BMJ Open,
Год журнала:
2023,
Номер
13(12), С. e073668 - e073668
Опубликована: Дек. 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.
Vaccines,
Год журнала:
2023,
Номер
11(12), С. 1751 - 1751
Опубликована: Ноя. 24, 2023
The
World
Health
Organization
has
defined
vaccine
hesitancy
as
behavior
influenced
by
several
factors,
including
trust
in
the
itself
or
its
provider
perceived
need
for
vaccination.
aim
of
this
study
was
to
investigate
factors
influencing
willingness
receive
COVID-19
among
employees
and
healthcare
professionals
Central
Tuscany
Local
Authority
(CT-LHA)
Italy.From
July
October
2022,
a
cross-sectional
conducted.
An
online
questionnaire
administered
7000
CT-LHA.
analyzed
that
receiving
booster
dose
vaccine.
sample
stratified
gender,
age,
type
occupation
(healthcare
non-healthcare
workers),
seniority.
Incomplete
questionnaires
were
excluded.
A
chi-squared
test
performed
through
STATA.
significance
level
set
at
95%.Of
administered,
1885
(26.9%)
eligible
study.
In
previous
vaccination
campaign,
workers
(HCWs)
considered
used
CT-LHA
safe,
contrast
(N-HCWs),
who
it
less
secure
(p
<
0.05).
HCWs
showed
higher
propensity
safety
than
N-HCWs.
N-HCWs
appeared
be
affected
an
updated
0.05).The
studied
appear
influence
differently
from
Both
would
choose
upgraded
mRNA
dose.
Disaster Medicine and Public Health Preparedness,
Год журнала:
2024,
Номер
18
Опубликована: Янв. 1, 2024
Abstract
Objective:
This
study
explored
the
barriers
and
facilitators
of
mask-wearing
behaviors
during
pandemic
in
Taiwan,
United
States,
Netherlands,
Haiti.
Methods:
Face-to-face
interviews
were
conducted
Taiwan
online
with
participants
Results:
In
general,
habit
wearing
a
mask
before
coronavirus
disease
2019
(COVID-19)
was
reported
by
Taiwanese
participants.
Additionally,
perceived
that
social
responsibility
pandemic,
suggesting
collectivistic
context
might
influence
behavior.
Unlike
population,
some
people
States
Netherlands
reluctant
to
wear
masks
due
restrictions
on
their
freedom.
Participants
from
Haiti
mentioned
who
wore
encountered
violence,
bullying,
discrimination.
The
results
this
suggest
political
leadership
mandates
have
strong
impact
people’s
Conclusions:
These
findings
valuable
implications
for
design
diverse
behavioral
interventions
enhance
as
part
infectious
preparedness.
these
countries
offer
insights
development
effective
public
health
society’s
resilience
current
future
outbreaks.
American Journal of Tropical Medicine and Hygiene,
Год журнала:
2023,
Номер
109(4), С. 895 - 907
Опубликована: Сен. 11, 2023
Although
studies
on
COVID-19
vaccine
hesitancy
are
being
undertaken
widely
worldwide,
there
is
limited
evidence
in
Tanzania.
This
study
aims
to
assess
the
sociodemographic
factors
associated
with
and
reasons
given
by
unvaccinated
participants.
We
conducted
a
mixed-method
cross-sectional
two
components-health
facilities
communities-between
March
September
2022.
A
structured
questionnaire
in-depth
interviews
were
used
collect
quantitative
qualitative
data,
respectively.
total
of
1,508
individuals
agreed
participate
survey
explained
why
they
had
not
vaccinated
against
COVID-19.
Of
these
participants,
62%
indicated
would
accept
vaccine,
whereas
38%
expressed
skepticism.
In
multivariate
regression
analysis,
adult
participants
40
years
older
significantly
more
likely
report
intending
be
(adjusted
odds
ratio
[AOR],
1.28;
95%
CI,
1.01-1.61;
P
=
0.04)
than
youth
middle-aged
between
18
years.
Furthermore,
female
greater
likelihood
(AOR,
1.51;
1.19-1.90;
0.001)
male
The
identified
fear
safety
short-term
side
effects,
lack
trust
vaccine;
belief
spiritual
or
religious
views;
local
remedies
other
precautions
preventive
measures
as
major
contributors
Further
empirical
needed
confirm
findings
understand
fully
for
different
demographic
groups.
Archives of Public Health,
Год журнала:
2024,
Номер
82(1)
Опубликована: Март 18, 2024
Abstract
Background
The
COVID-19
pandemic
highlights
vaccination’s
critical
role
in
reducing
morbidity
and
mortality,
depending
on
public
attitude.
This
study
aims
to
identify
the
estimates
of
vaccine
acceptance
pregnant
lactating
women,
as
well
associated
potential
factors.
Methods
A
cross-sectional
was
conducted
between
August
September
2021,
through
an
online
survey
with
a
paper
distributed
gynecology
pediatric
clinics.
Pregnant
breastfeeding
women
aged
18
years
above
were
recruited.
attitude
scale
created
specifically
for
evaluating
attitudes
towards
vaccine.
Results
In
total,
207
participated,
132
breastfeeding,
74
1
experiencing
both
conditions.
Of
these,
one
hundred
twenty
(58%)
considered
themselves
at
risk
infection.
addition,
51.7%
(
n
=
107)
expressed
intent
receive
once
available.
multivariable
linear
regression
taking
vaccination
dependent
variable.
results
revealed
R-squared
value
0.558,
indicating
that
approximately
55.8%
variance
accounted
by
included
predictors.
showed
preventive
measures
(ß=2.25,
95%
Confidence
Interval
(CI)
[1.02;
3.48],
p
<
0.001),
preference
vaccines
made
Europe
America
(ß=1.23;
CI
[0.69–1.77],
protect
yourself
getting
sick
(ß=4.22,
[2.83;
5.61],
0.001)
belief
importance
their
baby
(ß=3.49;
[2.01;
4.98],
positive
vaccination.
Conversely,
previous
bad
reaction
(ß=
-1.35;
[0.85–1.85],
concerns
regarding
safety
-4.09;
[-5.98;
-2.21],
negative
Conclusion
Our
findings
reveal
acceptability
among
amidst
insufficient
meet
community
immunity.
identified
reasons
reluctance,
notably
about
personal
health
pregnancy
or
newborns,
along
information
vaccine,
underscore
pressing
need
address
these
factors
improve
immunization
rates.
Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Июль 10, 2024
Background
Vaccination
was
a
key
measure
in
the
COVID-19
pandemic
response,
though
much
work
needed
to
promote
vaccine
uptake
and
acceptance.
In
Kenya,
Community
Health
Volunteers
(CHVs)
played
role
education
promotion.
We
conducted
this
study
explore
CHVs’
experiences
of
implementing
promotion
during
increase
two
areas
Kenya.
Methods
qualitative
descriptive
study,
we
30
structured
in-depth
interviews
with
20
CHVs
10
Assistants
from
rural
Kilifi
County
Kangemi,
an
urban
informal
settlement
Nairobi
Kenya
between
April
2022
July
2022.
Findings
Thematic
analysis
generated
five
themes
relation
promotion:
Five
emerged
regarding
(1)
preferences
influenced
acceptance,
(2)
fear
side
effects
barrier,
(3)
misinformation
widespread
(4)
lack
trust
government
politicization
vaccines
(5)
efforts
were
facilitator
increased
uptake.
Conclusion
Extensive
community
outreach
contributed
high
primary
boosters
pandemic.
acting
as
models
by
receiving
vaccinations
first
particularly
important
influencing
communities
accept
vaccinations.
provide
evidence
for
prioritizing
planning
implementation
future
vaccination
initiatives
other
countries.
BMJ Public Health,
Год журнала:
2024,
Номер
2(2), С. e000924 - e000924
Опубликована: Сен. 1, 2024
This
review
examines
the
impact
of
COVID-19
pandemic
on
HIV/AIDS
care
and
management
in
Tanzania,
highlighting
challenges,
adaptations
lessons
learnt.
The
has
led
to
disruptions
service
delivery,
reduced
access
testing
treatment,
increased
stigma
discrimination.
Adaptations
innovations,
such
as
telemedicine
(telehealth
virtual
care),
multimonth
dispensing
antiretroviral
therapy,
decentralised
drug
distribution
initiatives,
have
been
implemented
mitigate
challenges
faced
management.
Integration
services
is
crucial
ensure
continuity
postpandemic
by
strengthening
healthcare
systems,
improving
supply
chain
enhancing
community
engagement.
Several
vaccines
were
introduced
in
Tanzania
to
combat
the
COVID-19
pandemic.
While
studies
have
explored
acceptability
and
hesitancy
of
within
general
population,
there
is
limited
research
focusing
on
confidence
associated
factors
among
People
Living
with
HIV
(PLHIV).
This
study
aims
fill
that
gap
by
investigating
vaccine
its
determinants
this
demographic
group.
A
cross-sectional
was
conducted
centres
for
care
treatment
four
regions
mainland
using
structured
questionnaires.
generalized
linear
mixed
model
fitted
determine
vaccine.
total
1,100
participants
interviewed;
761
(69.2%)
female.
The
mean
age
standard
deviation
41.6
±12.1
years.
overall
level
55.3%.
Females
less
likely
express
compared
males
(aOR
=
0.77;
95%
CI:
0.72–0.84).
Participants
primary
1.79;
1.65–1.94),
secondary
1.81;
1.57–2.09),
university-level
education
2.14;
0.17–26.54)
more
report
vaccines.
Attending
a
dispensary-level
health
facility
1.32;
1.27–1.38)
living
rural
areas
1.43;
1.23–1.66)
significantly
Although
no
longer
global
public
threat,
these
findings
highlight
significance
being
prepared
necessity
continuous
efforts
comprehend
enhance
acceptance
people
HIV.
By
tackling
impact
attitudes
group,
we
can
improve
our
preparedness
future
challenges
where
uptake
may
once
again
become
crucial.