Factors associated with COVID-19 vaccine uptake among people with type 2 diabetes in Kenya and Tanzania: a mixed-methods study DOI Creative Commons
Peter Binyaruka, Sally Mtenga, Irene Mashasi

et al.

BMJ Open, Journal Year: 2023, Volume and Issue: 13(12), P. e073668 - e073668

Published: Dec. 1, 2023

Background People with type 2 diabetes (T2D) are at increased risk of poor outcomes from COVID-19. Vaccination can improve outcomes, but vaccine hesitancy remains a major challenge. We examined factors influencing COVID-19 uptake among people T2D in two sub-Saharan Africa countries that adopted different national approaches to combat COVID-19, Kenya and Tanzania. Methods A mixed-methods study was conducted February-March 2022, involving survey 1000 adults (500 Kenya; 500 Tanzania) 51 in-depth interviews (21 30 Tanzania). Determinants were identified using multivariate logistic regression model, while thematic content analysis explored barriers facilitators. Results lower Tanzania (26%) than (75%), which may reflect an initial political about vaccines college/university education four times more likely be vaccinated those no (Kenya AOR=4.25 (95% CI 1.00 18.03), AOR=4.07 (1.03 16.12)); health insurance almost twice as without AOR=1.70 (1.07 2.70), AOR=1.81 (1.04 3.13)). Vaccine higher older Kenya, comorbidities socioeconomic status Interviewees reported wanting protection severe illness promoted uptake, conflicting information, misinformation fear side-effects limited uptake. Conclusion suboptimal, particularly Tanzania, where had negative impact. Policy-makers must develop strategies reduce misconceptions, especially who less educated, uninsured younger.

Language: Английский

Persisting Vaccine Hesitancy in Africa: The Whys, Global Public Health Consequences and Ways-Out—COVID-19 Vaccination Acceptance Rates as Case-in-Point DOI Creative Commons
Emmanuel Okechukwu Njoga, Olajoju Jokotola Awoyomi,

Onyinye S. Onwumere-Idolor

et al.

Vaccines, Journal Year: 2022, Volume and Issue: 10(11), P. 1934 - 1934

Published: Nov. 15, 2022

Vaccine hesitancy (VH) is the seventh among WHO’s top 10 threats to global public health, which has continued perpetuate transmission of vaccine preventable diseases (VPDs) in Africa. Consequently, this paper systematically reviewed COVID-19 acceptance rates (VARs)—including uptake and vaccination intention—in Africa from 2020 2022, compared within five African regions determined context-specific causes VH Generally, VARs ranged 21.0% 97.9% 8.2% 92.0% with mean 59.8 ± 3.8% 58.0 2.4% 2021 respectively. Southern eastern had two 83.5 6.3% 68.9 6.6% 2021, 64.2 4.6% 61.2 5.1% Based on population types, healthcare workers a marginal increase their 55.5 5.6% 60.8 5.3% 2022. In other populations, decreased 62.7 5.2% 54.5 4% As 25 October lags behind world only 24% full vaccinations 84%, 79% 63% reported, respectively, Australian continent, upper-middle-income countries globally. Apart problems confidence, complacency, convenience, communications context, factors driving are inequality, lack production/maintenance facilities, insecurity, high illiteracy level, endemic corruption, mistrust some political leaders, spreading unconfirmed anti-vaccination rumors instability. With an overall rate 58%, still subsists The low have detrimental health implications, as it could facilitate emergence immune invading SARS-CoV-2 variants concern, may spread there need confront these challenges frontally engage traditional religious leaders fight against Africa, restore trust safety efficacy vaccines generally. availability improves, pets zoo-animals reverse zoonotic been reported recommended, limit evolution new concern avert possible epizootic or panzootic susceptible animal species.

Language: Английский

Citations

31
The role of social support and self‐management on glycemic control of type 2 diabetes mellitus with complications in Ghana: A cross‐sectional study DOI

F Adu,

Collins Atta Poku,

A. Adu

et al.

Health Science Reports, Journal Year: 2024, Volume and Issue: 7(4)

Published: April 1, 2024

Abstract Background and Aims Diabetes mellitus (DM) can result in detrimental complications which are connected with long‐term impairments disabilities. Chronic well‐known consequences of type 2 diabetes (T2DM) progression, reduce patient quality life, place a burden on the healthcare system, increase mortality. Measures to promote health outcomes for people DM scanty; study therefore aimed at determining effects self‐management social support glycemic control T2DM Ghana. Methods A cross‐sectional design using convenience sampling was conducted 400 patients Hensarling's Family Support Scale Summary Self‑Care Activities scale. Data analysis descriptive, Pearson Moment Product Correlation Binary Logistic Regression self‐management, support, patients. Results Social among participants high there positive correlation or relationship between self‐management. There ( r = 0.149, p < 0.05) diet 0.221, 0.05). The results also showed significant medication adherence management 0.116, while female participants, individuals least primary education were less likely have low relative T2DM. Conclusion Though level it does not translate good control. Focused programs should be incorporated into patients' care plans will particularly relevant contribute physiological psychological outcomes. Furthermore, more robust monitoring follow‐up scheme scaled up instituted

Language: Английский

Citations

7
Global acceptance of COVID-19 vaccine among persons with diabetes: A systematic review and meta-analysis DOI Open Access
Emmanuel Ekpor, Samuel Akyirem

Diabetes Research and Clinical Practice, Journal Year: 2023, Volume and Issue: 201, P. 110731 - 110731

Published: May 24, 2023

Language: Английский

Citations

9
Conspiracy narratives and vaccine hesitancy: a scoping review of prevalence, impact, and interventions DOI Creative Commons
Frederike Taubert,

Georg Meyer-Hoeven,

Philipp Schmid

et al.

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

Published: Nov. 29, 2024

Language: Английский

Citations

2
Sex and COVID-19 vaccination uptake and intention in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda DOI Creative Commons
Rawlance Ndejjo, Nuole Chen, Steven Ndugwa Kabwama

et al.

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

Citations

1
Willingness to Receive COVID-19 Vaccination Among Adult Diabetes Patients in Woldia Comprehensive Specialized Hospital, North Ethiopia; A Cross-Sectional Study DOI Creative Commons

Habtamu Mesele,

Mulu Shiferaw, Abayneh Tunta

et al.

Patient Preference and Adherence, Journal Year: 2022, Volume and Issue: Volume 16, P. 2451 - 2459

Published: Sept. 1, 2022

According to recently published data, individuals infected with COVID-19 having concomitant diabetes may experience disease worsening or even death. The purpose of this study was determine patients' willingness get the vaccine as well its magnitude and determinants.Three hundred eighty six patients who visited Woldia Comprehensive Specialized Hospital during February March 2022 participated in institution-based cross-sectional study. Descriptive statistics were used demonstrate frequencies percentages, while logistic regression identify relevant determinants vaccination readiness. Age, gender, income, place residence, exposure, length diabetes, awareness attitudes toward immunization all evaluated associated factors.Out 386 participants, 268 (69.43%) male 146 (37.82) completed their secondary schooling. From participants 82.6% (95% CI; 78.5-86.3%) willing vaccinated. uptake among independently influenced by sex (Adjusted Odd Ratio [AOR] = 6.84 (2.98, 15.68)), exposure illness (AOR 8.98 (3.22, 25.04)), attitude 2.63 (1.2, 5.77)), 0.62 (0.51, 0.76)).Most immunization. agency should make available order enhance control reduce infection-related complications special consideration patients.

Language: Английский

Citations

7
Efficacy, Safety, and Public Attitude toward COVID-19 Vaccines: A Systematic Review DOI
Blessing Osagumwendia Josiah,

Chinelo C. Uzor,

Brontie A. Duncan

et al.

Annals of African Medicine, Journal Year: 2023, Volume and Issue: 22(4), P. 405 - 414

Published: Oct. 1, 2023

Background: This paper reviews some of the literature on safety and efficacy different COVID-19 vaccines, attitudes, perceptions people towards factor underlying such behavior. Methods: Two major databases (PubMed Epistemonikos) were checked using search expansion mechanisms several strings. After title, abstract, full-text analysis, 19 studies selected for review. Results: The seven vaccines studied all have supporting data their in reduction cases, prevention hospitalization after infection, mortality rate patients. There was high hesitancy about vaccine perceived are less than recorded clinical data. Distrust manufacturers institutions governments, personal beliefs feelings, age, gender, education, socioeconomic status identified factors affecting behaviors vaccines. Conclusion: Several articles support but general awareness conception them vary, including hesitancy, distrust, acceptance. Many affected perception attitude toward these More should be generated to help boost confidence among users.

Language: Английский

Citations

3
Determinants, Awareness, and Perceptions of COVID-19 Vaccination among Youth in Dar es Salaam, Tanzania DOI Creative Commons
Darlene Mutalemwa, Faisal Issa,

Misheck G. Mwashambwa

et al.

African Journal of Empirical Research, Journal Year: 2024, Volume and Issue: 5(1), P. 125 - 135

Published: Jan. 31, 2024

The global community has seen significant negative impacts as a result of the COVID-19 pandemic. primary objective this study was to assess perceptions, awareness, and determinants among young individuals concerning vaccine. research employed cross-sectional approach carried out using internet platforms within Dar es Salaam region Tanzania, spanning from December 2021 2022. study's sample consisted 435 who were classified people. data collected through utilization questionnaires developed by Google Forms, which thereafter distributed participants via WhatsApp groups. programme utilized for cleaning analysis STATA 15.1. Categorical variables summarised descriptive statistics, including frequency distribution tables, pie charts, bar charts. inferential namely Chi-square test, association between immunization status several socioeconomic demographic characteristics, perceived factors, awareness-related parameters. Results achieving significance level 0.05 considered statistically significant. Based on these findings, it recommended that decision makers should continue directing endeavors focused increasing acceptance vaccinations minimizing wastage vaccines. Also youths are encouraged take vaccines fortification their health hence reach intended purpose save funds would have been used in managing other health, social economic challenges.

Language: Английский

Citations

0
Immigrant Status and Hesitancy Toward the Use of Covid-19 Vaccines and Drug Treatments Developed for Children DOI
Kevin J. A. Thomas

Population Research and Policy Review, Journal Year: 2024, Volume and Issue: 43(1)

Published: Jan. 31, 2024

Language: Английский

Citations

0
Healthcare Decision-Making in a Crisis: A Qualitative Systemic Review Protocol DOI Creative Commons
Ehmaidy Al qaf’an, Stewart Alford,

Kimberley Porteous

et al.

Emergency Medicine International, Journal Year: 2024, Volume and Issue: 2024, P. 1 - 6

Published: April 12, 2024

Background. Throughout history, communities have faced outbreaks of infectious diseases and other natural man-made disasters that pose significant threats to lives, public health, business continuity. Many these are crises require critical decisions be made in a short, crucial time with limited information unforeseen circumstances amidst panic, fear, shock. The COVID-19 pandemic is recent example, leaders responding formulating strategies attenuate the relentless waves transmission surges resource demands. underscored importance understanding how healthcare make in-crisis what factors prioritize their decision-making process. Methods/Design. PubMed(NLM), Embase(Ovid), Scopus(Elsevier), Business Source(EBSCOhost), ProQuest will searched for primary qualitative studies published English explore multi-faceted processes during health crisis. A meta-ethnographic approach synthesize insights into leaders' experiences perspectives generate conceptual theory Discussion. Understanding takes advantage lessons learned inform future managed. (This systematic review registered PROSPERO: CRD42023475382).

Language: Английский

Citations

0