Adult vaccination uptake strategies in low- and middle-income countries: A systematic review

Perroud, Janamarie M.; Soldano, Shad; Avanceña, Anton L. V.; Wagner, Abram L.

doi:10.1016/j.vaccine.2022.07.054

Cited by 9 publications

(11 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hence, the negative correlation between COVID-19 vaccine with polio vaccine might be indicative of aversion towards invasive medical procedures, which could have built some hesitancy around the COVID-19 vaccine, which was also invasive. Moreover, adult vaccination is not common in India as in any developing country, unlike child immunisation, which might also have built resistance against COVID-19 vaccines [ 70 ]. Lower vaccination was also observed in districts with higher proportions of wasted children.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Coverage in India: A District-Level Analysis

Agarwal

Naha

2023

Vaccines

View full text Add to dashboard Cite

India implemented the largest COVID-19 vaccination drive in the world, through which it vaccinated the majority of its population. Lessons from the Indian COVID-19 vaccination experience can be invaluable for other LMICs as well as for preparedness for future outbreaks. Our study is designed to explore the factors associated with COVID-19 vaccination coverage in India at the district level. We used data from COVID-19 vaccination in India combined with several other administrative data to create a unique data set that facilitated a spatio–temporal exploratory analysis by uncovering the factors associated with vaccination rates across different vaccination phases and districts. We found evidence that past reported infection rates were positively correlated with COVID-19 vaccination outcomes. Past cumulative COVID-19 deaths as a proportion of district populations were associated with lower COVID-19 vaccination, but the percentage of past reported infection was positively correlated with first-dose COVID-19 vaccination, which might indicate a positive role of higher awareness created by a higher reported infection rate. Districts that on average had a higher population burden per health centre were likely to have lower COVID-19 vaccination rates. Vaccination rates were lower in rural areas relative to urban areas, whereas the association with literacy rate was positive. Districts with a higher percentage of children with complete immunisation were associated with higher COVID-19 vaccination, whereas low vaccination was observed in districts that had higher percentages of wasted children. COVID-19 vaccination was lower among pregnant and lactating women. Higher vaccination was observed among populations with higher blood pressure and hypertension (which were a few of the co–morbidities associated with COVID-19 infection).

show abstract

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Coverage in India: A District-Level Analysis

Agarwal

Naha

2023

Vaccines

View full text Add to dashboard Cite

show abstract

“…Hence, the negative correlation of covid vaccine with polio vaccine might be indicative of aversion towards invasive medical procedures that could have built some hesitancy around covid vaccine, which too was invasive. Moreover, adult vaccination is not common in India unlike child immunisation, which too could have created a resistance to get vaccinated [70].…”

Section: Resultsmentioning

confidence: 99%

Covid-19 Vaccination in India: An Exploratory Analysis

Agarwal

Naha

2023

Preprint

View full text Add to dashboard Cite

Our study is designed to explore the patterns in covid vaccination coverage in India at the district level. We use data from the first six months of covid vaccination drive in India that we combine with several other administrative data to create a unique data set that facilitates heterogeneity analysis across different vaccination phases and districts. We find evidence of past reported infection rates positively correlated with higher first dose covid vaccination outcomes. Higher Deaths as a proportion of district population is associated with lower vaccination uptake but as a percentage of reported infection was positively correlated with first dose covid vaccination. Districts that on average had higher population burden per health centre also had lower covid vaccination rates. Vaccination rates were lower in rural areas relative to urban areas whereas the association with literacy rate was positive. A higher vaccination rate among the population with higher blood pressure and hypertension (one of the co-morbidities with covid infection) was observed while vaccination rates were lower among pregnant women and breastfeeding mothers. Districts with higher percentage of children with complete immunisation were associated with higher covid vaccination rates whereas low vaccination rates were observed in districts that reported relatively higher percentage of wasted children.

show abstract

“… Practical issues include challenges that individuals experience in getting vaccinated like availability, accessibility, affordability, and quality of health services [ 37 ]. Improved quality of health services, free vaccines, government mandates, cash incentives, reminder recall SMS services, and workplace and health worker vaccination increase vaccine acceptance [ 32 ••, 38 ]. …”

Section: How To Tackle Vaccine Hesitancy?mentioning

confidence: 99%

Vaccine Hesitancy: Obstacles and Challenges

Galagali¹,

Kinikar

Kumar

2022

Curr Pediatr Rep

View full text Add to dashboard Cite

Purpose of Review In 2019, vaccine hesitancy (VH) was named as one of the top 10 threats to global health by the World Health Organization (WHO). We highlight the factors affecting VH, the role of VH in limiting vaccine uptake and inability to achieve collective immunity, and possible solutions. Recent Findings There are still uncertainties and concerns about the safety and efficacy of vaccines, which promote VH and undermine public confidence in immunization. WHO has designed the behavioral and social drivers (BeSD) tools and survey instruments that can be used by countries to assess reasons for poor vaccine uptake in childhood for COVID-19 and plan national vaccination programs to counter these misconceptions. Summary Vaccines are one of the best preventative measures that public health care has to offer. Evidence from across the world both in high-income countries (HICs) and low/middle-income countries (LMICs) show that VH is a significant phenomenon which is translating into geographical clustering of epidemics. A reasonably high acceptance and coverage rates are necessary for an immunization program to be successful. A context-specific and multifactorial intervention with more high-quality research is needed globally.

show abstract

Adult vaccination uptake strategies in low- and middle-income countries: A systematic review

Cited by 9 publications

References 40 publications

COVID-19 Vaccine Coverage in India: A District-Level Analysis

COVID-19 Vaccine Coverage in India: A District-Level Analysis

Covid-19 Vaccination in India: An Exploratory Analysis

Vaccine Hesitancy: Obstacles and Challenges

Contact Info

Product

Resources

About