Vaccine acceptance: How to build and maintain trust in immunization

Sondagar, Chandni; Xu, Ruotian; MacDonald, Noni E.; Dubé, Ève

doi:10.14745/ccdr.v46i05a09

Cited by 14 publications

(11 citation statements)

References 30 publications

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“…It defined vaccine hesitancy as the reluctance or refusal to vaccinate despite vaccines' availability [7,8]. Several risk factors associated with vaccine hesitancy and rejection have been reported in studies across different countries focusing on vaccine acceptance; these comprise socio-demographic factors (age, gender, marital status, employment status, income), cost, access to services, safety and effectiveness, level of health literacy, and trust in government, health care systems, and mass media [9][10][11][12][13][14]. This also applies to the COVID-19 vaccine, as several studies, including a global survey, found variances in vaccine acceptance across different socio-demographic groups [9,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Abedin¹,

Islam

Rahman³

et al. 2021

PLoS ONE

199

208

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Background Although the approved COVID-19 vaccine has been shown to be safe and effective, mass vaccination in Bangladeshi people remains a challenge. As a vaccination effort, the study provided an empirical evidence on willingness to vaccinate by sociodemographic, clinical and regional differences in Bangladeshi adults. Methods This cross-sectional analysis from a household survey of 3646 adults aged 18 years or older was conducted in 8 districts of Bangladesh, from December 12, 2020, to January 7, 2021. Multinomial regression examined the impact of socio-demographic, clinical and healthcare-releated factors on hesitancy and reluctance of vaccination for COVID-19. Results Of the 3646 respondents (2212 men [60.7%]; mean [sd] age, 37.4 [13.9] years), 74.6% reported their willingness to vaccinate against COVID-19 when a safe and effective vaccine is available without a fee, while 8.5% were reluctant to vaccinate. With a minimum fee, 46.5% of the respondents showed intent to vaccinate. Among the respondents, 16.8% reported adequate adherence to health safety regulations, and 35.5% reported high confidence in the country’s healthcare system. The COVID-19 vaccine refusal was significantly high in elderly, rural, semi-urban, and slum communities, farmers, day-laborers, homemakers, low-educated group, and those who had low confidence in the country’s healthcare system. Also, the prevalence of vaccine hesitancy was high in the elderly population, low-educated group, day-laborers, people with chronic diseases, and people with low confidence in the country’s healthcare system. Conclusion A high prevalence of vaccine refusal and hesitancy was observed in rural people and slum dwellers in Bangladesh. The rural community and slum dwellers had a low literacy level, low adherence to health safety regulations and low confidence in healthcare system. The ongoing app-based registration for vaccination increased hesitancy and reluctancy in low-educated group. For rural, semi-urban, and slum people, outreach centers for vaccination can be established to ensure the vaccine’s nearby availability and limit associated travel costs. In rural areas, community health workers, valued community-leaders, and non-governmental organizations can be utilized to motivate and educate people for vaccination against COVID-19. Further, emphasis should be given to the elderly and diseased people with tailored health messages and assurance from healthcare professionals. The media may play a responsible role with the vaccine education program and eliminate the social stigma about the vaccination. Finally, vaccination should be continued without a fee and thus Bangladesh’s COVID vaccination program can become a model for other low and middle-income countries.

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Section: Introductionmentioning

confidence: 99%

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Abedin¹,

Islam

Rahman³

et al. 2021

PLoS ONE

199

208

View full text Add to dashboard Cite

show abstract

“…Vaccine hesitancy is defined by its determinants; confidence, complacency and convenience are on the rise. Exploring the population’s concerns through research at the individual and community levels is the best practice to address the trust component of vaccine hesitancy and to promote vaccine acceptance [ 7 ] by effectively presenting science-based information, and accordingly presenting immunization as a social norm both in educational materials and in conversations or resilience. However, immunization trust-building and maintaining at the public level will take time [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Provider Attitudes toward the Newly Developed COVID-19 Vaccine: Cross-Sectional Study

et al. 2021

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Background: During the long wait and the global anxiety for a vaccine against COVID-19, impressively high-safety and effective vaccines were invented by multiple pharmaceutical companies. Aim: We aimed to assess the attitudes of healthcare providers and evaluate their intention to advocate for the vaccine. Methods: This was a cross-sectional study conducted in a tertiary private hospital where an electronic survey was distributed among healthcare providers (HCPs). The survey contained two sections: socio-demographic characteristics and Likert-scale perception, with 72% internal consistency. Results: The response rate to the email survey was 37% (n = 236). In addition, 169 (71.6%) of respondents were women, with more than half (134, 56.8%) aged ≤35 years. A total of 110 (46.6%) had over 10 years of experience, and most of them were nurses (146, 62%). Univariate analysis revealed that older participants significantly accepted and advocated for the new vaccine more than the younger ones. In the multivariate analysis, men were significantly more likely than women to accept and advocate for the new vaccine, as were those with chronic illnesses. Participants with allergy were significantly less likely to accept the vaccine than others. odds ratio (OR) and p-values were 2.5, 0.003; 2.3, 0.04; and 0.4, 0.01, respectively. Conclusion: The acceptance rate for the newly-developed COVID-19 vaccines was average among HCPs. Sex, age, presence of chronic illnesses, and allergy were significant predictors of accepting the vaccine.

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“…The latter two of these categories mirror the strategies used by practice nurses in the current study where they focused on outlining the risks associated with non‐vaccination and providing a range of credible sources of information to improve knowledge. A Canadian framework of best practices to optimize trust and promote vaccination that was developed in response to low childhood immunization rates also echoes these strategies (Sondagar et al., 2020). These practices included understanding the concerns at both the population and individual level and addressing these concerns through the presentation of science‐based information.…”

Section: Discussionmentioning

confidence: 99%

“…The value of multiple different strategies, either alone or in combination, to optimize vaccination uptake is recognized (Altinoluk‐Davis et al., 2020; Sondagar et al., 2020). Strategies to promote the MMR vaccine identified by practice nurses in the current study included sending birthday card reminders, letters, texts and emails to parents to make appointments with the practice nurse and maintaining a flexible approach to multiple appointments.…”

Section: Discussionmentioning

confidence: 99%

Practice nurses’ perceptions of their immunization role and strategies used to promote measles, mumps, and rubella vaccine uptake in 2014 – 2018: A qualitative study

Hill

Salmon

Chudleigh

et al. 2020

Journal of Advanced Nursing

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Aim: The aim of this study was to explore which aspects of their role practice nurses perceive to be most influential and the strategies they employ to promote the MMR vaccine. Design: Qualitative study employing in depth interviews. Method: Fifteen London based practice nurses, nine in 2014 and six in 2018, took part in semi-structured interviews that were audio recorded and transcribed verbatim. Qualitative content analysis was used to systematically manage, analyse, and identify themes. Results: Analysis of data identified aspects of their role practice nurses perceived to be most influential (the themes) including: promoting vaccination, assisting parents' to make informed decisions, and provided insight into how they used specific strategies to achieve these in practice. These themes were consistent over both phases of the study. Conclusion: The findings provide an understanding of: (i) the practice nurses perceptions of the most important aspects of their role when promoting the measles, mumps, and rubella vaccine; and (ii) the strategies they implemented in practice to achieve these. The latter included assisting parents in their immunization decisions and was facilitated by practice nurses engaging with parents to provide relevant evidence to address parent queries, dispel misconceptions and tailor strategies to promote the measles, mumps, and rubella vaccine. Impact: This study addresses the paucity of literature available that specifically explores practice nurses' perceptions of their role concerning the measles, mumps, and rubella vaccine. The findings reveal how practice nurses promote the measles, mumps, and rubella vaccine by identifying strategies to enable parents to make informed decisions. At a time of an increasing incidence of measles, practice nurses have an important public health role in achieving herd immunity levels for measles, mumps, and rubella.

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Vaccine acceptance: How to build and maintain trust in immunization

Cited by 14 publications

References 30 publications

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Healthcare Provider Attitudes toward the Newly Developed COVID-19 Vaccine: Cross-Sectional Study

Practice nurses’ perceptions of their immunization role and strategies used to promote measles, mumps, and rubella vaccine uptake in 2014 – 2018: A qualitative study

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