Reaching the unreached through building trust: a mixed-method study on COVID-19 vaccination in rural Lao PDR

BMJ Global Health, Journal Year: 2024, Volume and Issue: 9(6), P. e014680 - e014680

Published: June 1, 2024

Introduction The global COVID-19 vaccine rollout has been impacted by socioeconomic disparities and hesitancy, but few studies examine reasons for changed attitudes. In Lao People’s Democratic Republic (Lao PDR), a nationwide government-led initiative was developed in response to COVID-19, focused on community health ownership trust primary healthcare. intervention team including governance sectors conducted capacity-building workshops with local staff representatives visited villages vaccination outreach. This study investigates the impact of this acceptance rural communities. Methods Conducted Xiengkhuang province, PDR, from December 2022 February 2023, employed sequential mixed-methods research design. Data vaccinated individuals 25 were collected 11 healthcare units; pre-post analysis applied. Qualitative data, gathered through interviews focus group discussions villagers, village authorities, government (n=102) six villages, underwent inductive thematic analysis. Results First-dose uptake after increased significantly (6.9 times). identified key hesitancy: (1) mistrust due rumours past experiences; (2) poor communication inconsistent messaging (3) challenges access priority groups. Influencing factors during included effective local-context communication; leveraging existing structures influential multisectoral approach motivation improved satisfaction, relationships. Conclusion highlights methods building unreached populations interventions, emphasising locally led solutions. Successful reversal hesitancy achieved addressing root causes fostering at levels ‘positive approach’. diverges conventional supplemental immunisation activities holds potential systematically between systems. Further could explore impacts routine sustained improvements equity.

Language: Английский

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Preventive behaviors of COVID-19 during the COVID-19 pandemic among community-dwelling older adults in Thailand

PeerJ, Journal Year: 2025, Volume and Issue: 13, P. e19412 - e19412

Published: May 13, 2025

The COVID-19 pandemic was a major public health crisis, especially among older people. This study aimed to examine factors affecting preventive behaviors community-dwelling adults across all regions of Thailand during the using belief model (HBM). cross-sectional included 910 participants from in July and August 2021. A multistage stratified random sampling technique used select participants. Data were collected through structured interview process. analysis conducted multiple linear regression. participants' mean age 66.5 ± 4.64 years, with majority being female (61.8%) residing central region (26.5%). results indicated that (100.0%) agreed can be prevented by personal protective equipment, such as masks disposable gloves. Furthermore, adherence measures evaluated, revealing (55.8%) always practiced hand hygiene washing hands alcohol gel or soap cleaning them water before eating. Regression significantly associated knowledge (b = 0.091), perceived susceptibility 0.066), benefits 0.111), barriers -0.040), cues action 0.110) p < 0.01. Increased knowledge, susceptibility, benefits, action, decreased scores higher practice Thailand. To improve practices, information campaigns should focus on highlighting advantages behaviors, offering tips advice overcome barriers, providing various reminders social media, increasing awareness about disease prevention control future pandemics new outbreaks.

Language: Английский

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A longitudinal study of COVID-19 preventive behavior fatigue in Hong Kong: a city with previous pandemic experience

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: March 31, 2023

In addition to high vaccination levels, COVID-19 control requires uptake and continued adherence personal hygiene social distancing behaviors. It is unclear whether residents of a city with successive experience in worldwide pandemics such as SARS, would quickly adopt maintain preventive behaviors.A population-based, longitudinal telephone survey was conducted between first local wave the pandemic (April 2020) third (December (n = 403). The study examined factors associated behavior fatigue, measured by reduced adherence.Over 9 months, face mask use increased (96.5-100%, p < 0.001). Although habitual hand remained unchanged (92.0%), blue collar workers non-working individuals showed higher risk fatigue. There decline (p 0.05) avoidance gatherings (81.1 70.7%), public places (52.9-27.5%) international travel (81.9-77.4%) even rising caseloads. Lowered perception disease severity decreased while lower education gatherings.Even regions past experience, maintaining behaviors during protracted remains major health challenge.

Language: Английский

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Factors influencing acceptance of the COVID-19 vaccination in Thailand: The initiate phase of introducing COVID-19 vaccines

NURTURE, Journal Year: 2025, Volume and Issue: 19(1), P. 1 - 8

Published: Jan. 1, 2025

Purpose: Coronavirus disease 2019 (COVID-19) was first reported in late 2019. The virus led to a severe acute respiratory syndrome. It rapidly and dramatically spread, causing global pandemic. Vaccination may reduce the severity rate of infection. However, controversy uncertainty caused people initially be hesitant about receiving COVID-19 vaccines. objectives this study were assess knowledge vaccines, attitudes toward vaccination, factors associated with acceptance vaccination among Thai people. Design/Methodology/Approach: A cross-sectional used collect data at end April 2021. Participants (n=756) completed an online, self-administered questionnaire. Descriptive statistics, including frequency percentage, Chi-square test, Fisher’s exact for analysis. Findings: We found that approximately half respondents had good vaccines (50.8%) (51.5%). observed age, religion, observing respected colleagues being vaccinated, certificate, free charge, living community high numbers infections, not completely having self-protection against infection, noticing other did have suitable self-protective practice, self-esteem statistically (p < 0.05). Conclusion: demographic social influence acceptation cooperation. In summary, we suggested healthcare providers should consider when promoting increase rate.

Language: Английский

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Preventive Behaviors and Influencing Factors among Thai Residents in Endemic Areas during the Highest Epidemic Peak of the COVID-19 Outbreak

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(3), P. 2525 - 2525

Published: Jan. 31, 2023

This research aims to investigate COVID-19 preventive behavior and influencing factors among Thai residents during the highest epidemic peak of COVID-19. Nine hundred forty-six in five districts with high infection cases Thailand were systematically included this cross-sectional survey. The results showed that 87.2% 65.2% had a level general knowledge measures, respectively. As attitudes, poor levels attitude found risk perception (53.6%) mistrust issues (70.4%). Moreover, study presents good (77.0%) residents. Multiple logistic regression influence young age group (AOR 2.97, 95% CI 1.68-5.25), income 1.38, 1.03-1.86), 2.21, 1.64-2.96). conclusion was providing information on via social media key mechanism policy action for increasing Thailand. In addition, pandemic preparedness response policy, resident participation involvement, could be recommended resilience preparedness.

Language: Английский

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Using the Health Belief Model to Predict Vaccination Intention Among COVID-19 Unvaccinated People in Thai Communities

Frontiers in Medicine, Journal Year: 2022, Volume and Issue: 9

Published: June 3, 2022

The coronavirus disease 2019 (COVID-19) pandemic has become one of the biggest challenges to individual health and public system worldwide. COVID-19 morbidity mortality are increasing, impacting almost every country including Thailand. This study used Health Belief Model (HBM) as a framework examine intention unvaccinated people living in northern Thailand receive vaccines.This cross-sectional was conducted during October November 2021. A total 1,024 participants who currently four provinces Thailand, Chiang Mai, Rai, Lamphun, Phayao, were recruited participate study. questionnaire developed using an HBM structure obtain information about perceived severity, susceptibility, self-efficacy, benefits barriers, cues action, preventive behaviors relating vaccination decision vaccinated. Multiple linear regression analyze data.The average 44.45 ± 16.63 years age more than half women (54.5%). behavior score severity (B = 0.26), self-efficacy 0.51), barriers 0.11), action 0.18) after adjusting for age, underlying disease, body mass index (R2 42.5%). positively correlated with 0.13), susceptibility 0.25), 0.21), 0.27) 38.7%).The results demonstrated usefulness understand vaccine. Communities should consider campaign programs that use model altering perceptions beliefs vaccine improving rates among rural

Language: Английский

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COVID-19 Vaccination Program Data Analysis Based on Regional Status and Day Type: A Study from West Java Province, Indonesia

Healthcare, Journal Year: 2023, Volume and Issue: 11(5), P. 772 - 772

Published: March 6, 2023

Vaccination is a strategy to control the COVID-19 pandemic and holds crucial impact on global health. A better understanding of factors associated with vaccination needed establish good program in population. The purpose this study analyze data based regional status day type West Java Province Indonesia contribute discovering other characteristics program. This cross-sectional using secondary (N = 7922) from Java’s Information Coordination Center (PIKOBAR) January November 2021. Independent t-test an alternative non-parametric Mann–Whitney U test (p-value < 0.05) used as statistical study. result reported significant differences coverage between city area regency (p 0.001). Significant working holiday were also found both settings was confirmed be higher compared decreased day. In conclusion, linked must considered important for developing accelerating programs.

Language: Английский

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Health-Risk Behaviors, COVID-19 Preventive Behaviors, and the Impact of the COVID-19 Pandemic on the Working-Age Population of Bangkok, Thailand

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(20), P. 13394 - 13394

Published: Oct. 17, 2022

Although studies have extensively discussed the effects of COVID-19 on global health behaviors, little is known about extent preventive behaviors and their negative working-age population Bangkok, Thailand. Therefore, this study aimed to examine health-risk impact pandemic among Thai population. An online cross-sectional survey was conducted adults through a self-administered questionnaire. Data were analyzed with descriptive statistics stepwise multiple regression. Of 313 participants (227 females, 72.5%), 84.0% had high levels for preventing infection, most respondents (89.1%) knowledge COVID-19, (61.7%) overall behaviors. Stepwise regression revealed that (β = 0.445), 0.148), gender 0.145), age 0.133) predictive Additionally, (48.9%) moderate from COVID-19. Based our findings, these factors must be considered when implementing public policies improve currently employed In addition, appropriate interventions established evaluated pandemic’s long-term effects.

Language: Английский

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COVID-19-related knowledge influences mental health, self-care behaviors, and quality of life among elderly with non-communicable diseases in Northern Thailand

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Oct. 28, 2022

Background A growing body of research shows that individuals with non-communicable diseases (NCDs), such as hypertension, diabetes, hypercholesterolemia, and heart disease, are more likely to suffer from severe COVID-19 and, subsequently, death. The purpose this study was assess the influence COVID-19-related knowledge on mental health, healthcare behaviors, quality life among elderly NCDs in Northern Thailand. Methods In cross-sectional study, participants were 450 people NCDs, living Chiang Rai province, Random sampling applied select subjects. Data collection included demographic information, knowledge, Suanprung Stress Test-20, Thai General Health Questionnaire (GHQ-28) for assessment version World Organization Quality Life-BREF. Results Almost half (45.6%) had poor about COVID-19. More than sample high stress (52.0%) a low score behaviors (64.9%), while approximately one-third health problems (34.0%). overall during pandemic moderate (70.7%). significantly correlated scores ( r = −0.85), −0.74), 0.50), 0.33). Multiple linear regression found history detection associated p &lt; 0.05). logistic showed (OR 4.48, 95% CI 1.45–13.84) 0.23, 0.17–0.31) problem Discussion findings emphasize importance concerning improvement self-care population pandemic, especially due rate documented our sample. education interventions vulnerable should be organized.

Language: Английский

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Combined Impact of Omicron Vaccination and Environmental Risk Exposure: A Thailand Case Study

Vaccines, Journal Year: 2023, Volume and Issue: 11(2), P. 297 - 297

Published: Jan. 29, 2023

This research aimed to determine the levels of COVID-19 booster dose vaccinations in Thai populations areas with environmental risk exposure during Omicron outbreak. Five twenty provinces Thailand were selected by assessing for study settings. A total 1038 people interviewed a structured questionnaire. The predicting factors analyzed univariate and multivariate analysis. results showed that 69.4% (95% CI 66.5-72.1) population was vaccinated doses. Multiple logistics regression revealed female gender (AOR 1.49, 95% 1.11-2.00), all age groups from 38 60 years old, education at least secondary school, high income 1.16, 1.15-2.24), having experience infection 2.27, 2.05-3.76), knowledge vaccine 1.78, 1.11-2.83), trusting attitude 1.76, 1.32-2.36) among those more likely take high-environmental-risk-exposure areas. Therefore, an effective campaign programs increase attitudes toward should be implemented resilience prevention control.

Language: Английский

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