Healthcare Providers' and Frontline Workers' Experiences of an Ebola Vaccine Trial in the Boende Health District of the Democratic Republic of the Congo.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Trésor Zola Matuvanga, Freddy Bikioli Bolombo, Antea Paviotti, Ynke Larivière, Gwen Lemey, Maha Salloum, Bernard Isekah Osang'ir, Junior Matangila, Vivi Maketa, Emmanuel Esanga, Solange Milolo, Patrick Mitashi, Pierre Van Damme, Hypolite Muhindo-Mavoko, Jean-Pierre Van Geertruyden
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Abstract

This study explored the experiences of healthcare providers (HCPs) and frontline workers who were involved in an Ebola vaccine trial in the Democratic Republic of the Congo. The researchers interviewed a total of 99 participants (HCPs and frontline workers) living and working in the Boende health district during the period of the study, from February to March 2022. These individuals included a mix of trial participants and non-trial participants (staff of the trial, local health authorities, and head nurses of health centers). In-depth individual interviews, as well as focus group discussions (FGDs), were used to understand interviewees' experiences and perceptions. The data were analyzed to identify the main themes. The findings unveiled a multitude of positive experiences among interviewees/FGD participants. The commitment of the trial investigators to improve the study site and to equip the volunteers with necessary skills and knowledge greatly contributed to a positive trial experience. However, some interviewees felt that the reimbursement for time and travel expenses during their trial visits was insufficient in comparison with their expectations. Additionally, there were expressions of worry about the frequency of blood draws during scheduled trial visits. Our findings emphasize the critical importance of addressing and continuously considering the perspectives and concerns of trial participants before designing and implementing vaccine trials. By actively incorporating their inputs, researchers can mitigate concerns and tailor communication strategies, potentially enhancing the overall success and impact of the vaccine trial.

在刚果民主共和国博恩代卫生区开展的埃博拉疫苗试验中医疗服务提供者和一线工作者的经历。
本研究探讨了参与刚果民主共和国埃博拉疫苗试验的医疗服务提供者(HCPs)和一线工作者的经历。在研究期间(2022 年 2 月至 3 月),研究人员共采访了 99 名在博恩代卫生区生活和工作的参与者(医疗保健提供者和一线工作者)。这些人中既有试验参与者,也有非试验参与者(试验工作人员、地方卫生当局和卫生中心护士长)。研究人员通过深入的个人访谈和焦点小组讨论来了解受访者的经历和看法。对数据进行了分析,以确定主要的主题。调查结果揭示了受访者/焦点小组讨论参与者的许多积极经验。试验调查人员致力于改善研究地点,并让志愿者掌握必要的技能和知识,这在很大程度上促成了积极的试验体验。然而,一些受访者认为,与他们的期望相比,试验访问期间的时间和差旅费报销不足。此外,还有人对试验访问期间的抽血频率表示担忧。我们的调查结果表明,在设计和实施疫苗试验之前,解决并持续考虑试验参与者的观点和担忧至关重要。通过积极采纳他们的意见,研究人员可以减轻他们的担忧并调整沟通策略,从而提高疫苗试验的整体成功率和影响力。
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来源期刊
American Journal of Tropical Medicine and Hygiene
American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.20
自引率
3.00%
发文量
508
审稿时长
3 months
期刊介绍: The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries
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