The Vaccine-Hesitant Moment

New England Journal of Medicine, Год журнала: 2022, Номер 387(1), С. 58 - 65

Опубликована: Июнь 29, 2022

Язык: Английский

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Virtual healthcare services and digital health technologies deployed during coronavirus disease 2019 (COVID-19) pandemic in South Africa: a systematic review

Global Health Journal, Год журнала: 2022, Номер 6(2), С. 102 - 113

Опубликована: Март 5, 2022

To identify virtual healthcare services and digital health technologies deployed in South Africa during coronavirus disease 2019 (COVID-19) the challenges associated with their use. determine status of utilization COVID-19 Africa, preferred reporting items for systematic reviews meta-analyses model was used to perform a in-depth critical analysis previously published studies well-known trusted online electronic databases using specific search keywords words that are relevant this study. We selected peer-reviewed articles available from onset July 2021. Total 24 were included into This study revealed adopted such as SMS-based solutions, mobile applications, telemedicine telehealth, WhatsApp-based systems, artificial intelligence chatbots robotics provide pandemic. These innovative have been various purposes including screening infectious non-infectious diseases, surveillance monitoring, medication treatment compliance, creating awareness communication. The also teleconsultation e-prescription, telelaboratory telepharmacy, teleeducation teletraining, teledermatology, teleradiology, telecardiology, teleophthalmology, teleneurology, telerehabilitation, teleoncology telepsychiatry among delivered through Africa. However, these smart face several impediments infrastructural technological barriers, organization financial policy regulatory barriers well cultural barriers. Although has invigorated use technologies, there still some shortcomings. outbreak pandemics like future is not inevitable. Therefore, we recommend increasing community networks rural areas bridge divide modification mHealth advocate effective development sustainable strategies resources mobilization private-public partnerships joining international initiatives advocating health.

Язык: Английский

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Examining Vaccine Hesitancy in Sub-Saharan Africa: A Survey of the Knowledge and Attitudes among Adults to Receive COVID-19 Vaccines in Ghana

Vaccines, Год журнала: 2021, Номер 9(8), С. 814 - 814

Опубликована: Июль 22, 2021

The impact of COVID-19 vaccination programmes on disease transmission, morbidity and mortality relies heavily the population’s willingness to accept vaccine. We explore Ghanaian adult citizens’ vaccine hesitancy attitudes identify likelihood participation or non-participation in government’s effort get citizens vaccinated. A fully anonymised cross-sectional online survey 2345 Ghanaians was conducted from 23 28 February 2021. Differences intentions regarding were explored using Pearson Chi-square tests. Additionally, multinomial logistic regression used analyse factors associated with receive vaccines. Responses weighted iterative proportional fitting technique generate a representative sample. About half (51%) mostly urban over 15 years are likely take if made generally available. Almost fifth (21%) respondents unlikely vaccine, while another 28% undecided. we find differences among some socio-demographic characteristics such as age, gender, primary sources information. Attaining proverbial 63% 70% herd immunity threshold Ghana is only possible preventive combined an enhanced coordinated public education campaign. Such campaign should focus promoting individual population-level benefits pre-emptive efforts towards addressing misinformation about

Язык: Английский

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COVID-19 Vaccine Acceptance among Low- and Lower-Middle-Income Countries: A Rapid Systematic Review and Meta-Analysis

Vaccines, Год журнала: 2022, Номер 10(3), С. 427 - 427

Опубликована: Март 11, 2022

Widespread vaccination against COVID-19 is critical for controlling the pandemic. Despite development of safe and efficacious vaccinations, low-and lower-middle income countries (LMICs) continue to encounter barriers care owing inequitable access vaccine apprehension. This study aimed summarize available data on acceptance rates factors associated with in LMICs. A comprehensive search was performed PubMed, Scopus, Web Science from inception through August 2021. Quality assessments included studies were carried out using eight-item Joanna Briggs Institute Critical Appraisal tool cross-sectional studies. We a meta-analysis estimate pooled 95% confidence intervals (CI). total 36 met inclusion criteria review. 83,867 respondents 33 studied. Most conducted India (n = 9), Egypt 6), Bangladesh 4), or Nigeria 4). The pooled-effect size rate 58.5% (95% CI: 46.9, 69.7, I2 100%, studies) hesitancy 38.2% 27.2–49.7, 32 studies). In country-specific sub-group analyses, showed highest acceptancy (76.7%, 65.8–84.9%, I2= 98%), while lowest (42.6%, 16.6–73.5%, 98%). Being male perceiving risk infection predictors willingness accept vaccine. Increasing global south should be prioritized advance coverage.

Язык: Английский

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A rapid review of evidence on the determinants of and strategies for COVID-19 vaccine acceptance in low- and middle-income countries

Journal of Global Health, Год журнала: 2021, Номер 11

Опубликована: Ноя. 20, 2021

Vaccine acceptance and hesitancy among the general population health care workers play an important role in successfully controlling Coronavirus Disease (COVID)-19 pandemic. While there is evidence for vaccine across globe, wide variation factors influencing has been reported, mainly from High-Income Countries (HIC). However, Low- Middle-Income (LMICs) remains unclear. The objective of this review was to describe determinants strategies address those LMIC context.

Язык: Английский

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Vaccine access, equity and justice: COVID-19 vaccines and vaccination

BMJ Global Health, Год журнала: 2023, Номер 8(6), С. e011881 - e011881

Опубликована: Июнь 1, 2023

Although significant progress has been made in achieving goals for COVID-19 vaccine access, the quest equity and justice remains an unfinished agenda. Vaccine nationalism prompted calls new approaches to achieve equitable access not only vaccines but also vaccination. This includes ensuring country community participation global discussions that local needs strengthen health systems, address issues related social determinants of health, build trust leverage acceptance vaccines, are addressed. Regional technology manufacturing hubs promising challenges must be integrated with efforts ensure demand. The current situation underlines need demand system strengthening addressed along priorities achieved. Innovations improve accountability existing platforms needed. Sustained political will investment is required ongoing production non-pandemic sustained demand, particularly when perceived threat disease appears waning. Several recommendations govern towards including codesigning path forward low-income middle-income countries; establishing stronger measures; dedicated groups engage countries affordable supply predictable balance; addressing through leveraging development delivering on product presentations informed by needs. Even if difficult, we converge a definition well advance next pandemic.

Язык: Английский

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Assessing the Level and Determinants of COVID-19 Vaccine Confidence in Kenya

Vaccines, Год журнала: 2021, Номер 9(8), С. 936 - 936

Опубликована: Авг. 23, 2021

The government of Kenya has launched a phased rollout COVID-19 vaccination. A major barrier is vaccine hesitancy; the refusal or delay accepting This study evaluated level and determinants hesitancy in Kenya. We conducted cross-sectional administered through phone-based survey February 2021 four counties Multilevel logistic regression was used to identify individual perceived risks influences, context-specific factors vaccine-specific issues associated with hesitancy. high: 36.5%. Factors included: Rural regions, difficulty adhering regulations on prevention, no infection risk, concerns regarding safety effectiveness, religious cultural reasons. There need for prioritization interventions address improve confidence as part roll-out plan. These messaging and/or should be holistic include value other public health measures, focused targeted specific groups, raise awareness effectively communicate benefits vaccines.

Язык: Английский

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Low coverage of COVID-19 vaccines in Africa: current evidence and the way forward

Human Vaccines & Immunotherapeutics, Год журнала: 2022, Номер 18(1)

Опубликована: Янв. 31, 2022

Disparities in COVID-19 vaccine coverage across the globe have uncovered inequities global healthcare. While more than half of population developed countries been fully vaccinated, only a small percentage African has received one dose so far, far cry from vaccination targets. Furthermore, several low and middle income (LMICs) lack competence, infrastructure, logistics, financial resources to mass-vaccinate their populations. This paper highlights causes implications on Africa community, discusses strategies for restructuring strengthening Africa.

Язык: Английский

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Are we there yet? Unbundling the potential adoption and integration of telemedicine to improve virtual healthcare services in African health systems

Sensors International, Год журнала: 2021, Номер 3, С. 100152 - 100152

Опубликована: Дек. 7, 2021

Since the outbreak of COVID-19, attention has now shifted towards universal vaccination to gracefully lift strict COVID-19 restrictions previously imposed contain spread disease. Sub-Saharan Africa is experiencing an exponential increase infections and deaths coupled with vaccines shortages, personal protective equipment, weak health systems emerging variants. Some developed countries integrated telemedicine reduce impacts shortage healthcare professionals potentially risk exposure, ensuring easy delivery quality services while limiting regular physical contact direct hospitalization. However, adoption telehealth still nascent in many sub-Saharan countries. Therefore, this study reflects on progress made use telemedicine, virtual care services, challenges encountered, proffers ways address them. We conducted a systematic literature review synthesise Africa. The revealed that provides unprecedented benefits such as improving efficiency, effective utilization resources, forward triaging, prevention medical personnel infection, aiding students' clinical observation participation, assurance social support for patients. absence policy political will, cost sustenance inadequate funding, technological infrastructural barriers, patient bias cultural barriers are identified factors African systems. To alleviate some these we recommend development robust policies frameworks care, inclusion school curriculum, supporting research development, increasing removing monopolisation telecommunication developing solutions eccentricities

Язык: Английский

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Commentary on COVID-19 Vaccine Hesitancy in sub-Saharan Africa

Tropical Medicine and Infectious Disease, Год журнала: 2022, Номер 7(7), С. 130 - 130

Опубликована: Июль 11, 2022

Rates of vaccination against COVID-19 remain lower in sub-Saharan Africa than other low and middle-income regions. This is, part, attributed to vaccine hesitancy, mainly due misinformation about origin, efficacy safety. From August December 2021, we gathered the latest experiences opinions on four hesitancy-related areas (policies, perceived risk religious beliefs, misinformation) from 12 African researchers, whom have published hesitancy. The authors included two political business experts, six public health specialists, five epidemiologists, biostatisticians ten countries( Cameroon, Ghana, Kenya, Liberia, Nigeria, Sierra Leone, South Africa, Tanzania, Uganda, Zimbabwe). authors' overarching were that influences, beliefs exists they collectively contribute Communication strategies should target populations initially thought by policy makers be at risk, use multiple communication avenues address major concerns population.

Язык: Английский

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