COVID-19 vaccine hesitancy and influence of professional medical guidance

Nair, Govind; Venkatesan, Kirthika; Nair, Arjun; Firoz, Irene N; Haroon, Nisha Nigil

doi:10.4103/jehp.jehp_792_21

Cited by 8 publications

(15 citation statements)

References 12 publications

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“…Healthcare staff need to be involved in sensitizing the public regarding adverse events following immunization and reporting suspected events to the Pharmacovigilance Program of India (PvPI). [ 31 32 ] This will generate evidence on vaccine safety.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of vaccine hesitancy among mothers of under-five children: A hospital-based cross-sectional study

Narayana

Akanksha²,

Lalithaasudhaa³

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: The World Health Organization (WHO) states that vaccine hesitancy is one of the top 10 threats to global public health. Evidence shows that vaccine hesitancy studies in India are limited and targeted toward individual vaccines. The study aimed to fill this gap by exploring the relationship between demographics and SAGE factors toward vaccine hesitancy. MATERIALS AND METHODS: A hospital-based, cross-sectional, analytical study was conducted in a non-governmental organization (NGO) hospital with 330 beds, located in Bathalapalli, Andhra Pradesh, India. Mothers of under-five children who attended outpatient departments of pediatrics or obstetrics and gynecology were included. A total of 574 mothers were enrolled and vaccine hesitancy was determined by reviewing the mother–child protection card for the presence of delay or refusal of the recommended vaccine. A face-to-face interview was conducted to obtain demographics and WHO–SAGE variables from the participants. Binary logistic regression analysis was performed to associate independent variables (demographics and SAGE variables) with the dependent variable (vaccine hesitancy). RESULTS: Out of 574 respondents, 161 mother's children were noted as vaccine-hesitant (refusal = 7; delay = 154); and the prevalence of vaccine hesitancy was 28.05%. The delay was observed in all recommended vaccines, but the refusal or reluctance was seen in only four vaccines (hepatitis B birth dose = 1; IPV 1 and 2 = 2; Measles 1 and 2 = 3; and Rota 1, 2, and 3 = 1). The respondents’ demographics like no or lower parent education (OR = 3.17; 95%CI = 1.50–6.72) and fewer antenatal visits (OR = 2.30; 95%CI = 1.45–3.36) showed higher odds, whereas the upper socioeconomic status showed lower odds (OR = 0.09; 95%CI = 0.02–0.36) toward vaccine hesitancy. The WHO–SAGE dimensions like awareness (OR = 0.14; 95%CI = 0.03–0.53), poor access (OR = 7.76; 95%CI = 3.65–16.51), and low acceptability of the individual (OR = 07.15; 95%CI = 1.87–27.29), community (OR = 6.21; 95%CI = 1.58–24.33) were significantly associated with vaccine hesitancy. CONCLUSION: The study concludes that the prevalence of vaccine hesitancy was high. Vaccine safety and children's health are primary concerns for parents’ refusal/reluctance. To achieve 100% immunization coverage, policymakers need to reduce vaccine hesitancy by developing strategies based on demographic and WHO–SAGE working group predictors.

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Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of vaccine hesitancy among mothers of under-five children: A hospital-based cross-sectional study

Narayana

Akanksha²,

Lalithaasudhaa³

et al. 2023

Journal of Education and Health Promotion

View full text Add to dashboard Cite

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“…The two RCTs (35,49) did not meet all quality criteria. Only thirteen (n = 13) studies (25,29,30,33,35,37,39,41,43,44,49,51,56) had clear research questions.…”

Section: Other Vaccinesmentioning

confidence: 99%

A Scoping Review of COVID-19 and Other Vaccination Models for Refugees and Migrants

Aghajafari,

Guzek,

Kamal

et al. 2024

Preprint

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Background: Refugees and migrants face inequities in healthcare and vaccination access. Diverse vaccination programs have been implemented globally to address refugee specific COVID-19 inequities to access, hesitancy and barriers to vaccination. The aim of this scoping review was to review evidence on the models of delivery of COVID-19 and other vaccinations for refugee and migrant populations. Methods: A scoping review was conducted according to PRISMA guidelines. Eleven electronic databases including SCOPUS, Embase, Medline, and Web of Science as well as grey literature were searched with the keywords COVID-19, vaccines/immunizations, refugees, asylum seekers, and immigrants for all studies published between the years 2000 to October 2023. The main outcome was models of delivery of COVID-19 vaccines or other vaccines for refugee or migrant populations. Models of delivery were reviewed and thematically analyzed using the World Health Organization’s 2022 operational guide, Strengthening COVID-19 vaccine demand and uptake in refugees and migrants. Results: A total of n=11,825 unique studies were identified through database searches. A total of thirty-three (n=33) studies met full-text inclusion criteria and were included in this review. Fifteen studies (n=15) focused on the COVID-19 vaccine, while other studies (n=18) focused on influenza (n=6), HPV (n=2), Hepatitis B (n=2), multiple vaccines (n=5), and polio, cholera, and meningococcal vaccinations (n=3). COVID-19 vaccine models of delivery often utilized innovative social media strategies and relied on frameworks to drive interventions. Furthermore, models of vaccine delivery included multiple components which leveraged community and multi-stakeholder partnerships and co-design strategies, while striving to deliver culturally-sensitive approaches with accessible vaccination services. Conclusions: Models of vaccine delivery for refugees and migrants are multipronged, utilizing various strategies and extensive community and multisectoral collaborations to address accessibility barriers in alignment with most WHO recommendations for vaccinating refugee and migrant populations. An increasing reliance on innovative social media, co-design, and customization strategies drives interventions. Further collection and use of disaggregated real-time data to inform and evaluate customized strategies for specific migrant groups is recommended.

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“…Since 2003, various vaccination models for newcomer refugee and immigrant populations have been reported in the health literature, primarily from the United States ( n = 17) (Aghajafari, Guzek, Kamal, et al: A scoping review of COVID-19 vaccination models for refugees, unpublished) with only two studies conducted in Canada [ 22 , 23 ]. Vaccination models range in intervention scope and components – including wide-scale information campaigns [ 24 , 25 ], mobile outreach programs [ 21 , 22 , 26 , 27 ], and community vaccination sites [ 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

An exploration of COVID-19 vaccination models for newcomer refugees and immigrants in Calgary, Canada

Aghajafari,

Wall,

Weightman

et al. 2024

Arch Public Health

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Background The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across different COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Methods Researchers conducted structured interviews with Government Assisted Refugees (n = 39), and semi-structured interviews with Privately Sponsored Refugees (n = 6), private refugee sponsors (n = 3), and stakeholders involved in vaccination systems (n = 13) in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Results Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Conclusions Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn. First, findings demonstrated the need for flexible funding to offer outreach, translation, cultural interpretation, and to meet the basic needs of patients prior to engaging in vaccinations. Second, the research showed that embedding culturally responsive strategies within services ensures community needs are met. Finally, collaborating with partners that reflect the diverse needs of communities is crucial for the success of any health efforts serving newcomers.

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COVID-19 vaccine hesitancy and influence of professional medical guidance

Cited by 8 publications

References 12 publications

Prevalence and predictors of vaccine hesitancy among mothers of under-five children: A hospital-based cross-sectional study

Prevalence and predictors of vaccine hesitancy among mothers of under-five children: A hospital-based cross-sectional study

A Scoping Review of COVID-19 and Other Vaccination Models for Refugees and Migrants

An exploration of COVID-19 vaccination models for newcomer refugees and immigrants in Calgary, Canada

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