Barriers and facilitators to vaccination in Latin America: a thematic synthesis of qualitative studies

Cadernos de Saúde Pública, Год журнала: 2024, Номер 40(6)

Опубликована: Янв. 1, 2024

Vaccines are often undervalued or underused for a variety of reasons, and vaccine hesitancy is global challenge that threatens acceptance the goals immunization programs. This review aimed to describe barriers facilitators vaccination in Latin America. The study design was systematic thematic synthesis qualitative studies reporting on knowledge attitudes adults, parents children at age, adolescents health professionals towards databases searched were PubMed, CENTRAL, Scopus, LILACS, SciELO, CINAHL. A total 56 included. Facilitators included being recognized as an effective strategy preventing infectious diseases requirement access social assistance programs, schooling employment. Recommendations from positive experiences with services also identified facilitators. main lack information counseling, structural problems such shortages vaccines limited hours operation, inability afford over-the-counter transportation facilities, certain religious beliefs, misconceptions safety concerns. Qualitative research can contribute understanding perceptions decision-making about designing policies interventions increase coverage.

Язык: Английский

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Public health partnerships with faith-based organizations to support vaccination uptake among minoritized communities: A scoping review

PLOS Global Public Health, Год журнала: 2024, Номер 4(6), С. e0002765 - e0002765

Опубликована: Июнь 5, 2024

Faith-based vaccine initiatives are of growing interest to public health agencies who looking increase confidence among ethnoracially minoritized populations. Despite evidence that support faith-based organizations’ (FBOs) partnerships with (PHAs) confidence, reviews on the scope and efforts ensure equitable vaccination delivery for populations scarce. We aimed understand how collaborate FBOs or faith communities improve in high-, low- middle- income countries. conducted a scoping review by searching OVID MEDLINE, Cochrane Library, Cumulative Index Nursing Allied Health Literature (CINAHL), SCOPUS, PROQUEST from 2011 2023. included case studies, news reports, observational experimental, quasi-experimental studies multimedia content describes PHA-FBO created marginalized communities. The data was extracted, summarized, results were described narratively. 167 reported 160 publications; 83.8% articles published between 2019 interventions carried out attempted uptake using any all following methods. First, provided digital in-person platforms interfaith learning established training programs empower leaders become ambassadors. Second, designed disseminated education awareness materials be sensitive religious gender norms. Third, partnered apply equity frameworks wrap-around enable access. Majority improved (71.3%). About 22.2% quantitative outcomes post-intervention. over past decade increased acceptance diverse Reporting subject publication bias can strengthened examining more evaluation establishment key outcome indicators critically appraise intervention outcomes.

Язык: Английский

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Vaccine Knowledge and Acceptance Among Hadzabe Hunter‐Gatherers in Tanzania

American Journal of Human Biology, Год журнала: 2025, Номер 37(2)

Опубликована: Фев. 1, 2025

ABSTRACT Objectives Vaccines are highly successful in preventing disease, but misinformation has fueled vaccine hesitancy globally, thereby reducing immunization rates and weakening herd immunity. Vaccine knowledge among hunter‐gatherers is a crucial area of research intervention, as their mobile lifestyle exacerbates other challenges, such marginalization medical mistrust. Methods In our exploratory study, we surveyed 91 Hadzabe adults across six camps (mean age = 39, 46% female) about vaccines safety efficacy. Differences between sexes were tested using Fisher's exact tests. Results Half participants reported not knowing what is, while one‐third described protecting health or disease. About 32% unsure safety, most strongly agreed effective (65.3%). A majority (72%) important for children, yet only on importance adults. More females than males expressed uncertainty the adult ( p 0.03). Participants sample perceived less more safe general Tanzanian population, based 2018 Wellcome data. Discussion sample, results indicate that generally agree important, particularly gaps remain. There clear need to communicate information community culturally appropriate manner. Such efforts critical safeguarding Indigenous populations experiencing greater market integration, supporting access against diseases.

Язык: Английский

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Newness, unfamiliarity, and cultural beliefs; social and behavioural barriers to COVID-19 vaccination among the Dumagat Remontado, an Indigenous population in the Philippines

Health & Place, Год журнала: 2025, Номер 93, С. 103444 - 103444

Опубликована: Апрель 6, 2025

Язык: Английский

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Shaping global vaccine acceptance with localized knowledge: a report from the inaugural VARN2022 conference

BMC Proceedings, Год журнала: 2023, Номер 17(S7)

Опубликована: Окт. 5, 2023

The first conference of the Vaccination Acceptance Research Network, VARN2022: Shaping Global Vaccine with Localized Knowledge, was held virtually, from March 1st to 3rd 2022. This inaugural event brought together a global representation experts discuss key priorities and opportunities emerging across ecosystem vaccine acceptance demand, policies programs practice. Convened by Sabin Institute, VARN aims support dialogue among multidisciplinary stakeholders enhance uptake social behavioral science-based solutions for vaccination decision-makers implementers. centered around four themes: 1) Understanding its drivers; 2) One size does not fit all: community- context-specific approaches increase demand; 3) Fighting infodemic harnessing media good; 4) Frameworks, data integrity evaluation best practices. Across conference, presenters participants considered drivers strategies demand relating COVID-19 other vaccines life-course low-, middle- high-income settings. VARN2022 provided wealth evidence world, highlighting need human-centered, multi-sectoral transdisciplinary improve demand. report summarizes insights diverse presentations discussions at VARN2022, which will form roadmap future research, policy making, interventions globally.

Язык: Английский

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COVID-19 vaccine uptake and barriers among Indigenous language speakers in Mexico: Results from a nationally representative survey

PLOS Global Public Health, Год журнала: 2024, Номер 4(3), С. e0002921 - e0002921

Опубликована: Март 28, 2024

Mexico faced a significant burden from the COVID-19 pandemic. Since pandemic's onset in 2020, numerous studies have underscored substantial risk of death among Indigenous individuals. This study aims to assess vaccine uptake language speakers Mexico, focusing on understanding barriers they face obtaining access vaccines. We used Encuesta Nacional de Salud y Nutrición Continua (ENSANUT) 2022, nationally representative health survey analyze data self-reported status, reasons for not getting vaccinated, and other relevant covariates. employed logistic regression estimate odds ratios (ORs) barriers, all models were adjusted potential confounders. Among 34,051 participants, 1793 individuals (5.23%) reported speaking an language. found lower vaccination rate (63%) compared non-Indigenous (81%) (p <0.005). They also 59% less likely be vaccinated against (OR 0.41, 95% CI 0.27-0.62), even when unvaccinated individuals, more cite negative beliefs about or fear as being 1.82, 1.11-3.00) while report 0.62, 0.42-0.91). highlights disparities Mexico. The findings underscore urgent need targeted, culturally appropriate public interventions consideration social ethnic vulnerability prioritizing vaccinations.

Язык: Английский

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Attitude toward vaccination against COVID-19 and acceptance of the national “QazVac” vaccine in the Aktobe city population, West Kazakhstan: A cross-sectional survey

PLoS ONE, Год журнала: 2024, Номер 19(5), С. e0303854 - e0303854

Опубликована: Май 16, 2024

The scale of emergency caused by COVID-19, the ease survey, and crowdsourcing deployment guaranteed latest technology have allowed unprecedented access to data describing behavioral changes induced pandemic. study aimed present survey results identifying attitudes toward vaccination against COVID-19 among population West Kazakhstan, level confidence in national QazVac vaccine, role different sources information on decision-making concerning vaccination. A computer-assisted was conducted using WhatsApp messenger. Overall, 2,009 participants responded, with a response rate 92%. Most (83.1%) were immunized COVID-19; them, 20.1% obeyed request their employers that had been practiced within non-pharmaceutical interventions contain disease. youngest respondents, individuals college education, students, employed people, as well those chronic diseases, showed positive (all p<0.05). About two-thirds respondents (69.2%) expressed trust all types vaccines COVID-19. Of who refused (16.9%), about one-third feared consequences, more than third (38.2%) reported anti-vaccine sentiments. decisive factors accepting official (reports medical experts, etc.) and, mainly, subjectively interpreted sufficiency disease, which increased odds being vaccinated 63.9% (OR 1.71, 95% CI [1.3;2.26], Confidence domestic vaccine 37.7% respondents. History severity disease did not play perceptions vaccination, while illness after substantially affected approval (p 0.021). No significant differences observed regarding overall performance across five (QazVac, Sputnik V, CoronaVac, Hayat-Vax, BioNTech/Pfizer) available for Kazakhstan’s 0.27).

Язык: Английский

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Strategies to address COVID-19 vaccine hesitancy in First Nations peoples: a systematic review

Global Health Action, Год журнала: 2024, Номер 17(1)

Опубликована: Сен. 4, 2024

First Nations peoples face disproportionate vaccine-preventable risks due to social, economic, and healthcare disparities. Additionally, during the COVID-19 pandemic, there was also mistrust hesitancy about vaccines among peoples. These are rooted in factors such as colonial histories, discriminatory medical practices, unreliable information.

Язык: Английский

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An assessment of Ghana’s pilot of the RTS,S malaria vaccine implementation programme; 2019–2021: a retrospective study

Malaria Journal, Год журнала: 2024, Номер 23(1)

Опубликована: Сен. 27, 2024

Язык: Английский

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Massive Online Open Courses for Emergency Health: Analysis of Global Use, Adaptation, and Sharing of Courses on the OpenWHO Platform (Preprint)

Journal of Medical Internet Research, Год журнала: 2024, Номер 27, С. e52591 - e52591

Опубликована: Окт. 23, 2024

Background The COVID-19 pandemic demonstrated the global need for accessible content to rapidly train health care workers during emergencies. massive open access online course (MOOC) format is a broadly embraced strategy widespread dissemination of trainings. Yet, barriers associated with technology access, language, and cultural context limit use MOOCs, particularly in lower-resource communities. There tremendous potential MOOC developers increase scale contextualization learning; however, at present, few studies examine adaptation sharing MOOCs address these challenges. Objective World Health Organization’s Emergencies Programme Learning Capacity Development Unit Stanford Center Education collaborated survey learners from 4 emergency on OpenWHO platform differences by Bank country income classification across three dimensions: (1) how education are used shared, (2) adapt meet local training information needs, (3) adaptations help frontline overcome using MOOCs. Methods This study draws upon two sources data: enrollment data collected (N=96,395) who participated least 1 (N=926). Descriptive statistics summarize learner characteristics. Differences enrollment, sharing, examined Pearson chi-square test. Results Of enrollees indicated their residence, half were lower-middle-income countries (LMICs; 43,168/85,882, 50%) another 9% (7146/85,882) low-income countries. majority all respondents shared (819/926, 88%) official trainings (563/926, 61%). Respondents more likely share LMICs than high-income (91% vs 81%; P=.001). Learners also people average compared although difference not statistically significant (9.48 6.73 people; P=.084). Compared countries, materials distribute via offline formats or technologies, such as WhatsApp text message (31% 8%; P<.001); cultural, linguistic, other contextual needs (20% 12%; P=.076); guidelines 9%; P=.010). greater accessibility challenges due technological linguistic barriers. Conclusions commonly about public emergencies; this especially true LMICs. However, often adapted alternative formats. Our findings identify critical opportunity improve design dramatically impact better diverse needs.

Язык: Английский

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