behavior models. This study demonstrates how an digital helped identify drivers COVID-19 in Nigeria.

Language: Английский

Citations

3