A mixed methods study of health care professionals’ attitudes towards vaccination in 15 countries

Alasmari, Abrar; Larson, Heidi J.; Karafillakis, Emilie

doi:10.1016/j.jvacx.2022.100219

Cited by 7 publications

(12 citation statements)

References 34 publications

(41 reference statements)

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“…With vaccine hesitancy reported even among health workers [37] despite perceived COVID-19 severity, prevention and vaccine safety, a study by El-Sokkary et al recommends a multidimensional approach to increasing vaccine acceptability [38]. Many healthcare professionals however lack information and may feel hesitant to provide accurate responses [39] which necessitates capacity building of health workers and other influencers of PWDs to adequately address patients’ questions and concerns regarding vaccination. Communication on vaccine uptake should be grounded in the key principles of science-based evidence and data, transparency (i.e.…”

Section: Discussionmentioning

confidence: 99%

Behavioural and Social Predictors of COVID-19 Vaccine Uptake among Persons with Disabilities in Kenya

Josphat,

Moraro,

Omogi

et al. 2023

Preprint

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The uptake of the COVID-19 vaccine by persons with disabilities remains largely unknown in low-and middle-income countries. This evidence gap necessitates disability-focused research to inform improvements in access and inclusion in the last mile of COVID-19 vaccination programs and to support future programs for other vaccine-preventable diseases. We aimed to identify behavioural and social predictors of COVID-19 uptake among persons with disabilities in Kenya. This was a convergent parallel mixed method study that involved questionnaires (792), key informants interviews, and focus group discussions among persons with disabilities and key stakeholders (government actors and professional associations). Data were analysed using STATA statistical analysis software (version 14). Chi-square (X2) and Fisher’s exact tests were used to test for differences in categorical variables; multivariate regression analysis was employed to ascertain the factors that influence uptake of COVID-19 among persons with disabilities (PWDs) in Kenya. Approximately 59% of persons with disabilities reported to be fully vaccinated, with significant disparities noted among those with cognition (34.2%) and self-care (36.6%) impairments. Confidence in vaccine benefits (Adjusted odds ration [OR]; 11.3, 95% CI; 5.2-24.2), health worker recommendation (OR; 2.6, 95% CI; 1.8-3.7), employment (OR; 2.1, 95% CI; 1.4-3.1), perceived risk (OR; 2.0, 95% CI; 1.3-3.1), age and area of residence were statistically significant predictors of vaccine uptake among PWDs. The primary reasons for low uptake included perceived negative vaccine effects and lack of adequate information. No association was found between having a primary caregiver and/or assistive device, with COVID-19 vaccine uptake. Subsequent vaccination deployments should map and reach PWDs through relevant institutions of PWDs, and localized vaccination campaigns. Related communication strategies should leverage on behaviour change techniques that inspire confidence in vaccines, and on the credibility and trust in health workers to improve vaccine uptake.

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Section: Discussionmentioning

confidence: 99%

Behavioural and Social Predictors of COVID-19 Vaccine Uptake among Persons with Disabilities in Kenya

Josphat,

Moraro,

Omogi

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

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“…Healthcare workers in some nations supported mandates as an effective strategy to increase vaccination rates [42,43]. Others considered vaccine mandates to be a coercive action that does not address patient concerns, may not be an effective tool to increase vaccinations, and should be used as a last resort [43][44][45]. This is a view echoed by the World Health Organization (WHO), which warns against mandatory vaccinations unless all other options have been exhausted [46].…”

Section: Discussionmentioning

confidence: 99%

Perceived Role, Identity and Experiences of Pharmacists and the Potential Impact on COVID-19 Vaccine Uptake per Louisiana Region: A Prospective Cohort Study

Singleton,

Al-Dahir,

Gillard

et al. 2023

IJERPH

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Some of the lowest COVID-19 community vaccination rates in America are found in Louisiana. This study investigated: (1) barriers that Louisiana pharmacists encountered during the pandemic; and (2) the effect of pharmacists’ role and identity confidence on willingness to enforce vaccine mandates, and COVID-19 vaccine uptake. Fifty-four community pharmacists from nine regions of Louisiana participated in the study. Pharmacists completed questionnaires about: personal demographics, patient population, vaccination encouragement, COVID-19 concerns, and vaccination administration rates. The importance of feeling like a trusted voice in the community, as well as professional perception and self-assurance, were measured using Likert scale questions. During focus groups, participants discussed experiences with the COVID-19 vaccination rollout and vaccination-related obstacles. As the pandemic progressed, pharmacists reported being overworked, understaffed, and overburdened with new responsibilities. In regions with lower vaccination rates, pharmacists were less likely to feel at ease enforcing vaccine mandates. Independent pharmacists were less comfortable enforcing vaccine mandates than chain pharmacists but had more positive perceptions of their role and identity. This study contributes to further understanding of pharmacy workflow obstacles and pharmacists’ perceptions of their professional roles and identities in the community.

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“…The utilization of these questions through the Vaccine Confidence Project to map and monitor the fluctuations in confidence across numerous countries worldwide renders it an ideal tool for ensuring the comparability of research results. As Switzerland had been previously surveyed in 2018 in the general population and in 2021 ( 26 ) in the healthcare population, we will be able to compare the results of our study with them. For all these reasons, we decided to use the VCI in the present study.…”

Section: Introductionmentioning

confidence: 99%

“…Research indicates that healthcare professionals play a significant role in influencing their patients’ decisions to get vaccinated ( 6 , 12 , 28–30 ). Vaccine hesitancy also affects these professionals and influences their intention to recommend vaccination to their patients ( 12 , 26 , 31–35 ). A strong association has been observed between healthcare professionals’ confidence in vaccination and the general population’s trust in vaccination ( 34 ).…”

Section: Introductionmentioning

confidence: 99%

“…A strong association has been observed between healthcare professionals’ confidence in vaccination and the general population’s trust in vaccination ( 34 ). Nurses and midwives, in particular, tend to be more hesitant compared to physicians, a difference that could be explained by different training and lack of knowledge regarding vaccination ( 26 , 31 , 36 ). Indeed, studies have shown that there is a difference in the level of knowledge and the presence of more misconceptions among nurses and midwives than among doctors, with the most common barrier being a perceived lack of effectiveness ( 36 , 37 ).…”

Section: Introductionmentioning

confidence: 99%

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Vaccine hesitancy among nursing and midwifery undergraduate students in Switzerland: protocol for an online national study

Pouvrasseau,

Jeannot

2023

Front. Public Health

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BackgroundVaccine hesitancy is a persistent challenge in public health, exacerbated by the proliferation of anti-vaccine sentiments facilitated by social networks. The COVID-19 pandemic has underscored the importance of addressing vaccine hesitancy, designated by the WHO as a top global health threat. This study explores vaccine hesitancy among nursing and midwifery undergraduate students in Switzerland—a cohort crucial to public health given their future roles as healthcare professionals—with a particular emphasis on the HPV vaccine, which exhibits lower confidence levels compared to other vaccines.MethodsThis study will employ an online questionnaire distributed to nursing and midwifery undergraduate students from various healthcare universities. The questionnaire will collect data on vaccine hesitancy (general confidence in vaccines and specifically in the HPV vaccine), HPV vaccine coverage, socio-demographics, likelihood to recommend vaccines to patients, perception of vaccination education and interest in complementary medicine.ConclusionThe study’s findings will contribute to our understanding of vaccine hesitancy among nursing and midwifery undergraduate students, providing insights that can inform targeted interventions and education strategies to bolster vaccine confidence among future healthcare professionals, thereby enhancing public health efforts.

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A mixed methods study of health care professionals’ attitudes towards vaccination in 15 countries

Cited by 7 publications

References 34 publications

Behavioural and Social Predictors of COVID-19 Vaccine Uptake among Persons with Disabilities in Kenya

Behavioural and Social Predictors of COVID-19 Vaccine Uptake among Persons with Disabilities in Kenya

Perceived Role, Identity and Experiences of Pharmacists and the Potential Impact on COVID-19 Vaccine Uptake per Louisiana Region: A Prospective Cohort Study

Vaccine hesitancy among nursing and midwifery undergraduate students in Switzerland: protocol for an online national study

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