Academic Journal
Reaching the unreached through building trust: a mixed-method study on COVID-19 vaccination in rural Lao PDR
| العنوان: | Reaching the unreached through building trust: a mixed-method study on COVID-19 vaccination in rural Lao PDR |
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| المؤلفون: | Phrasisombath, Ketkesone, Kubota, Shogo, Elliott, Elizabeth, M, Horiuchi, Sayaka, Ounaphom, Phonepaseuth, Phimmachak, Laty, Souksavanh, Ounkham, Vongsouvanh, Pavina, Rakotomalala Robinson, Dimbintsoa, Channavong, Souliya, Deharo, Eric, Seal, William, Robert Everett, Lo, Ying-Ru Jacqueline, Phoummalaysith, Bounfeng |
| المساهمون: | University of Health Sciences Vientiane, Laos (UHS), University College of London London (UCL), Department of Public Health, Vientiane Municipality, Maladies infectieuses et vecteurs : écologie, génétique, évolution et contrôle (MIVEGEC), Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD Occitanie )-Université de Montpellier (UM) |
| المصدر: | EISSN: 2059-7908 ; BMJ Global Health ; https://hal.science/hal-04648261 ; BMJ Global Health, 2024, 9 (6), pp.e014680. ⟨10.1136/bmjgh-2023-014680⟩ |
| بيانات النشر: | HAL CCSD BMJ Publishing Group Ltd |
| سنة النشر: | 2024 |
| المجموعة: | Université de Montpellier: HAL |
| مصطلحات موضوعية: | COVID - 19, Laos, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, [SDV.IMM.VAC]Life Sciences [q-bio]/Immunology/Vaccinology, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases |
| الوصف: | International audience ; Introduction: The global COVID-19 vaccine rollout has been impacted by socioeconomic disparities and vaccine hesitancy, but few studies examine reasons for changed attitudes. In Lao People’s Democratic Republic (Lao PDR), a nationwide government-led initiative was developed in response to COVID-19, focused on community health ownership and trust in primary healthcare. The intervention team including health and governance sectors conducted capacity-building workshops with local staff and community representatives and visited villages for vaccination outreach. This study investigates the impact of this intervention on COVID-19 vaccine acceptance in rural communities.Methods: Conducted in Xiengkhuang province, Lao PDR, from December 2022 to February 2023, the study employed a sequential mixed-methods research design. Data on vaccinated individuals from 25 villages were collected from 11 primary healthcare units; pre-post analysis was applied. Qualitative data, gathered through interviews and focus group discussions with villagers, village authorities, health staff and local government (n=102) in six villages, underwent inductive thematic analysis. Results First-dose vaccine uptake after the intervention increased significantly (6.9 times). Qualitative analysis identified key reasons for vaccination hesitancy: (1) mistrust due to rumours and past experiences; (2) poor communication and inconsistent messaging and (3) challenges in access for priority groups. Influencing factors during the intervention included (1) effective local-context communication; (2) leveraging existing community structures and influential individuals in a multisectoral approach and (3) increased community motivation through improved satisfaction, ownership and relationships.Conclusion: This study highlights the impact and methods of building trust with unreached populations in health interventions, emphasising locally led solutions. Successful reversal of vaccine hesitancy was achieved by addressing root causes and ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | IRD: fdi:010091069; WOS: 001260955900006 |
| DOI: | 10.1136/bmjgh-2023-014680 |
| الاتاحة: | https://hal.science/hal-04648261 https://hal.science/hal-04648261v1/document https://hal.science/hal-04648261v1/file/e014680.full.pdf https://doi.org/10.1136/bmjgh-2023-014680 |
| Rights: | http://creativecommons.org/licenses/by-nc/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.38DCC4C9 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmjgh-2023-014680 |
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