Increasing hepatitis B vaccination coverage of healthcare workers — global lessons for South Africa

Burnett, Rosemary J.; Dramowski, Angela; Amponsah-Dacosta, Edina; Meyer, Johanna Catharina

doi:10.1016/j.coi.2021.03.010

Cited by 8 publications

(10 citation statements)

References 38 publications

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“…Positive reinforcement in the form of incentives have also been demonstrated to improve beliefs about consequences and intentions toward a behaviour (Carey et al, 2019 ). Therefore, the use of promotional campaigns in combination with BCTs at occupational settings and making vaccines widely accessible free of cost can lead to increased uptake and favourable perceptions toward vaccines as found in our study and in previous research (Burnett et al, 2021 ; Harris et al, 2011 ; Yue et al, 2019 ).…”

Section: Discussionsupporting

confidence: 71%

A qualitative study exploring healthcare providers’ and trainees’ barriers to COVID-19 and influenza vaccine uptake

Thaivalappil

Young

MacKay

et al. 2022

Health Psychology and Behavioral Medicine

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Background Vaccines are effective biological interventions which reduce health burdens and protect healthcare providers from vaccine-preventable diseases. However, there are concerns about varying levels of vaccination coverage of influenza and COVID-19 vaccines among those working in healthcare. The aim of this study was to identify barriers and facilitators to COVID-19 and influenza vaccinations among healthcare providers and trainees using the Theoretical Domains Framework (TDF). Methods Semi-structured interviews ( n = 18) were carried out with healthcare providers and trainees in Canada. A thematic analysis approach was used to code interview transcripts and match findings to TDF domains and broader categories. Results Three overarching themes were generated from six TDF domains and three inductively generated categories: (1) making informed health decisions with an added responsibility to protect oneself and patients; (2) a pro-vaccine social network, widespread accessibility, and pursuing a sense of normalcy; and (3) seeking a more nuanced, respectful, and calculated approach to vaccine communication and policy implementation. Conclusion These findings help to identify factors associated with influenza and COVID-19 vaccine uptake among individuals in the healthcare field. Addressing these factors may improve healthcare provider sentiments surrounding vaccines, lead to better patient education, and increased uptake of vaccinations with the potential for seasonal booster doses.

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Section: Discussionsupporting

confidence: 71%

A qualitative study exploring healthcare providers’ and trainees’ barriers to COVID-19 and influenza vaccine uptake

Thaivalappil

Young

MacKay

et al. 2022

Health Psychology and Behavioral Medicine

View full text Add to dashboard Cite

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“…In addition, the agreement rate is also higher than the findings from Germany (68.4%) and Greece (63–70.6%). [ 7 , 22 , 27 ] While the mandatory vaccination approach of healthcare workers is still a disputable issue around the world [ 4 , 5 , 14 , 15 , 16 , 18 , 19 ], this result provides a clue for Mongolia’s vaccination policy in enhancing the vaccine coverage rate among HCWs. Since Mongolia successfully transitioned from a communist state to democracy in the 1990s, previous research found that the majority of Mongolians are still rooted in authoritarianism.…”

Section: Discussionmentioning

confidence: 99%

“…Prior research has thoroughly investigated immunization coverage of recommended vaccines for HCWs and found significant immunity gaps occur among HCWs, especially for measles and influenza [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. To reduce the immunity gap, there is an ongoing debate on mandatory vaccination approaches for HCWs in European countries, the USA, and others [ 5 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ]. The ethical dilemma represented by the mandatory vaccination on HCWs is the balance between HCWs’ autonomy and patients’ welfare, public health, and HCWs’ own health interests [ 14 , 22 , 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…Besides, the patients who insist on being cared for by HCWs who are vaccinated against vaccine-preventable infections must acknowledge that their autonomy is equal to that of their healthcare providers [ 25 ]. While mandatory immunization may be controversial, the fact remains that opt-in, voluntary programs appear to be more successful and acceptable among most involved parties [ 15 , 16 , 17 ]. Regarding HCWs’ attitudes towards mandatory vaccination policy, the support of such an approach highly depended on the type of disease [ 22 , 23 , 26 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

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Attitudes towards Mandatory Occupational Vaccination and Intention to Get COVID-19 Vaccine during the First Pandemic Wave among Mongolian Healthcare Workers: A Cross-Sectional Survey

Turbat

Sharavyn

Tsai

2021

IJERPH

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Mandatory occupational vaccination for health care workers (HCWs) is a debatable issue, especially during the COVID-19 pandemic. This study aimed to determine Mongolian HCWs’ attitudes towards mandatory occupational vaccination, the intention to get the COVID-19 vaccine, and the associated factors. A cross-sectional study based on an online survey with a convenience sampling strategy was conducted from February to April 2021 among 238 Mongolia HCWs. Chi-square and logistic regression were performed for analysis. While only 39.9% of HCWs were aware of recommended occupational vaccinations, they highly agreed with the mandatory occupational vaccination on HCWs (93.7%). The agreement rate is significantly higher than their attitude toward general vaccination (93.7% vs. 77.8%). HCW’s willingness to get the COVID-19 vaccine was high (67.2%). HCWs aged 26–35 years old who worked in tertiary level hospitals had less willingness to get the COVID-19 vaccine (50%). Participants with lower confidence in the efficacy of the COVID-19 vaccine (ORs = 15.659) and less positive attitudes toward general vaccination (ORs = 5.288) were less likely to get the COVID-19 vaccine. Mongolian HCWs’ agreement rate of mandatory occupational vaccination is higher than other countries. Their intention to get the COVID-19 vaccine is high and associated with confidence in the effectiveness of the vaccine.

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“…Owing to the public health significance of Hepatitis B [ 12 , 13 ], the World Health Organisation (WHO) developed guidelines on Hepatitis B testing in which it emphasized the need for testing high-risk subgroups such as psychoactive substance users [ 14 ]. These guidelines aimed to strengthen and expand Hepatitis B testing/screening, vaccination and linkage into care [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in informal settlements in Kampala, Uganda

et al. 2022

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Background Young psychoactive substance users exhibit high-risk behaviours such as unprotected sexual intercourse, and sharing needles and syringes, which increases their risk of Hepatitis B infection. However, there is limited evidence of screening, and vaccination status of this subgroup. The aim of this study was to establish the predictors of screening and completion of the hepatitis B vaccination schedule. Methods A cross-sectional study using respondent driven sampling was used to enrol respondents from twelve out of fifty-seven informal settlements in Kampala city. Data were collected using an electronic structured questionnaire uploaded on the KoboCollect mobile application, and analysed using Stata version 14. A “modified” Poisson regression analysis was done to determine the predictors of screening while logistic regression was used to determine the predictors of completion of the Hepatitis B vaccination schedule. Results About 13.3% (102/768) and 2.7% (21/768) of the respondents had ever screened for Hepatitis B, and completed the Hepatitis B vaccination schedule respectively. Being female (aPR 1.61, 95% CI: 1.11–2.33), earning a monthly income >USD 136 (aPR 1.78, 95% CI: 1.11–2.86); completion of the Hepatitis B vaccination schedule (aPR 1.85, 95% CI: 1.26–2.70); lack of awareness about the recommended Hepatitis B vaccine dose (aPR 0.43, 95% CI: 0.27–0.68); and the belief that the Hepatitis B vaccine is effective in preventing Hepatitis B infection (aPRR 3.67, 95% CI: 2.34–5.73) were associated with “ever screening” for Hepatitis B. Knowledge of the recommended Hepatitis B vaccine dose (aOR 0.06, 95% CI: 0.01–0.35); “ever screening” for hepatitis B (aOR 9.68, 95% CI: 2.17–43.16) and the belief that the hepatitis B vaccine is effective in preventing Hepatitis B infection (aOR 11.8, 95% CI: 1.13–110.14) were associated with completion of the hepatitis B vaccination schedule. Conclusions Our findings indicate a low prevalence of Hepatitis B screening and completion of the Hepatitis B vaccination schedule among young psychoactive substance users in informal settings. It is evident that lack of awareness about Hepatitis B is associated with the low screening and vaccination rates. We recommend creation of awareness of Hepatitis B among young people in urban informal settlements.

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Increasing hepatitis B vaccination coverage of healthcare workers — global lessons for South Africa

Cited by 8 publications

References 38 publications

A qualitative study exploring healthcare providers’ and trainees’ barriers to COVID-19 and influenza vaccine uptake

A qualitative study exploring healthcare providers’ and trainees’ barriers to COVID-19 and influenza vaccine uptake

Attitudes towards Mandatory Occupational Vaccination and Intention to Get COVID-19 Vaccine during the First Pandemic Wave among Mongolian Healthcare Workers: A Cross-Sectional Survey

Predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in informal settlements in Kampala, Uganda

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