The association between the density of vaccination workers and immunization coverage in Zhejiang province, East China

Hu, Yu; Ya-ping, Chen; Wang, Ying; Hu, Liang; Lv, Huakun

doi:10.1080/21645515.2020.1865045

Cited by 4 publications

(6 citation statements)

References 36 publications

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“…A similar study in East China revealed the strong positive association between the density of vaccination workers and immunization coverage in the Zhejiang province [42]. In this study, a higher density of vaccination workers improved the availability of vaccination services, including: the administration of vaccinations, the education of parents on immunization, raising general awareness of health in the community, and ensuring the continuous vaccine supply [42]. Human resources are essential in vaccination programs; hence, thinking of new ways to incentivize and motivate staff to visit rural areas and vulnerable groups may be critical for effective implementation.…”

Section: Discussionmentioning

confidence: 77%

“…Conversely, adequate human resources for health in Rwanda enabled staff to find, map, and repeatedly visit vaccine-eligible populations that were not reached by other health services [28]. A similar study in East China revealed the strong positive association between the density of vaccination workers and immunization coverage in the Zhejiang province [42]. In this study, a higher density of vaccination workers improved the availability of vaccination services, including: the administration of vaccinations, the education of parents on immunization, raising general awareness of health in the community, and ensuring the continuous vaccine supply [42].…”

Section: Discussionmentioning

confidence: 99%

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What are the barriers and facilitators to polio vaccination and eradication programs? A systematic review

Ezezika

Mengistu

Farheen

et al. 2022

PLOS Glob Public Health

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Global efforts to eradicate polio by the Global Polio Eradication Initiative agency partners and country-level stakeholders have led to the implementation of global polio vaccination programs. This study presents the findings of existing studies regarding the barriers and facilitators that countries face when implementing polio interventions. A comprehensive search was conducted in OVID Medline, OVID Embase, EBSCO CINAHL Plus, and Web of Science. Eligible studies underwent quality assessment. A qualitative evidence synthesis approach was conducted and aligned to the Consolidated Framework for Implementation Research (CFIR). The search identified 4147 citations, and following the removal of duplicates and screening according to our inclusion/exclusion criteria, 20 articles were eligible for inclusion in the review. Twelve countries were represented in this review, with India, Nigeria, Pakistan, Ethiopia, and Afghanistan having the most representation of available studies. We identified 36 barriers and 16 facilitators. Seven themes emerged from these barriers and facilitators: fear, community trust, infrastructure, beliefs about the intervention, influential opinions, intervention design, and geo-politics. The most frequently cited CFIR constructs for the facilitators and barriers were knowledge and beliefs about the intervention, followed by available resources. This study identified a wide range of barriers and facilitators to polio vaccination implementation across the globe, adding to the scarce body of literature on these barriers and facilitators from an implementation perspective and using a determinant framework. The diversity of factors among different groups of people or countries highlights the relevance of contexts. Implementers should be conversant with the contexts within which polio eradication programs boost intervention coverage and capacity. This study provides policymakers, practitioners, and researchers with a tool for planning and designing polio immunization programs. Trial registration: A protocol for this systematic review was developed and uploaded onto the PROSPERO international prospective register of systematic reviews database (Registration number: CRD42020222115).

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

What are the barriers and facilitators to polio vaccination and eradication programs? A systematic review

Ezezika

Mengistu

Farheen

et al. 2022

PLOS Glob Public Health

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“…However, it still controls the rise in severe infected cases (18). Vaccination is one of the key steps to control the current pandemic, the number of vaccination workers and positive attitudes in vaccine promotion play an important role in improving immunization coverage (19). During the pandemic, lower vaccination rates are considered a vital factor that is not easy to control.…”

Section: Resultsmentioning

confidence: 99%

Attitudes of vaccination workers toward COVID-19 vaccination in patients with chronic liver disease

Tang

Huang

Ling

et al. 2023

Preprint

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Objectives Vaccination workers play an important role in the acceptance of various vaccines in patients with chronic liver diseases. We mainly investigated the attitude of vaccination workers toward COVID-19 vaccination in patients with chronic liver disease. Methods An anonymous, population-based, cross-sectional online survey were completed by 721 out of 1008 (71.5%) vaccination workers from July 1st to July 14th, 2022, in patients with chronic liver disease in Taizhou, China. The data were uploaded to Wen-Juan-Xing, one of the largest online platforms for collecting survey data. Results We found that only 51.9% of vaccination workers recommended all chronic liver diseases vaccinations. 81% of vaccination workers fully recommended vaccination in patients with fatty liver and chronic hepatitis B, while 53.1% of them fully recommended in patients with cirrhosis and liver cancer. Logistic regression analysis showed that vaccination workers who had undergone systematic training were more likely to recommend that patients with four chronic liver diseases get vaccinated (OR: 1.59; 95% CI: 1.05–2.43, p = 0.030). Vaccination workers that believed it is safe to vaccinate against patients with four chronic liver diseases were likely to recommend (OR: 8.12; 95% CI: 1.84–35.88, p = 0.006). Conclusion Vaccination workers who hold a positive attitude towards recommending vaccination for patients with chronic liver disease needs to be improved. Strengthening the training of vaccination workers could improve vaccine immunization coverage.

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“…Maternal education is a critical aspect of increasing vaccination coverage. Hu et al [ 45 ] proposed that increasing the vaccination worker-to-patient ratio might improve vaccine coverage and availability. Apart from vaccine assistance, governments and quasi-governmental organizations should priorities workforce development to boost kid vaccination rates.…”

Section: Resultsmentioning

confidence: 99%

Do precarious female employment and political autonomy affect the under-5 mortality rate? Evidence from 166 countries

Sasmoko

Shabnam²,

Handayani³

et al. 2022

PLoS ONE

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The United Nations’ Sustainable Development Goals (SDGs) were designed to benefit the globalized world by safeguarding economic and environmental resources necessary for quality health and well-being and moderate growth and development. The study focused specifically on SDG-3 (good health and well-being), SDG-5 (gender equality), and SDG-8 (decent work and economic growth) to identify the most significant influencing factors that can affect the under-5 mortality rate in a large cross-section of 166 countries. The research used three different regression apparatuses to produce consistent and unbiased estimates: cross-sectional, robust least squares, and quantile regression approaches. Additionally, the innovation accounting matrix technique examines the intertemporal relationships between the variables over the time horizon. The data reveal that precarious female employment increases the under-5 mortality rate. On the other hand, women’s political autonomy continued economic growth, and higher immunization coverage is supporting factors for achieving healthcare sustainability agenda. The ex-ante analysis indicates that per capita income will significantly impact the under-5 mortality rate, followed by women’s political autonomy, insecure female employment, and immunization coverage during the next ten years. The results are consistent with other health indicators such as the health damage function, labour market function, and wealth function. The study suggests that the more unlocking women’s potential in political life, the more likely it is to achieve equitable healthcare choices and reduce the mortality rate among children under five. As a result, there is an urgent need for women to have an equitable share of the labour market to appropriately meet their family healthcare demands.

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The association between the density of vaccination workers and immunization coverage in Zhejiang province, East China

Cited by 4 publications

References 36 publications

What are the barriers and facilitators to polio vaccination and eradication programs? A systematic review

What are the barriers and facilitators to polio vaccination and eradication programs? A systematic review

Attitudes of vaccination workers toward COVID-19 vaccination in patients with chronic liver disease

Do precarious female employment and political autonomy affect the under-5 mortality rate? Evidence from 166 countries

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