Leading from the frontlines: community-oriented approaches for strengthening vaccine delivery and acceptance.

Q2 Biochemistry, Genetics and Molecular Biology
Baldeep K Dhaliwal, Rajeev Seth, Betty Thankachen, Yawar Qaiyum, Svea Closser, Tyler Best, Anita Shet
{"title":"Leading from the frontlines: community-oriented approaches for strengthening vaccine delivery and acceptance.","authors":"Baldeep K Dhaliwal, Rajeev Seth, Betty Thankachen, Yawar Qaiyum, Svea Closser, Tyler Best, Anita Shet","doi":"10.1186/s12919-023-00259-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although immunization is one of the most successful public health interventions, vaccine hesitancy and the COVID-19 pandemic have strained health systems, contributing to global reductions in immunization coverage. Existing literature suggests that involving community members in vaccine interventions has been beneficial, but efforts to facilitate community ownership to motivate vaccine acceptance have been limited.</p><p><strong>Methods: </strong>Our research leveraged community-based participatory research to closely involve the community from conception to implementation of an intervention to facilitate vaccine acceptance in Mewat District in Haryana, an area in India with extremely low vaccination coverage. Through the development of a community accountability board, baseline data collection on vaccination barriers and facilitators, and two human-centered design workshops, our team co-created a six-pronged intervention with community leaders and community health workers. This intervention included involving religious leaders in vaccine discussions, creating pamphlets of local vaccine champions for dissemination to parent and child caregivers, creating short videos of local leaders advocating for vaccines, implementing communication training exercises for community health workers, and implementing strategies to strengthen coordination between health workers and supervisors.</p><p><strong>Results: </strong>Post-intervention data suggested parents and child caregivers had improvements in knowledge of the purpose of vaccines and side effects of vaccines. They noted that the involvement of religious leaders was beneficial, they were more willing to travel to vaccinate their children, and they had fewer non-logistical reasons to refuse vaccination services. Interviews with community leaders and community health workers who were involved in the creation of the intervention suggested that they experienced higher levels of ownership, they were better equipped to address community concerns, and that vaccine misinformation decreased in the post-intervention period.</p><p><strong>Conclusion: </strong>Through this unique intervention to strengthen vaccine uptake that incorporated the needs, interests, and expertise of local community members, we developed a community-driven approach to strengthen vaccine acceptance in a population with low uptake. This comprehensive approach is essential to amplify local voices, identify local concerns and advocates, and leverage bottom-up strategies to co-design successful interventions to facilitate long-term change.</p>","PeriodicalId":9046,"journal":{"name":"BMC Proceedings","volume":"17 Suppl 7","pages":"5"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311705/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Proceedings","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s12919-023-00259-w","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Biochemistry, Genetics and Molecular Biology","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Although immunization is one of the most successful public health interventions, vaccine hesitancy and the COVID-19 pandemic have strained health systems, contributing to global reductions in immunization coverage. Existing literature suggests that involving community members in vaccine interventions has been beneficial, but efforts to facilitate community ownership to motivate vaccine acceptance have been limited.

Methods: Our research leveraged community-based participatory research to closely involve the community from conception to implementation of an intervention to facilitate vaccine acceptance in Mewat District in Haryana, an area in India with extremely low vaccination coverage. Through the development of a community accountability board, baseline data collection on vaccination barriers and facilitators, and two human-centered design workshops, our team co-created a six-pronged intervention with community leaders and community health workers. This intervention included involving religious leaders in vaccine discussions, creating pamphlets of local vaccine champions for dissemination to parent and child caregivers, creating short videos of local leaders advocating for vaccines, implementing communication training exercises for community health workers, and implementing strategies to strengthen coordination between health workers and supervisors.

Results: Post-intervention data suggested parents and child caregivers had improvements in knowledge of the purpose of vaccines and side effects of vaccines. They noted that the involvement of religious leaders was beneficial, they were more willing to travel to vaccinate their children, and they had fewer non-logistical reasons to refuse vaccination services. Interviews with community leaders and community health workers who were involved in the creation of the intervention suggested that they experienced higher levels of ownership, they were better equipped to address community concerns, and that vaccine misinformation decreased in the post-intervention period.

Conclusion: Through this unique intervention to strengthen vaccine uptake that incorporated the needs, interests, and expertise of local community members, we developed a community-driven approach to strengthen vaccine acceptance in a population with low uptake. This comprehensive approach is essential to amplify local voices, identify local concerns and advocates, and leverage bottom-up strategies to co-design successful interventions to facilitate long-term change.

Abstract Image

前线领导:以社区为导向的加强疫苗交付和接受的方法。
背景:尽管免疫接种是最成功的公共卫生干预措施之一,但疫苗接种犹豫不决和 COVID-19 大流行给卫生系统造成了压力,导致全球免疫接种覆盖率下降。现有文献表明,让社区成员参与疫苗干预是有益的,但促进社区自主权以推动疫苗接受度的努力却很有限:我们的研究利用基于社区的参与式研究,让社区密切参与一项干预措施从构思到实施的全过程,以促进哈里亚纳邦梅瓦特区对疫苗的接受,该地区是印度疫苗接种覆盖率极低的地区。通过建立社区责任委员会、收集有关疫苗接种障碍和促进因素的基线数据以及举办两次以人为本的设计研讨会,我们的团队与社区领袖和社区卫生工作者共同制定了一项六管齐下的干预措施。干预措施包括让宗教领袖参与疫苗讨论、制作当地疫苗倡导者的小册子分发给家长和儿童看护人、制作当地领袖倡导疫苗的视频短片、为社区卫生工作者开展沟通培训活动,以及实施加强卫生工作者与主管之间协调的策略:干预后的数据表明,家长和儿童看护者对疫苗目的和副作用的了解有所提高。他们指出,宗教领袖的参与是有益的,他们更愿意出远门为孩子接种疫苗,而且他们拒绝接受疫苗接种服务的非逻辑原因也减少了。对参与制定干预措施的社区领袖和社区卫生工作者的访谈表明,他们体验到了更高的主人翁精神,他们更有能力解决社区关注的问题,疫苗误导在干预后也有所减少:通过这种结合当地社区成员的需求、兴趣和专业知识的独特干预措施,我们开发出了一种以社区为主导的方法来提高疫苗在低接种率人群中的接受度。这种综合方法对于扩大当地声音、确定当地关注的问题和倡导者、利用自下而上的策略共同设计成功的干预措施以促进长期变化至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMC Proceedings
BMC Proceedings Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)
CiteScore
3.50
自引率
0.00%
发文量
6
审稿时长
10 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信