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Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019
INTRODUCTION: There is limited understanding of the potential impact of information sources on vaccination attitudes and behaviors in low-income countries. We examined how exposure to immunization information sources may be associated with vaccination uptake in Sierra Leone. METHODS: In 2019, a hous...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Global Health: Science and Practice
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885335/ https://www.ncbi.nlm.nih.gov/pubmed/35294376 http://dx.doi.org/10.9745/GHSP-D-21-00237 |
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author | Kulkarni, Shibani Sengeh, Paul Eboh, Victor Jalloh, Mohammad B. Conteh, Lansana Sesay, Tom Ibrahim, Ngobeh Manneh, Pa Ousman Kaiser, Reinhard Jinnai, Yuka Wallace, Aaron S. Prybylski, Dimitri Jalloh, Mohamed F. |
author_facet | Kulkarni, Shibani Sengeh, Paul Eboh, Victor Jalloh, Mohammad B. Conteh, Lansana Sesay, Tom Ibrahim, Ngobeh Manneh, Pa Ousman Kaiser, Reinhard Jinnai, Yuka Wallace, Aaron S. Prybylski, Dimitri Jalloh, Mohamed F. |
author_sort | Kulkarni, Shibani |
collection | PubMed |
description | INTRODUCTION: There is limited understanding of the potential impact of information sources on vaccination attitudes and behaviors in low-income countries. We examined how exposure to immunization information sources may be associated with vaccination uptake in Sierra Leone. METHODS: In 2019, a household survey was conducted using multistage cluster sampling to randomly select 621 caregivers of children aged 12–23 months in 4 districts in Sierra Leone. We measured exposure to various sources of immunization information and 2 outcomes: (1) vaccination confidence using an aggregate score (from 12 Likert items, informed by previously validated scale) that was dichotomized into a binary variable; (2) uptake of the third dose of diphtheria-pertussis-tetanus-hepatitis B-Haemophilus influenzae type-b-pentavalent vaccine (penta-3) based on card record or through caregiver recall when card was unavailable. Associations between information sources and the outcomes were examined using modified Poisson regression with robust variance estimator. RESULTS: Weighted estimate for penta-3 uptake was 81% (75.2%–85.5%). The likelihood of uptake of penta-3 was significantly greater when caregiver received information from health facilities (adjusted prevalence ratio [aPR]=1.26, 95% confidence interval [CI]=1.1, 1.5), faith leaders (aPR=1.16, 95% CI=1.1, 1.3), and community health workers (aPR=1.13, 95% CI=1.003, 1.3). Exposure to greater number of information sources was associated with high penta-3 uptake (aPR=1.05, 95% CI=1.02, 1.1). DISCUSSION: Immunization information received during health facility visits and through engagement with religious leaders may enhance vaccination uptake. Assessments to understand context-specific information dynamics should be prioritized in optimizing immunization outcomes. |
format | Online Article Text |
id | pubmed-8885335 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Global Health: Science and Practice |
record_format | MEDLINE/PubMed |
spelling | pubmed-88853352022-04-01 Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 Kulkarni, Shibani Sengeh, Paul Eboh, Victor Jalloh, Mohammad B. Conteh, Lansana Sesay, Tom Ibrahim, Ngobeh Manneh, Pa Ousman Kaiser, Reinhard Jinnai, Yuka Wallace, Aaron S. Prybylski, Dimitri Jalloh, Mohamed F. Glob Health Sci Pract Original Article INTRODUCTION: There is limited understanding of the potential impact of information sources on vaccination attitudes and behaviors in low-income countries. We examined how exposure to immunization information sources may be associated with vaccination uptake in Sierra Leone. METHODS: In 2019, a household survey was conducted using multistage cluster sampling to randomly select 621 caregivers of children aged 12–23 months in 4 districts in Sierra Leone. We measured exposure to various sources of immunization information and 2 outcomes: (1) vaccination confidence using an aggregate score (from 12 Likert items, informed by previously validated scale) that was dichotomized into a binary variable; (2) uptake of the third dose of diphtheria-pertussis-tetanus-hepatitis B-Haemophilus influenzae type-b-pentavalent vaccine (penta-3) based on card record or through caregiver recall when card was unavailable. Associations between information sources and the outcomes were examined using modified Poisson regression with robust variance estimator. RESULTS: Weighted estimate for penta-3 uptake was 81% (75.2%–85.5%). The likelihood of uptake of penta-3 was significantly greater when caregiver received information from health facilities (adjusted prevalence ratio [aPR]=1.26, 95% confidence interval [CI]=1.1, 1.5), faith leaders (aPR=1.16, 95% CI=1.1, 1.3), and community health workers (aPR=1.13, 95% CI=1.003, 1.3). Exposure to greater number of information sources was associated with high penta-3 uptake (aPR=1.05, 95% CI=1.02, 1.1). DISCUSSION: Immunization information received during health facility visits and through engagement with religious leaders may enhance vaccination uptake. Assessments to understand context-specific information dynamics should be prioritized in optimizing immunization outcomes. Global Health: Science and Practice 2022-02-28 /pmc/articles/PMC8885335/ /pubmed/35294376 http://dx.doi.org/10.9745/GHSP-D-21-00237 Text en © Kulkarni et al. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-21-00237 |
spellingShingle | Original Article Kulkarni, Shibani Sengeh, Paul Eboh, Victor Jalloh, Mohammad B. Conteh, Lansana Sesay, Tom Ibrahim, Ngobeh Manneh, Pa Ousman Kaiser, Reinhard Jinnai, Yuka Wallace, Aaron S. Prybylski, Dimitri Jalloh, Mohamed F. Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 |
title | Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 |
title_full | Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 |
title_fullStr | Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 |
title_full_unstemmed | Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 |
title_short | Role of Information Sources in Vaccination Uptake: Insights From a Cross-Sectional Household Survey in Sierra Leone, 2019 |
title_sort | role of information sources in vaccination uptake: insights from a cross-sectional household survey in sierra leone, 2019 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885335/ https://www.ncbi.nlm.nih.gov/pubmed/35294376 http://dx.doi.org/10.9745/GHSP-D-21-00237 |
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