Willingness to be vaccinated against shigella and other forms of dysentery: A comparison of three regions in Asia

Pack, Robert P.; Wang, Yaping; Singh, Amber; Seidlein, Lorenz von; Pach, Al; Kaljee, Linda; Butraporn, Piyarat; Gong, Yi; Blum, Lauren S.; Bhutta, Zulfiqar A; Santoso, Siti Sapardiyah; Trach, Dang Duc; Waluyo, Imam; Nyamete, Andrew; Clemens, John D.; Stanton, Bonita

doi:10.1016/j.vaccine.2005.07.094

Cited by 14 publications

(13 citation statements)

References 17 publications

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“…Anticipated acceptance of the free OCV was at the upper end of the range of 60-99% reported by studies that have assessed people's intention to receive vaccines for shigellosis, other dysentery and typhoid fever in several Asian countries. [27][28][29] High levels of intention to receive free vaccination against cholera in Zanzibar may be explained by high levels of reported severity and fatality in the sample. 23 The fact that 60% of respondents…”

Section: Resultsmentioning

confidence: 99%

“…Previous experience of illness episodes was positively associated with vaccine acceptance for cholera in Vietnam, 25 and negatively for dysentery in six Asian countries. 29 Owing to the fact that personal or household episodes of the condition described in the cholera vignette were reported by 15.5% of the sample, crude analysis also examined previous experience as an additional explanatory variable. But since no suggestive relationship with any of the outcome variables was found (p > 0.2), 'previous experience' was not included as independent variable in subsequent adjusted analyses.…”

Section: Discussionmentioning

confidence: 99%

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Social and cultural determinants of anticipated acceptance of an oral cholera vaccine prior to a mass vaccination campaign in Zanzibar

Scheffold¹,

Chaignat²,

Hutubessy³

et al. 2011

Human Vaccines

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Social and cultural determinants of anticipated acceptance of an oral cholera vaccine prior to a mass vaccination campaign in Zanzibar

Scheffold¹,

Chaignat²,

Hutubessy³

et al. 2011

Human Vaccines

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“…12 Social scientists have investigated behavioral, sociocultural, political, and economic factors that may influence vaccine acceptance. [20][21][22][23][24] Many factors have been identified as relevant to individual decision-making processes, including perceptions of disease prevalence, characteristics and severity; subgroup vulnerability; availability and effectiveness of alternative preventive strategies; and expectations regarding treatment. Vaccine-related factors include understanding of the purpose of vaccines; the perceived efficacy; perceptions of risks and side effects; costs; vaccine characteristics; and prior experience with vaccine services.…”

Section: Introductionmentioning

confidence: 99%

Formative Investigation of Acceptability of Typhoid Vaccine During a Typhoid Fever Outbreak in Neno District, Malawi

Blum¹,

Dentz²,

Chingoli³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. Typhoid fever affects an estimated 22 million people annually and causes 216,000 deaths worldwide. We conducted an investigation in August and September 2010 to examine the acceptability of typhoid vaccine in Neno District, Malawi where a typhoid outbreak was ongoing. We used qualitative methods, including freelisting exercises, key informant and in-depth interviews, and group discussions. Respondents associated illness with exposure to "bad wind," and transmission was believed to be airborne. Typhoid was considered extremely dangerous because of its rapid spread, the debilitating conditions it produced, the number of related fatalities, and the perception that it was highly contagious. Respondents were skeptical about the effectiveness of water, sanitation, and hygiene (WaSH) interventions. The perceived severity of typhoid and fear of exposure, uncertainty about the effectiveness of WaSH measures, and widespread belief in the efficacy of vaccines in preventing disease resulted in an overwhelming interest in receiving typhoid vaccine during an outbreak.

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“…It should be noted, however, that a high acceptability, constituting only one component of access to health (care), does not directly relate to a high effectiveness. Unlike other multicountry comparisons of people’s ideas about illness and willingness to receive a not-yet-existing vaccine [59,60], finhdings from this study are directly relevant for public health practice. Two cholera vaccines are available and prequalified by the WHO, and planning is underway to increase their use in populations at risk [61].…”

Section: Discussionmentioning

confidence: 99%

Comparing sociocultural features of cholera in three endemic African settings

Scheffold

Sundaram

Merten

et al. 2013

BMC Med

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BackgroundCholera mainly affects developing countries where safe water supply and sanitation infrastructure are often rudimentary. Sub-Saharan Africa is a cholera hotspot. Effective cholera control requires not only a professional assessment, but also consideration of community-based priorities. The present work compares local sociocultural features of endemic cholera in urban and rural sites from three field studies in southeastern Democratic Republic of Congo (SE-DRC), western Kenya and Zanzibar.MethodsA vignette-based semistructured interview was used in 2008 in Zanzibar to study sociocultural features of cholera-related illness among 356 men and women from urban and rural communities. Similar cross-sectional surveys were performed in western Kenya (n = 379) and in SE-DRC (n = 360) in 2010. Systematic comparison across all settings considered the following domains: illness identification; perceived seriousness, potential fatality and past household episodes; illness-related experience; meaning; knowledge of prevention; help-seeking behavior; and perceived vulnerability.ResultsCholera is well known in all three settings and is understood to have a significant impact on people’s lives. Its social impact was mainly characterized by financial concerns. Problems with unsafe water, sanitation and dirty environments were the most common perceived causes across settings; nonetheless, non-biomedical explanations were widespread in rural areas of SE-DRC and Zanzibar. Safe food and water and vaccines were prioritized for prevention in SE-DRC. Safe water was prioritized in western Kenya along with sanitation and health education. The latter two were also prioritized in Zanzibar. Use of oral rehydration solutions and rehydration was a top priority everywhere; healthcare facilities were universally reported as a primary source of help. Respondents in SE-DRC and Zanzibar reported cholera as affecting almost everybody without differentiating much for gender, age and class. In contrast, in western Kenya, gender differentiation was pronounced, and children and the poor were regarded as most vulnerable to cholera.ConclusionsThis comprehensive review identified common and distinctive features of local understandings of cholera. Classical treatment (that is, rehydration) was highlighted as a priority for control in the three African study settings and is likely to be identified in the region beyond. Findings indicate the value of insight from community studies to guide local program planning for cholera control and elimination.

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Willingness to be vaccinated against shigella and other forms of dysentery: A comparison of three regions in Asia

Cited by 14 publications

References 17 publications

Social and cultural determinants of anticipated acceptance of an oral cholera vaccine prior to a mass vaccination campaign in Zanzibar

Social and cultural determinants of anticipated acceptance of an oral cholera vaccine prior to a mass vaccination campaign in Zanzibar

Formative Investigation of Acceptability of Typhoid Vaccine During a Typhoid Fever Outbreak in Neno District, Malawi

Comparing sociocultural features of cholera in three endemic African settings

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