Human papillomavirus vaccination in rural Malawi: Identifying factors associated with vaccine uptake using a community-based household survey
Human Vaccines & Immunotherapeutics,
Год журнала:
2025,
Номер
21(1)
Опубликована: Апрель 3, 2025
Uptake
of
the
human
papillomavirus
(HPV)
vaccine
is
suboptimal
globally.
Effective
interventions
are
needed
to
meet
global
goal
vaccinating
90%
girls
against
HPV,
and
this
requires
a
robust
understanding
barriers
uptake.
Using
household
survey
in
three
communities
Malawi
with
parents/guardians
aged
9-13
years,
we
collected
analyzed
data
about
intervention-amenable
factors
hypothesized
be
associated
girls'
HPV
vaccination
status.
The
299
parent/guardian
respondents
provided
information
on
382
whom
39.0%
(n
=
149)
had
received
≥
1
dose
vaccine.
More
than
half
were
concerned
vaccine's
safety.
Greater
hesitancy
was
having
an
unvaccinated
daughter
adjusted
multilevel
models
(aOR
0.69
[95%
CI
0.50-0.93]).
Higher
odds
being
vaccinated
found
among
daughters
greater
knowledge
who
knew
someone
cervical
cancer.
Speaking
more
people
cancer/HPV
vaccination,
perceiving
that
other
parents
their
strongly
daughters'
status
2.03
1.59-2.62]
3.68
1.97-7.18,
respectively).
Most
not
experienced,
or
did
anticipate
experiencing,
challenges
accessing
services,
but
those
also
lower
vaccination.
Interventions
leverage
social
networks
norms,
increase
confidence
safety,
work
improve
access
may
coverage
Malawi.
Язык: Английский
Vaccination willingness, vaccine hesitancy, and estimated coverage of SARS‐CoV‐2 vaccine among healthcare workers in Tanzania: A call for action
Immunity Inflammation and Disease,
Год журнала:
2023,
Номер
11(12)
Опубликована: Дек. 1, 2023
Abstract
Background
The
global
COVID‐19
pandemic
presented
an
immense
obstacle
to
public
health,
with
vaccination
emerging
as
a
crucial
measure
curb
transmission.
This
study
aimed
evaluate
the
willingness,
hesitancy,
and
coverage
of
SARS‐CoV‐2
vaccines
among
healthcare
workers
(HCWs)
in
Tanzania
reveal
their
concerns
about
reasons
that
might
prevent
them
from
getting
vaccinated.
Methods
We
conducted
cross‐sectional
using
anonymous
online
survey
October
November
2022.
multivariate
logistic
regression
model
explored
factors
associated
vaccine
coverage.
Results
included
560
HCWs,
largest
group
being
doctors
(47.9%),
followed
by
nurses
(26.9%)
other
HCWs
(25.2%).
A
total
70.5%
reported
vaccinated
against
SARS‐CoV‐2.
primary
driver
for
was
collective
responsibility.
81.4%
willing
accept
vaccines,
while
62.5%
hesitancy.
higher
educational
qualifications
were
likelier
take
vaccine,
respondents
aged
18–30
years
had
highest
refusal
(71.9%).
also
investigated
role
source
information
promote
uptake.
79.4%
provided
advice
on
vaccines.
Conclusion
To
increase
acceptance
general
population,
targeted
messaging
is
needed
deliver
transparent
safety,
efficacy,
development.
Язык: Английский
Sex and COVID-19 vaccination uptake and intention in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda
Frontiers in Global Women s Health,
Год журнала:
2024,
Номер
5
Опубликована: Июнь 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.
Язык: Английский
A Systematic Review of Factors Associated with COVID-19 Vaccine Uptake, Hesitancy, and Acceptability Among Adults with HIV: Implications for Integrating COVID-19 Immunization into HIV Care
AIDS Patient Care and STDs,
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 26, 2024
The
COVID-19
virus,
once
a
public
health
emergency,
is
now
endemic.
Immunization
remains
an
important
measure
for
mitigating
high
levels
of
disease,
morbidity,
and
mortality
related
to
infection.
People
with
HIV
(PWH),
in
particular,
benefit
from
vaccination
because
increased
risk
severe
However,
previous
data
suggest
vaccine
hesitancy
among
this
population.
Given
context
the
evolving
epidemiology
COVID-19,
review
examines
factors
associated
hesitancy,
acceptability,
uptake
adults
HIV.
Through
systematic
search
electronic
databases,
we
identified
56
peer-reviewed
articles
published
between
years
2020
2023
that
matched
objectives
our
out
total
797
screened
citations.
Among
final
sample
articles,
nearly
all
global
regions
were
represented,
61%
studies
recruited
only
PWH.
We
eight
categories
outcomes,
including
HIV-specific
(e.g.,
CD4
count),
attitudes
confidence),
virus
concern
about
infection),
specific
accessibility),
social
norms
peer
subjective
norms),
mental
anxiety/depression)
other
psychological
substance
use),
demographic
characteristics
age),
history).
Reflecting
on
these
factors,
discuss
populations
need
promotion,
modifiable
targets
intervention,
integrating
immunization
into
care.
Public
efforts
promote
PWH
must
include
educational/informational,
peer,
structural
interventions
consider
booster
doses.
Язык: Английский
COVID-19 information seeking a survey of residents of Chilinde and Chinsapo Townships in Malawi
South African Journal of Libraries and Information Science,
Год журнала:
2024,
Номер
90(1), С. 1 - 15
Опубликована: Янв. 1, 2024
The
Coronavirus
Disease
2019
(COVID-19)
outbreak
spread
anxiety
among
the
general
public,
which
was
exacerbated
by
an
excessive
amount
of
misleading
information.
This
study
investigated
behaviour
Chilinde
and
Chinsapo
residents
in
seeking
COVID-19
used
a
quantitative
research
approach,
whereby
modified
Health
Information
National
Trends
Survey
(HINTS)
questionnaire
to
collect
data
from
627
participants.
Descriptive
statistics
were
summarise
characteristics
participants
sources
types
information
used.
Most
(71.3%,
n=447)
reported
that
they
had
looked
for
about
different
sources.
Doctors
healthcare
providers
main
on
COVID-19.
There
58.1%
(n=364)
who
indicated
extremely
worried
getting
infected
with
It
further
found
there
limited
use
online
platforms
access
Multiple
logistic
regression
results
showed
male
respondents
higher
chance
having
than
their
female
counterparts.
more
likely
have
access,
unlike
those
residing
Chinsapo.
recommends
raising
awareness
masses
regarding
reputable
crisis
situations
future.
Язык: Английский
After the pandemic subsides: The impact of motivation for vaccination and attitude toward COVID-19 vaccination certificate toward tourists’ travel intention
Environment and Social Psychology,
Год журнала:
2024,
Номер
9(7)
Опубликована: Май 17, 2024
The
COVID-19
pandemic
has
limited
human
mobility,
including
in
matters
of
vacation.
Governments
many
countries
require
their
citizens
to
vaccinate
reduce
patients
and
deaths
from
COVID-19.
On
the
other
hand,
government
also
provides
concessions
residents
who
want
travel
if
they
have
received
vaccinations.
This
study
examines
factors
that
influence
intention
tourists
during
pandemic.
predictor
used
this
were
motivation
for
vaccination,
perception
COVID-19,
risk
perception,
attitude
toward
vaccination
certificate.
We
conducted
a
city
on
island
Java,
Indonesia.
study’s
data
collection
an
online
questionnaire,
participants
selected
using
convenient
sampling
method.
In
total,
there
212
involved.
processed
exploratory
factor
analysis,
confirmatory
structural
equation
modelling.
As
result,
significantly
affected
certificates.
Besides,
greatly
influenced
after
subsides.
deepens
field
tourism
marketing
health
marketing.
Язык: Английский
Drivers of COVID-19 vaccine uptake among rural populations in Madagascar: a cross-sectional study
BMC Public Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Окт. 17, 2024
The
WHO
set
the
global
immunisation
threshold
for
COVID-19
at
70%
to
achieve
worldwide
protection
against
disease.
To
date,
vaccine
coverage
is
still
below
this
threshold,
in
particular
several
sub-Saharan
African
(SSA)
countries,
such
as
Madagascar.
While
factors
influencing
hesitancy
have
been
widely
explored
past
few
years,
research
on
drivers
of
uptake
remains
scarce.
This
study
aimed
investigating
associated
with
Boeny
region
Язык: Английский
Perceptions of the COVID-19 Vaccine and Other Adult Vaccinations in Malawi: A Qualitative Assessment
Global Health Science and Practice,
Год журнала:
2023,
Номер
12(Supplement 1), С. e2300146 - e2300146
Опубликована: Дек. 1, 2023
In
Malawi,
various
brands
of
the
COVID-19
vaccine
have
been
offered
to
population,
but
factors
including
fear
side
effects
or
other
risks,
uncertainty
about
benefits,
and
misinformation
created
hesitancy
toward
them.
early
2022,
4%
Malawians
were
fully
vaccinated
for
COVID-19.
Despite
multiple
promotion
efforts,
by
August
vaccination
nationwide
was
around
15%.
To
increase
uptake,
research
team
collected
qualitative
data
in
4
districts
with
coverage
levels
ranging
from
1%
11%.
This
collection
happened
during
a
cholera
outbreak
that
began
March
2022
efforts
address
it.
Study
participants
included
male
female
members
general
social
workers,
people
comorbidities,
health
community
leaders
(224
total,
47%
female).
focus
group
discussions
(n=27)
in-depth
interviews
(n=17),
compared
vaccines
adult
vaccines,
such
as
tetanus
toxoid.
A
thematic
analysis
identified
themes
related
3
questions
on
concerns,
confidence,
delivery
affecting
uptake.
Differences
promotion,
(oral
versus
injection),
card
structure,
boosters,
being
described
required
optional
all
played
role
distinguishing
creating
suspicion
indifference.
Barriers
general,
rumors
knowledge
gaps,
amplified
how
novel
perceived
be
changing
guidance
provided
over
time.
By
April
2023,
more
targeted
campaign
helped
rates
28%.
The
findings
contribute
information
individuals
conceptualize
make
decisions
vaccination,
which
can,
turn,
inform
strategies
integrate
disease
responses
Malawi
well
routine
services
similar
settings.
Язык: Английский