Levels of handwashing and vaccine uptake in Kenya, Uganda, and Tanzania to prevent and control COVID-19: a systematic review and meta-analysis DOI Creative Commons

Josphat Martin Muchangi,

James Mturi,

Hajra Mukasa

et al.

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Nov. 9, 2023

Introduction Coronavirus Disease 2019 (COVID-19) presents a massive challenge in Africa due to overwhelmed and underresourced health systems, as well the existing burden of communicable non- diseases. Self-inoculation may occur when an individual touches their mucous membrane following direct contact between hands severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-contaminated surfaces. Therefore, handwashing can be used along with COVID-19 vaccines reduce spread SARS-CoV-2 COVID-19. We were interested investigating levels vaccine uptake control prevent Kenya, Uganda Tanzania using systematic review meta-analysis. Methods searched PubMed, African Index Medicus Journals Online for studies published since inception 31 st January 2023. included all that assessed: acceptance hesitance indicators uptake; on Tanzania. Study findings synthesized by meta-analysis get pooled effect measure. Three qualitatively high level heterogeneity measure precluding quantitative Results Our search identified 128 articles which 17 18,305 participants 622 vaccination sites reviewed 14 them being meta-analyzed. This reports at 67% (95% CI: 55, 78) 88% 73, 97), respectively. Vaccine among was low 31% 15, 49). Discussion Despite importance prevention COVID-19, some countries do not implement effectively. There is need public strategies raise awareness about vaccine. Systematic Review Registration https://www.crd.york.ac.uk/PROSPERO/ , PROSPERO ID CRD42023394698.

Language: Английский

Coronavirus Disease 2019 (COVID-19) Pandemic across Africa: Current Status of Vaccinations and Implications for the Future DOI Creative Commons

Olayinka Ogunleye,

Brian Godman, Joseph Fadare

et al.

Vaccines, Journal Year: 2022, Volume and Issue: 10(9), P. 1553 - 1553

Published: Sept. 17, 2022

The introduction of effective vaccines in December 2020 marked a significant step forward the global response to COVID-19. Given concerns with access, acceptability, and hesitancy across Africa, there is need describe current status vaccine uptake continent. An exploratory study was undertaken investigate these aspects, challenges, lessons learnt Africa provide future direction. Senior personnel 14 African countries completed self-administered questionnaire, descriptive analysis data. Vaccine roll-out commenced March 2021 most countries. COVID-19 vaccination coverage varied from low Cameroon Tanzania up 39.85% full Botswana at end 2021; that is, all doses advocated by initial protocols versus total population, rates increasing 58.4% June 2022. greatest increase people being fully vaccinated observed Uganda (20.4% increase), (18.5% Zambia (17.9% increase). Most were obtained through WHO-COVAX agreements. Initially, prioritised for healthcare workers (HCWs), elderly, adults co-morbidities, other at-risk groups, now commencing among children administering booster doses. Challenges included irregular supply considerable arising misinformation fuelled social media activities. Overall, fair reasonable access countries, enhanced government initiatives. must be addressed context-specific interventions, including proactive programmes HCWs, medical journalists, public.

Language: Английский

Citations

41

Factors Influencing the Intention and Uptake of COVID-19 Vaccines on the African Continent: A Scoping Review DOI Creative Commons
Damian Naidoo, Anna Meyer‐Weitz, Kaymarlin Govender

et al.

Vaccines, Journal Year: 2023, Volume and Issue: 11(4), P. 873 - 873

Published: April 20, 2023

The COVID-19 pandemic is a severe concern worldwide, particularly in Africa. Vaccines are crucial the fight against pandemic. This scoping review examined existing literature from 2020 to 2022 on individual, interpersonal, and structural barriers facilitators vaccination within Africa facilitate more informed health promotion interventions improve vaccine uptake. was conducted using Arksey O’Malley’s five-stage methodological framework. A comprehensive search undertaken 2021 six electronic databases: EBSCOhost, PubMed, Web of Science, ProQuest, WorldCat Discovery, Google Scholar. Data collected, charted into themes, summarized standard data extraction sheet Microsoft Excel. total forty (n = 40) published academic articles were reviewed, with many Nigeria 10), followed by Ethiopia 5) Ghana 4) rest elsewhere Thematic narratives used report themes: attitudes perceptions about vaccines, intention uptake vaccines; factors associated uptake; socio-demographic determinants affecting information sources for vaccines. ranged 25% 80.9%, resulting suboptimal rate (54.2%) African continent. Factors that promoted acceptance included confidence vaccines desire protect people. Age, education, gender most common significantly acceptance. Most studies revealed considerable exist Concerns potential side effects, ineffectiveness, perceived lack information, inaccessibility among unwillingness receive strongly correlated being female. Mass social media main regarding To encourage uptake, governments should pay attention refuting misinformation through integrated community-based approaches, such as creating messages convey than just information.

Language: Английский

Citations

25

A qualitative inquiry on drivers of COVID-19 vaccine hesitancy among adults in Kenya DOI Creative Commons
Stacey Orangi, Daniel Mbuthia,

Elwyn Chondo

et al.

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.

Language: Английский

Citations

8

COVID-19 vaccination refusal trends in Kenya over 2021 DOI Creative Commons
Ryan Rego,

Brooke Kenney,

Anthony Ngugi

et al.

Vaccine, Journal Year: 2023, Volume and Issue: 41(5), P. 1161 - 1168

Published: Jan. 1, 2023

Language: Английский

Citations

12

Examining COVID-19 Vaccine Hesitancy in Nairobi, Kenya, Using the Modified 5 Cs Model DOI
Christine Crudo Blackburn,

Leila Abdullahi,

Timothy Callaghan

et al.

Health Security, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

In this study, we identify facilitators and barriers to COVID-19 vaccination in Nairobi, Kenya, using the modified 5 Cs model for vaccine hesitancy. We conducted 33 in-person interviews Kenya. Participants were recruited convenience sampling by a member of research team who resides Nairobi speaks Swahili. Interviews audio recorded transcripts analyzed thematic analysis. The hesitancy was applied create codebook prior cited misinformation, lack trust science behind vaccine, concerns about side effects as reasons not receiving vaccine. Facilitators choosing receive included severity COVID-19, requirements school employment, communication from government. This study is first organize uptake Kenya Our findings suggest that improve interventions should inform public vaccine's safety reduce misinformation.

Language: Английский

Citations

0

COVID-19 Vaccine Uptake: Prevalence, Health Facility Enablers and Barriers among Adult Tuberculosis Patients across Nairobi County Clinics, Kenya DOI Open Access
Waqo Boru, George Makalliwa,

Caroline Patricia Musita

et al.

Journal of Tuberculosis Research, Journal Year: 2025, Volume and Issue: 13(01), P. 15 - 28

Published: Jan. 1, 2025

Language: Английский

Citations

0

COVID-19 vaccine hesitancy among non-refugees and refugees in Kenya DOI Creative Commons
Ryan Rego, Anthony Ngugi,

Antonia Delius

et al.

PLOS Global Public Health, Journal Year: 2022, Volume and Issue: 2(8), P. e0000917 - e0000917

Published: Aug. 24, 2022

Factors associated with COVID-19 vaccine hesitancy (which we define as refusal to be vaccinated when asked, resulting in delayed or non- vaccination) are poorly studied sub-Saharan Africa and among refugees, particularly Kenya. Using survey data from wave five (March June 2021) of the Kenya Rapid Response Phone Survey (RRPS), a household representative population Kenya, estimated self-reported rates factors non-refugees refugees Non-refugee households were recruited through sampling 2015/16 Household Budget random digit dialing. Refugee registered refugees. Binary response questions on misinformation information transformed into scale. We performed weighted (to overall Kenya) multivariable logistic regression including interactions for refugee status, main outcome being if respondent that they would not take available at no cost. calculated marginal effects various model. The univariate analysis 18.0% 7.0% surveyed offered Adjusted, status was -13.1[95%CI:-17.5,-8.7] percentage point difference (ppd) hesitancy. For both non-refugees, having education beyond primary level, symptoms COVID-19, avoiding handshakes, washing hands more often also reduction Also both, used internet past three months 8.1[1.4,14.7] ppd increase hesitancy; disagreeing government could trusted responding 25.9[14.2,37.5]ppd There significant between some variables (geography, food security, trust Kenyan government’s knowing somebody use, TV ownership). These relationships certain suggest programming differentiated specific contextual needs each group.

Language: Английский

Citations

14

An empirical assessment of the factors influencing acceptance of COVID-19 vaccine uptake between Kenyan and Hungarian residing populations: A cross-sectional study DOI Creative Commons
John M. Macharia,

Grace W. Gakenye,

Nóra Rozmann

et al.

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Dec. 23, 2022

The development of effective, safe, and acceptable vaccines is a long process. COVID-19 vaccine hesitancy continues to elicit mixed reactions among different quarters despite numerous evidence their effectiveness. This study aimed determine the availability acceptance rates SARS-CoV-2 vaccines, Kenyan Hungarian residing populations underlying reasons contributing uptake. A non-probability, snowball sampling design was employed, survey questionnaire tool link expeditiously disseminated. Data were carefully analyzed descriptively. Demographic variables, awareness, possible exposure, associated with in taking up vaccine, choice other important variables tested explore associations between two distinct countries. total 1960 participants successfully enrolled research study, while 67 excluded based on inclusion criterion set. There was, however, no significant difference public awareness Hungarian-residing participants, p = 0.300. Of respondents, 62.4% willing ready receive against disease. (p 0.014) respondents concerning uptake rates. Hungary higher than Kenya, mean 0.27, SD 0.446, S. E 0.045 for population sample 0.40, 0.492, 0.026, respectively. Concerning gender acceptance, there notable males females, 0.001, where females 0.29 0.46 Acceptance females. functions One-Way ANOVA Chi-square used establish any differences means Concerns regarding safety, efficacy, accuracy information about developed are factors that must be promptly addressed, arrest crises revolving around hesitancy, especially Kenya both populations, lower. Expansion screening program incorporate antibody (serology) tests, also highly recommended present circumstance. Equitable distribution globally should encouraged promoted adequately cover low- middle-income To enhance effective combat vaccination apprehension countries, mitigation techniques unique those countries adopted.

Language: Английский

Citations

10

A Comparison of Strategies to Improve Uptake of COVID-19 Vaccine among High-Risk Adults in Nairobi, Kenya in 2022 DOI Creative Commons

Joan Yego,

Robert Korom, Emma Eriksson

et al.

Vaccines, Journal Year: 2023, Volume and Issue: 11(2), P. 209 - 209

Published: Jan. 17, 2023

Background: COVID-19 vaccine uptake in Kenya is still low compared to other countries, especially Europe and North America. In most parts of the country, a large percentage Kenyan population remains unvaccinated. As October 2022, Ministry Health (Kenya) estimates that only 36.2% adult had been fully vaccinated. Methods: We conducted an experimental study April 2022 targeting unvaccinated adults who history hypertension and/or diabetes those 60+ age group. tested various messaging approaches using two different intervention channels. Results: Although overall rate vaccinated individuals according national records low, responses from group collected through phone call conversations show higher-risk such as older than 60 or with chronic illnesses have remarkably high vaccination 89%. After study, four participants received within 1 month intervention. These all loss-messaging approach during study. Conclusion: This supports increasing rates directed at unvaccinated, high-risk individuals.

Language: Английский

Citations

4

Factors Associated with COVID-19 Vaccine Refusal: A Community-Based Study in the Menoua Division in Cameroon DOI Creative Commons
Aimé Césaire Momo Tetsatsi,

Astride Arolle Nguena,

Andrillene Laure Deutou

et al.

Tropical Medicine and Infectious Disease, Journal Year: 2023, Volume and Issue: 8(9), P. 424 - 424

Published: Aug. 24, 2023

COVID-19, which was named in March 2020 as a global pandemic by the WHO, remains serious public health threat worldwide. Despite adoption of vaccines an effective strategy to counter this pandemic, vaccination rate Cameroon is far lower than that planned Cameroonian government and its partners. The main objective study determine factors limiting COVID-19 vaccine acceptance Menoua Division West Region Cameroon. A community-based cross-sectional analytical conducted between April 2022 Division. pre-tested questionnaire filled out willing participants more 18 years old, data were further expressed order estimate knowledge on status, associated with refusal. Pearson test performed identify factors, p-value < 0.05 considered significant. total 520 mean age 33.27 ± 12.78 included. Most had secondary education level (56.15%), trade informal sectors (34.04%) occupations. Knowledge average, it significantly (p 0.05) gender level. 10%, six times less national target. lack information, confidence, medicinal plant use all This pioneer identified knowledge, leading Health authorities should therefore strengthen sensitization tackle information misinformation among target groups.

Language: Английский

Citations

4