Research Square (Research Square),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Oct. 31, 2022
Abstract
Background
Factors
influencing
the
health
of
populations
are
interdisciplinary.
However,
datasets
which
measure
outcomes
often
lack
disciplinary
breath.
Data
on
can
be
combined
with
other
factors,
such
as
political
violence
or
development.
this
is
difficult,
due
to
different
levels
geographic
support;
differing
dataset
formats
and
structures;
differences
in
sampling
procedures
wording;
stability
temporal
trends.
We
present
a
computational
package
combine
spatially
misaligned
analyze
multi-dimensional
factors
outcomes.
Methods
used
data
from
World
Bank’s
High
Frequency
Phone
Surveys
(HFPS)
Kenya,
Indonesia,
Malawi.
These
were
curated
violence,
electoral
competitiveness,
economic
Using
Sub-National
Geospatial
Archive
(SUNGEO)
system,
then
analyzed
determine
1)
vaccination
preferences
(in
Indonesia)
2)
association
between
aforementioned
using
stochastic
process
model
(Markov
Chain)
two
states,
being
vaccine
willing
hesitant
all
three
countries).
Results
In
vaccine-acceptance
more
persistent
than
vaccine-hesitancy
round
round:
probability
staying
acceptant
was
0.97,
whereas
0.67.
Indonesia
decreased
associated
hesitancy
(-16
-23
percentage
points
difference
(ppd)
respectively);
though
no
significant
seen
Similarly,
Kenya
(though
not
Malawi),
increased
competitiveness
(-30
-17ppd
respectively).
Increased
development
also
Kenya.
Conclusion
It
possible
incompatible
datasets.
As
an
exemplar,
we
found
that
aligned
uncompetitiveness
-
compatible
past
results
government
distrust.
recommend
either
work
governmental
institutions
strengthened
through
promotion
non-violent,
democratic
elections;
separated
government.
PLOS Global Public Health,
Journal Year:
2024,
Volume and Issue:
4(3), P. e0002986 - e0002986
Published: March 28, 2024
COVID-19
vaccination
rates
have
been
low
among
adults
in
Kenya
(36.7%
as
of
late
March
2023)
with
vaccine
hesitancy
posing
a
threat
to
the
program.
This
study
sought
examine
facilitators
and
barriers
vaccinations
Kenya.
We
conducted
qualitative
cross-sectional
two
purposively
selected
counties
collected
data
through
8
focus
group
discussions
80
community
members
in-depth
interviews
health
care
managers
providers.
The
was
analyzed
using
framework
approach
focusing
on
determinants
their
influence
psychological
constructs.
Barriers
uptake
were
related
individual
characteristics
(males,
younger
age,
perceived
status,
belief
herbal
medicine,
lack
autonomy
decision
making
women
‐
especially
rural
settings),
contextual
influences
(lifting
bans,
myths,
medical
mistrust,
cultural
religious
beliefs),
factors
(fear
unknown
consequences,
side-effects,
understanding
how
vaccines
work
rationale
for
boosters).
However,
volunteers,
trusted
leaders,
mandates,
financial
geographic
access
influenced
uptake.
These
drivers
mainly
constructs
including
confidence,
complacency,
constraints.
Vaccine
is
driven
by
multiple
interconnected
factors.
are
likely
inform
evidence-based
targeted
strategies
that
built
trust
address
hesitancy.
could
include
gender
responsive
immunization
programs,
appropriate
messaging
consistent
communication
target
fear,
safety
concerns,
misconceptions
information
gaps
line
concerns.
There
need
ensure
tested
local
setting
incorporate
multisectoral
leaders
leaders.
Vaccine X,
Journal Year:
2024,
Volume and Issue:
18, P. 100480 - 100480
Published: March 23, 2024
The
global
deployment
of
COVID-19
vaccine
booster
dose
(VBD)
has
been
recognized
as
a
promising
therapeutic
alliance
to
provide
repeated
immunity
against
the
arrival
new
variants.
Despite
scientific
evidence
supports
effectiveness
periodic
doses,
reluctance
continues
thrive.
This
narrative
review
aimed
examine
doses
acceptance
and
summarize
an
up-to-date
assessment
potential
antecedents
associated
with
VBD
acceptance.
A
comprehensive
search
was
performed
in
several
reputable
databases
such
Medline
(via
PubMed),
Scopus,
Google
scholar,
Web
Science
from
June
10th,
2023,
August
1st,
2023.
All
relevant
descriptive
observational
studies
on
hesitancy
were
included
this
review.
total
fifty-eight
(58)
included,
Asia
representing
highest
count
thirty-one
(53
%)
studies,
Europe
eleven
(19
%),
United
States
nine
(16
other
regions
(Africa
multi-ethnic)
seven
(12
%).
Worldwide,
pooled
rate
77.09
%
(95
CI:
76.28–78.18),
willingness
(n)
=
164189,
sample
(N)
212,990.
lowest
reported
American
regions,
respectively,
85.38
85.02–85.73,
32,047,
(N
37,533)
vs.
66.92
66.56–67.4),
29335,
43,832.
However,
multi-ethnic
areas
moderately
high
79.13
78.77–79.23,
93,994,
11,8779)
72.16
71.13–72.93,
9276,
12,853),
respectively.
most
common
key
across
countries
"equal
safety",
"efficacy",
"effectiveness",
post-vaccination
"side
effects",
"community
protection"
"family
protection",
"risk-benefit
ratio",
necessity",
"trust,
"variants
control".
Disparities
uptake
observed
globally,
rates
found
Europe,
regions.
Multiple
including
safety,
efficacy,
side
effects
hesitancy.
PLoS ONE,
Journal Year:
2023,
Volume and Issue:
18(4), P. e0281395 - e0281395
Published: April 13, 2023
Vaccination
is
the
most
powerful
public
health
intervention
proven
to
be
safe
and
effective
in
battle
against
coronavirus
disease-2019
(COVID-19)
pandemic.
Despite
potential
therapeutic
benefits
of
primer
vaccine
dosage
regimens,
perceptions
COVID-19
booster
dose
(VBD)
acceptance
hesitancy
vary
among
various
sub-group
populations.
This
study
investigates
compares
multi-dimensional
factors
influencing
VBD
university
teachers
student
community
Bangladesh.
PLoS ONE,
Journal Year:
2024,
Volume and Issue:
19(7), P. e0292143 - e0292143
Published: July 5, 2024
Objective
This
study
aimed
to
map
the
existing
literature
identify
predictors
of
COVID-19
vaccine
acceptability
among
refugees,
immigrants,
and
other
migrant
populations.
Methods
A
systematic
search
Medline,
Embase,
Scopus,
APA
PsycInfo
Cumulative
Index
Nursing
Allied
Health
Literature
(CINAHL)
was
conducted
up
31
January
2023
relevant
English
peer-reviewed
observational
studies.
Two
independent
reviewers
screened
abstracts,
selected
studies,
extracted
data.
Results
We
identified
34
cross-sectional
primarily
in
high
income
countries
(76%).
Lower
acceptance
associated
with
mistrust
host
countries’
government
healthcare
system,
concerns
about
safety
effectiveness
vaccines,
limited
knowledge
infection
lower
risk
perception,
integration
level
country.
Female
gender,
younger
age,
education
level,
being
single
were
most
Additionally,
sources
information
vaccines
previous
history
infection,
also
influence
acceptance.
Vaccine
towards
booster
doses
various
brands
not
adequately
studied.
Conclusions
hesitancy
a
lack
trust
have
become
significant
public
health
within
These
findings
may
help
providing
for
current
future
outreach
strategies
Transactions of the Royal Society of Tropical Medicine and Hygiene,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 26, 2025
Awareness
of
mpox
and
acceptance
vaccinations
are
important
components
a
passive
surveillance
system
public
health
control
efforts.
We
estimate
explore
factors
in
awareness
vaccination
Matlab,
rural
region
Bangladesh.
conducted
cross-sectional
survey
August
September
2022.
A
total
700
households
were
approached,
screened
against
the
inclusion
criteria
consented.
Households
administered
questioning
basic
demographics,
access,
community
government
trust,
sources
information,
intent
to
be
vaccinated
if
vaccine
available
at
no
cost.
summarized
data
through
univariate
analysis
explored
logistic
regression.
Of
recruited
households,
501
completed
survey.
these,
64%
aware
94%
willing
mpox.
Older
age
had
negative
association
with
mpox,
-0.5
percentage
point
difference
(95%
confidence
interval
-1.0
0.1);
other
demographic
factor
significant
or
near-significant
association.
Having
access
bank
account
attending
clinic
for
healthcare
needs
positive
awareness.
There
strides
made
increasing
strengthen
efforts
personal
protection
Matlab
similar
regions.
This
may
done
educational
campaigns,
overall
improvements
literacy.
However,
is
high,
presenting
learning
opportunity
contexts.
PLOS Global Public Health,
Journal Year:
2025,
Volume and Issue:
5(4), P. e0004444 - e0004444
Published: April 8, 2025
Migrants
and
refugees
are
among
the
most
disadvantaged
populations,
with
limited
evidence
on
access
uptake
of
COVID-19
vaccination
them.
Therefore
this
qualitative
study
explores
behavioral
social
drivers
vaccine
refugee
migrant
population
in
Pakistan
through
in-depth
interviews
focus
group
discussions
regular
irregular
migrants
residing
Pakistan.
Key
informant
were
conducted
stakeholders
responsible
for
overlooking
process.
A
total
18
participants
interviewed
to
gather
insights
access,
uptake,
behaviours
refugees.
Data
was
collection
from
June
July
2022,
Karachi,
Hyderabad,
Quetta.
All
audio
recorded,
transcribed,
translated,
thematically
analysed
Nvivo
software.
The
found
that
communities
faced
significant
challenges
barriers
including
misconceptions
about
safety
efficacy,
fears
side
effects,
mistrust
spread
by
religious
leaders.
Participants
refused
vaccinations
at
many
centers
despite
government
directives
allowing
vaccines
those
without
Computerized
National
Identity
Cards
(CNIC).
Limited
outreach
awareness
efforts
government,
identification
deportation,
long
wait
times
centers,
absence
female
vaccinators
strict
gender
norms
further
hindered
access.
Many
also
reported
being
charged
leading
lower
coverage.
Despite
these
challenges,
some
individuals
motivated
vaccinate
due
workplace
requirements,
peer
influence,
or
personal
health
concerns.
Facilitators
included
door-to-door
campaigns
school
mandates.
Vaccination
camps
set
up
NGOs
agencies
border
areas
migrant-rich
districts
facilitated
suggests
targeted
strategies
improve
coverage,
provision
documents
migrants,
inclusion
policy,
enforcement
multilingual
communication
healthcare
Vaccines,
Journal Year:
2023,
Volume and Issue:
11(10), P. 1516 - 1516
Published: Sept. 23, 2023
Vaccine
hesitancy
is
a
significant
global
public
health
concern.
This
study
sought
to
determine
the
correlates
of
acceptance
and
regarding
COVID-19
vaccines
in
rural
populations
selected
counties
Western
Kenya
assess
strategies
that
can
be
used
improve
vaccine
Kenya.
The
quantitative
research
strategy
with
sample
806
individuals
Kisumu,
Vihiga,
Kakamega
counties.
Descriptive
statistics,
correlations
regression
analyses
were
used.
Of
participants,
55%
males
45%
females.
was
significantly
associated
being
male
(AOR:
1.46,
95%
CI:
1.24-1.59,
p
<
0.031),
having
no
formal
education
2.25,
1.16-4.40,
0.02),
working
private
sector
5.78,
3.28-10.88
have
low
income
(KES
0-999
(USD
0-9.16)),
2.35,
1.13-3.47,
0.02).
Conclusions:
current
suggests
gender,
education,
sector,
KES
0-9.6)
are
factors
influencing
awareness
possible
vaccination.
BMC Public Health,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Oct. 12, 2024
The
outbreak
of
the
SARS-CoV-2
pandemic
has
had
a
significant
impact
on
human
lives,
and
development
effective
vaccines
been
promising
solution
to
bring
an
end
pandemic.
However,
success
vaccination
program
heavily
relies
portion
population
being
vaccinated.
Recent
studies
have
indicated
rise
in
vaccine
hesitancy
over
time
inconsistent
factors
affecting
it.
This
study
aimed
synthesis
pooled
prevalence
COVID-19
associated
among
various
communities
East
Africa.
review
encompassed
relevant
descriptive
observational
conducted
between
January
1,
2020,
December
26,
2023.
We
browsed
databases,
including
PubMed,
Google
Scholar,
Scopus,
African
online
Journal,
cross-references,
Web
Science.
After
extracted
exported
R
data
analysis
was
performed
using
version
4.2.
Meta-package
were
used
estimate
hesitancy.
Publication
bias
assessed
through
funnel
plots,
Egger's
test,
trim-and-fill
methods.
carefully
screening
initial
pool
53,984
studies,
total
79
included
this
systematic
meta-analysis.
overall
40.40%
(95%
CI:
35.89%;
45.47%,
I2:
99.5%).
Identified
influencing
hesitance
female
sex,
under
40
years
old,
inadequate
prevention
practices,
relying
web/internet
as
source
information,
having
negative
attitude
towards
vaccine,
uncertainty
about
safety,
fear
adverse
effects,
contracting
COVID-19,
belief
conspiracy
myths.
Approximately
four
out
ten
individuals
region
express
vaccination.
A
tailored
approach
that
considers
socio-demographic
context
could
significantly
reduce
To
achieve
high
coverage,
comprehensive
strategy
is
essential,
necessitating
substantial
social,
scientific,
health
efforts.
campaigns
within
widespread
consistent
implementation
interventions.
Registered
PROSPERO
with
ID:
CRD42024501415.
Human Vaccines & Immunotherapeutics,
Journal Year:
2024,
Volume and Issue:
20(1)
Published: Dec. 1, 2024
Vaccine
hesitancy
presents
a
significant
public
health
challenge,
particularly
among
Syrian
refugee
parents
in
Canada,
who
navigate
unique
barriers
to
vaccination.
This
cross-sectional
study
explores
the
determinants
of
vaccine
hesitancy,
considering
socio-demographic
factors,
resettlement
conditions,
assessments,
and
healthcare
system
interactions.
The
involved
540
residing
Ontario
with
at
least
one
child
under
18,
interviewed
from
March
2021
2022.
Participants
were
asked
about
their
willingness
take
COVID-19
vaccine,
those
uncertain
or
unwilling
categorized
as
"Hesitant"
others
"Non-hesitant."
Stepwise
multivariable
logistic
regression
assessed
various
factors
associated
hesitancy.
Among
respondents,
15.2%
expressed
toward
taking
vaccine.
Findings
indicated
that
individuals
reported
very
good
mental
had
decreased
odds
being
hesitant
(OR
=
0.46,
95%
CI:
0.27–0.80).
Also,
without
family
doctor
needing
an
interpreter
but
sometimes
never
offered
more
likely
be
3.61,
1.42,
9.19;
OR
2.14,
1.19–3.84,
respectively).
These
results
highlight
complex
interplay
affecting
decisions,
emphasizing
need
for
culturally
sensitive
strategies
improve
uptake
this
population.
While
acceptance
is
low
Syrians
(36%),
higher
rate
refugees
Canada
(84.7%)
reflects
positive
impact
access
support.
contrast
highlights
role
such
systems
shaping
attitudes
vulnerable
populations,
informing
targeted
efforts
boost
support
refugees.