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Ngongo N, Dereje N, Teriaky ME, Fallah MP, Shaweno T, Abdulaziz M, Raji T, Guwani JM, Folayan MO, Ndembi N, Kaseya J. Reinforcing community health workers program in africa for universal health coverage and global health security: A call for concerted efforts. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003727. [PMID: 39288127 PMCID: PMC11407658 DOI: 10.1371/journal.pgph.0003727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/19/2024]
Affiliation(s)
- Ngashi Ngongo
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Nebiyu Dereje
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Mohamed El Teriaky
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Mosoka Papa Fallah
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Tamrat Shaweno
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Mohammed Abdulaziz
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Tajudeen Raji
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - James M Guwani
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Morenike O Folayan
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Nicaise Ndembi
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Jean Kaseya
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
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Oliver J, Ferdinand A, Kaufman J, Allard N, Danchin M, Gibney KB. Community health workers' dissemination of COVID-19 information and services in the early pandemic response: a systematic review. BMC Health Serv Res 2024; 24:711. [PMID: 38849842 PMCID: PMC11161953 DOI: 10.1186/s12913-024-11165-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 06/03/2024] [Indexed: 06/09/2024] Open
Abstract
BACKGROUND Community health workers (CHWs) had important roles mitigating the impact of the COVID-19 pandemic in vulnerable communities. We described how CHWs supported the dissemination of COVID-19 information and services during the early pandemic response. METHODS Online article searches were conducted across five scientific databases, with review article reference lists hand searched to identify grey/unpublished literature. Articles were included if they reported on a program that engaged CHWs and aimed to prevent/control COVID-19. RESULTS Nineteen relevant programs were identified from 18 included articles. CHWs were widely engaged in the pandemic response, especially in low- and middle-income countries and in vulnerable communities. CHWs' ability to effectively disseminate COVID-19 information/services was enabled by community trust and understanding community needs. CHWs were often underfunded and required to work in difficult conditions. Pre-existing services incorporating CHWs rapidly adapted to the new challenges brought by the pandemic. CONCLUSIONS We recommend establishing programs that employ CHWs to disseminate health information and services in communities at-risk of misinformation and poor health outcomes during non-pandemic times. CHWs are well-placed to deliver interventions should an infectious disease outbreak arise. Having pre-existing trusted relationships between CHWs and community members may help protect vulnerable groups, including when outbreaks occur.
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Affiliation(s)
- Jane Oliver
- Department of Infectious Diseases, The Peter Doherty Institute for Infection and Immunity, University of Melbourne, 792 Elizabeth St, Melbourne, VIC, 3000, Australia.
- Murdoch Children's Research Institute, Parkville, VIC, Australia.
| | - Angeline Ferdinand
- Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, 3000, Australia
| | - Jessica Kaufman
- Murdoch Children's Research Institute, Parkville, VIC, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, VIC, 3000, Australia
| | - Nicole Allard
- Department of Infectious Diseases, The Peter Doherty Institute for Infection and Immunity, University of Melbourne, 792 Elizabeth St, Melbourne, VIC, 3000, Australia
- cohealth, Melbourne, VIC, Australia
| | - Margie Danchin
- Murdoch Children's Research Institute, Parkville, VIC, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, VIC, 3000, Australia
- Department of General Medicine, The Royal Childrens Hospital, Melbourne, VIC, 3052, Australia
| | - Katherine B Gibney
- Department of Infectious Diseases, The Peter Doherty Institute for Infection and Immunity, University of Melbourne, 792 Elizabeth St, Melbourne, VIC, 3000, Australia
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Job N, Johnston JS, Westgate C, Skinner NA, Ward V, Ballard M. Community health worker perspectives on advocacy: design-based research to develop a digital advocacy training course. Front Public Health 2024; 12:1334279. [PMID: 38660355 PMCID: PMC11039831 DOI: 10.3389/fpubh.2024.1334279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 03/28/2024] [Indexed: 04/26/2024] Open
Abstract
Introduction While community health workers (CHWs) are well-positioned as health advocates, they frequently lack support and feel undervalued. Advocacy training may prepare CHWs to support communities better. Methods This study uses a design-based research approach to (1) explore how participation in curriculum-development workshops for a digital advocacy course influenced CHWs' (n = 25) perceptions of advocacy and (2) describe how CHW involvement shaped course development. Data were collected via five discussion groups and seven surveys over six months. Results Initially, the CHWs perceived themselves as community-advocates but not as self-advocates. They increasingly reflected on the merits of advocating for better working conditions and aspired to greater involvement in decision-making. CHWs reflected positively on their advisory role in shaping the course to improve content acceptability and validity. Discussion Training efforts to engage CHWs in advocacy must overcome systemic barriers and norms internalized by CHWs that deter them from reaching their full potential as advocates.
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Affiliation(s)
- Nophiwe Job
- Stanford Center for Health Education, Cape Town, South Africa
| | | | - Carey Westgate
- Community Health Impact Coalition, London, United Kingdom
| | | | - Victoria Ward
- Stanford Center for Health Education, Stanford, CA, United States
- Stanford University School of Medicine, Stanford, CA, United States
| | - Madeleine Ballard
- Community Health Impact Coalition, London, United Kingdom
- Icahn School of Medicine at Mount Sinai, New York, NY, United States
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Gadhoke P, Brenton BP, Sadeghzadeh S, Huang SY, Lane L, Mathieu D, Rafa T, Albano X, Noble G. The Intersectionality of Food Insecurity, Job Insecurity, Healthcare Insecurity, and Mental Health Challenges in NYC Households During Covid-19. Ecol Food Nutr 2024; 63:112-134. [PMID: 38421255 DOI: 10.1080/03670244.2024.2308669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
Our intersectional research explored food insecurity and job insecurity as predictors of healthcare insecurity and mental health challenges among households living in economic instability since the COVID19 pandemic began. The New York City COVID19 Research Team adapted a validated, web based, anonymous survey questionnaire using a Social Determinants of Health Framework. The study oversampled underserved populations with a total of 2,099 participants. We report strong associations between food insecurity and job insecurity among healthcare insecure households, and significant mental health challenges among food insecure and healthcare insecure households. This underscores the need for integrated social policies to protect underserved urban populations.
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Affiliation(s)
- Preety Gadhoke
- Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, USA
| | - Barrett P Brenton
- Engagement Associate, Binghamton University, Center for Civic Engagement - UU 137, Binghamton, New York, USA
| | - Saloumeh Sadeghzadeh
- Operations and Business Analytics, School of Management, Binghamton University, Binghamton, New York, USA
| | - Sammy Y Huang
- Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, USA
| | - Liam Lane
- Department of Anthropology, Binghamton University, Binghamton, New York, USA
| | - David Mathieu
- Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, USA
| | - Tashnim Rafa
- Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, USA
| | - Xavier Albano
- Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, USA
| | - Gabriela Noble
- Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, USA
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Oliver J, Ferdinand A, Hussein A, Hussein R, Kaufman J, Edler P, Allard N, Danchin M, Gibney KB. Evaluating a peer-to-peer health education program in Australian public housing communities during the COVID-19 pandemic. BMC Health Serv Res 2024; 24:250. [PMID: 38413968 PMCID: PMC10900559 DOI: 10.1186/s12913-024-10627-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 01/23/2024] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND The cohealth Health Concierge program operated in Melbourne, Australia from July 2020 to 30 June 2022. It provided peer-to-peer support to culturally and linguistically diverse residents of high-rise public housing. During this time, the COVID-19 public health response changed frequently and included movement restriction, testing and vaccination. We conducted a mixed-methods evaluation to determine the Health Concierge program's impact on residents' engagement with health services and public health activities. METHODS The evaluation, informed by a Project Reference Group, used the RE-AIM framework. We analysed data from 20,901 routinely collected forms describing interactions between Concierges and residents from August 2021 to May 2022. Additional evaluation-specific data were collected between March and May 2022 in four housing estates; we surveyed 301 residents and conducted 32 interviews with residents, Concierges and program stakeholders. RESULTS Concierges promoted COVID-safe behaviours; linked residents with support, testing and vaccination services; and disseminated up-to-date information. Of the 20,901 recorded interactions, 8,872 (42%) included Concierges providing support around COVID-19 vaccination. Most surveyed residents (191/301, 63%) reported speaking with a Concierge in the previous six months. The self-reported two-dose COVID-19 vaccine uptake was 94% (283/301). Some residents described having meaningful, appreciated conversations with Concierges, and some described superficial interactions. While residents initially welcomed the program, many felt it failed to evolve. Poorly defined management and hiring criteria led to variable program implementation. A need for bicultural workers to continue linking residents with services was discussed. CONCLUSIONS Concierges' impact on residents may have contributed to high community uptake of COVID-19 testing and vaccination, and had benefits beyond the COVID-19 remit. We recommend the program be revised and continued to inform further preparedness planning and support service access generally. Program models such as this have potential to inform and reassure high-risk communities during a pandemic. In addition, such programs can help overcome vaccine hesitancy and promote protective health behaviours, regardless of whether a pandemic is currently occurring. Ensuring these programs remain responsive to the changing needs of end-users needs over time is imperative.
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Affiliation(s)
- Jane Oliver
- Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC, 3000, Australia.
- Murdoch Children's Research Institute, Melbourne, VIC, 3052, Australia.
| | - Angeline Ferdinand
- Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, 3000, Australia
| | - Awil Hussein
- North Melbourne Resident Action Group, Melbourne, VIC, 3052, Australia
| | - Ruqiyo Hussein
- Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC, 3000, Australia
| | - Jessica Kaufman
- Murdoch Children's Research Institute, Melbourne, VIC, 3052, Australia
| | - Peta Edler
- Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC, 3000, Australia
| | - Nicole Allard
- Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC, 3000, Australia
- cohealth, Melbourne, VIC, 3066, Australia
| | - Margie Danchin
- Murdoch Children's Research Institute, Melbourne, VIC, 3052, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, VIC, 3000, Australia
- Department of General Medicine, The Royal Childrens Hospital Melbourne, Melbourne, VIC, 3052, Australia
| | - Katherine B Gibney
- Department of Infectious Diseases, University of Melbourne at the Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC, 3000, Australia
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Chaomuang N, Panya R, Saokaew S, Umnuaypornlert A. Effects of instructional video and community radio broadcasting interventions to improve knowledge and behavior of antibiotic use in the COVID-19 era. J Am Pharm Assoc (2003) 2024:102030. [PMID: 38341087 DOI: 10.1016/j.japh.2024.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 01/11/2024] [Accepted: 02/04/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND Antibiotic overuse is a serious health issue. It has been demonstrated that improper antibiotic use is linked to a lack of knowledge in the public. To encourage judicious antibiotic use in the COVID-19 ERA, it is critical to provide accessible and secure therapies. OBJECTIVES This study aimed to assess the effects of instructional video and community radio broadcasting interventions on knowledge and behavior of antibiotic use. METHODS Adults over the age of 20 were enrolled in a quasi-experimental study. A total of 369 representatives were divided into two groups: 185 participants in the control group and 184 participants in the intervention group. Data were collected twice, before and after the educational program by community health workers. Both descriptive and inferential statistics were used to analyze the data. RESULTS The participants' average age was 56.4 ± 0.6 years. Most of the respondents were female (264, 71.5%) and had only received an elementary education (186, 50.4%). A mean difference score was produced for the control and intervention groups. Both groups experienced a statistically significant gain in mean difference score of knowledge following the educational program (3.42 ± 4.18, [95% CI 2.81-4.02] vs 5.42 ± 4.97, [95% CI 4.69-6.14]) (P < 0.001). A mean difference score was produced with behavior (1.78 ± 3.45, [95% CI 1.28-2.28] vs 2.77 ± 3.06, [95% CI 2.28-3.27]) (P < 0.001). A mean difference in knowledge score between the groups was greater, with the intervention group scoring higher; all significant variables were controlled by multivariable regression analysis (1.31 [95% CI 0.53-2.09]) (P = 0.001). Similarly, a mean difference behavior score (1.34 [95% CI 0.82-1.86]) (P < 0.001). CONCLUSION The integration of an educational poster, instructional video, and community radio broadcasting interventions about antibiotic use through CHWs in local communities is beneficial. This program should be implemented at the national level to promote rational drug use. Future studies should investigate how the educational program affects antibiotic use rates in the long term.
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Kusnadi G, Fletcher E, Espressivo A, Fitrianingrum NM, Saputra MA, Sophiarany N, Soebagio F. Essential healthcare services during the COVID-19 pandemic: a cross-sectional study of community needs and perspectives in West Java, Indonesia. BMJ Open 2024; 14:e077585. [PMID: 38253458 PMCID: PMC10806686 DOI: 10.1136/bmjopen-2023-077585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 12/20/2023] [Indexed: 01/24/2024] Open
Abstract
OBJECTIVES While issues in healthcare facilities during the COVID-19 pandemic have been widely discussed, little is known about health service issues from community (demand) sides. This study aimed to identify community needs in the utilisation of health services and highlight the key roles and barriers that community health workers (CHWs) face in delivering community-based services during the pandemic. DESIGN Cross-sectional study. SETTING 38 randomly selected villages covered by 21 preidentified community health centres in 3 districts in West Java, Indonesia. The survey was conducted from 22 January 2022 to 7 February 2022 (2 years after the pandemic began). PARTICIPANTS 118 respondents, consisting of community leaders, vulnerable group representatives and CHWs. RESULTS Laboratory examination (55.1%), emergency care (52.5%), non-communicable disease screening (50%) and routine treatment (49.2%) were perceived as the highest unmet needs of essential healthcare services. Fear of infection (90.3%) became one main barrier to access healthcare services. Vulnerable populations including lower socioeconomic groups (61.2%), households with elderly (25.4%), persons with disabilities (25.4%), pregnant women, people with mental illness and people with lower education (26.9%) were reported facing difficulties in accessing healthcare services. Further, the pandemic was deemed to have significantly impacted the community economic situation (91.5%). CHWs were actively engaged in community-based services and were mentioned as the first contact when the community needed help (57.6%). CHWs reported essential needs on financial support (45.2%), logistics (54.8%) and protective equipment (22.6%). CONCLUSIONS Essential health services for the community, including those belonging to vulnerable groups, were highly impacted during the pandemic. CHWs appear to have significant roles in delivering health services during this health crisis, hence, adequate support is needed to equip them in strengthening pandemic response.
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Affiliation(s)
- Gita Kusnadi
- Center for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia
| | - Emma Fletcher
- Center for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia
- Johns Hopkins University, Baltimore, Maryland, USA
| | - Aufia Espressivo
- Center for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia
| | | | | | - Nabilla Sophiarany
- Center for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia
| | - Febriansyah Soebagio
- Center for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia
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Hirschhorn LR, Govender I, Zulu JM. Community health workers: essential in ensuring primary health care for equitable universal health coverage, but more knowledge and action is needed. BMC PRIMARY CARE 2023; 24:219. [PMID: 37880575 PMCID: PMC10599034 DOI: 10.1186/s12875-023-02175-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 10/10/2023] [Indexed: 10/27/2023]
Abstract
Community health workers (CHWs) have helped improve access to quality primary health care (PHC). However, knowledge gaps exist in designing and implementing CHW-engaged models needed to ensure quality people-centered PHC. In this collection, we call for papers which bridge this knowledge gap, to build sustainable, resilient and equitable CHW programs.
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Affiliation(s)
- Lisa R Hirschhorn
- Department of Medical Social Sciences, Havey Institute for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
| | - Indiran Govender
- Department of Family Medicine and Primary Health Care, Sefako Makgatho Health Sciences University, Ga-Rankuwa, Gauteng Province, South Africa
| | - Joseph M Zulu
- School of Public Health, University of Zambia, Lusaka, Zambia
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Murphy SL, Jay GM, Samuels EM, Eakin BL, Harper AE, Piatt GA, Trujillo VI, Weeks-Norton KL, Striley CW, O’Leary C, Hahn J, Watkins DC, Cottler LB, Aguilar Gaxiola S. Evaluation of an online research best practices training for community health workers and promotoras. J Clin Transl Sci 2023; 7:e195. [PMID: 37771414 PMCID: PMC10523289 DOI: 10.1017/cts.2023.624] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Revised: 08/21/2023] [Accepted: 08/23/2023] [Indexed: 09/30/2023] Open
Abstract
Introduction Community health workers and promotoras (CHW/Ps) have a fundamental role in facilitating research with communities. However, no national standard training exists as part of the CHW/P job role. We developed and evaluated a culturally- and linguistically tailored online research best practices course for CHW/Ps to meet this gap. Methods After the research best practices course was developed, we advertised the opportunity to CHW/Ps nationwide to complete the training online in English or Spanish. Following course completion, CHW/Ps received an online survey to rate their skills in community-engaged research and their perceptions of the course using Likert scales of agreement. A qualitative content analysis was conducted on open-ended response data. Results 104 CHW/Ps completed the English or Spanish course (n = 52 for each language; mean age 42 years SD ± 12); 88% of individuals identified as female and 56% identified as Hispanic, Latino, or Spaniard. 96%-100% of respondents reported improvement in various skills. Nearly all CHW/Ps (97%) agreed the course was relevant to their work, and 96% felt the training was useful. Qualitative themes related to working more effectively as a result of training included enhanced skills, increased resources, and building bridges between communities and researchers. Discussion The CHW/P research best practices course was rated as useful and relevant by CHW/Ps, particularly for communicating about research with community members. This course can be a professional development resource for CHW/Ps and could serve as the foundation for a national standardized training on their role related to research best practices.
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Affiliation(s)
- Susan L. Murphy
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
| | - Gina M. Jay
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
| | - Elias M. Samuels
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Brenda L. Eakin
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Alexandra E. Harper
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
| | - Gretchen A. Piatt
- Department of Learning Health Sciences, Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Vanessa I. Trujillo
- Clinical and Translational Science Center, University of California, Davis, CA, USA
- Center for Reducing Health Disparities, University of California, Davis, CA, USA
| | - Kristen L. Weeks-Norton
- Clinical and Translational Science Center, University of California, Davis, CA, USA
- Center for Reducing Health Disparities, University of California, Davis, CA, USA
| | - Catherine W. Striley
- Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainseville, FL, USA
| | | | - Jordan Hahn
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI, USA
| | - Daphne C. Watkins
- School of Social Work, Vivian A. and James L. Curtis Center for Health Equity Research and Training, University of Michigan, Ann Arbor, MI, USA
| | - Linda B. Cottler
- Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainseville, FL, USA
| | - Sergio Aguilar Gaxiola
- Clinical and Translational Science Center, University of California, Davis, CA, USA
- Center for Reducing Health Disparities, University of California, Davis, CA, USA
- Department of Internal Medicine, University of California, Davis, CA, USA
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Sharma N, Basu S, Lalwani H, Rao S, Malik M, Garg S, Shrivastava R, Singh MM. COVID-19 Booster Dose Coverage and Hesitancy among Older Adults in an Urban Slum and Resettlement Colony in Delhi, India. Vaccines (Basel) 2023; 11:1177. [PMID: 37514993 PMCID: PMC10385507 DOI: 10.3390/vaccines11071177] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 06/09/2023] [Accepted: 06/20/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND The high prevalence of vaccine booster hesitancy, with the concomitant waning of humoral vaccine or hybrid immunity, and the emergence of SARS-CoV-2 variants of concern can accentuate COVID-19 morbidity and mortality. The study objective was to ascertain the COVID-19 vaccination coverage, including the administration of precaution (booster) dose vaccination, among the older population in an urban slum and resettlement colony population in Delhi, India. METHODS We conducted a cross-sectional survey in an urban resettlement colony, slum, and village cluster in the Northeast district of Delhi among residents aged ≥50 years. RESULTS A total of 2217 adults (58.28%) had obtained a COVID-19 booster (precaution) dose vaccine, 1404 (36.91%) had received two doses of a COVID-19 vaccine without booster dose, 121 (3.18%) were unvaccinated, while 62 (1.63%) participants received a single dose. Based on adjusted analysis, older adults (>65 years), higher education, and higher per-capita income were statistically significant predictors of booster dose vaccination. CONCLUSIONS More than four in ten adults in an urban slum and resettlement colony in Delhi lacked COVID-19 booster dose vaccination despite high rates of double-dose vaccination (~95%). Public health programming should provide an enhanced focus on reducing complacency with renewed prioritization for improving ease of access to COVID-19 vaccination services, particularly in underserved areas.
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Affiliation(s)
- Nandini Sharma
- Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India
| | - Saurav Basu
- Indian Institute of Public Health-Delhi, Public Health Foundation of India, New Delhi 122002, India
| | - Heena Lalwani
- Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India
| | - Shivani Rao
- Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India
| | - Mansi Malik
- Indian Institute of Public Health-Delhi, Public Health Foundation of India, New Delhi 122002, India
| | - Sandeep Garg
- Department of Internal Medicine, Maulana Azad Medical College, New Delhi 110002, India
| | - Rahul Shrivastava
- Department of Biotechnology, National Biopharma Mission, Biotechnology Industry Research Assistance Council (BIRAC), New Delhi 110003, India
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Moyo E, Mhango M, Moyo P, Dzinamarira T, Chitungo I, Murewanhema G. Emerging infectious disease outbreaks in Sub-Saharan Africa: Learning from the past and present to be better prepared for future outbreaks. Front Public Health 2023; 11:1049986. [PMID: 37228735 PMCID: PMC10203177 DOI: 10.3389/fpubh.2023.1049986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 03/13/2023] [Indexed: 05/27/2023] Open
Affiliation(s)
- Enos Moyo
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Malizgani Mhango
- School of Public Health, University of Western Cape, Bellville, South Africa
| | - Perseverance Moyo
- Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Tafadzwa Dzinamarira
- School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
| | - Itai Chitungo
- College of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
| | - Grant Murewanhema
- College of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
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Ballard M, Odera M, Bhatt S, Geoffrey B, Westgate C, Johnson A. Payment of community health workers. Lancet Glob Health 2022; 10:e1242. [DOI: 10.1016/s2214-109x(22)00311-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 07/01/2022] [Indexed: 10/15/2022]
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