Trust in health workers and patient-centeredness of care were strongest factors associated with vaccination for Kenyan children born between 2017-2022.

Autor:	Moucheraud C; New York University, School of Global Public Health, 708 Broadway, New York, NY 10003, USA., Ochieng E; Innovations for Poverty Action Kenya, P.O. Box 72427-00200, Nairobi, Kenya., Ogutu V; Innovations for Poverty Action Kenya, P.O. Box 72427-00200, Nairobi, Kenya., Sudhinaraset M; University of California Los Angeles, Fielding School of Public Health, 650 Charles E Young Dr S, Los Angeles, CA 90095 USA., Szilagyi PG; University of California Los Angeles, David Geffen School of Medicine, 855 Tiverton Dr, Los Angeles, CA 90024 USA., Hoffman RM; University of California Los Angeles, David Geffen School of Medicine, 855 Tiverton Dr, Los Angeles, CA 90024 USA., Glenn B; University of California Los Angeles, Fielding School of Public Health, 650 Charles E Young Dr S, Los Angeles, CA 90095 USA., Golub G; Innovations for Poverty Action Kenya, P.O. Box 72427-00200, Nairobi, Kenya., Njomo D; Kenya Medical Research Institute, P.O. Box 54840-00200, Nairobi, Kenya.
Jazyk:	angličtina
Zdroj:	Vaccine: X [Vaccine X] 2024 Jul 04; Vol. 19, pp. 100523. Date of Electronic Publication: 2024 Jul 04 (Print Publication: 2024).
DOI:	10.1016/j.jvacx.2024.100523
Abstrakt:	Objective: Although vaccination confidence is declining globally, there is little detailed information from low- and middle-income countries about factors influencing routine vaccination behavior in these contexts. Methods: In mid-2022, we surveyed people who gave birth in Kenya between 2017-2022, and asked them about their children's vaccination history and about hypothesized correlates of vaccination per the Behavioural and Social Drivers of Vaccination model. Results: Of 873 children in this sample, 117 (13%) were under-vaccinated (i.e., delayed or missing vaccine dose(s)) - and under-vaccination was more common among births during the COVID-19 pandemic (2020-2022) versus pre-pandemic (2017-2019). In multi-level multivariable models, children of respondents who expressed concerns about serious side effects from vaccines had significantly higher odds of missed vaccine dose(s) (aOR 2.06, 95 % CI 1.14-3.72), and there was a strong association between having more safety concerns now versus before the COVID-19 pandemic (aOR missed dose(s) 4.44, 95 % CI 1.71-11.51; aOR under-vaccination 3.03, 95 % CI 1.28-7.19). People with greater trust in health workers had lower odds of having a child with missed vaccine dose(s) (aOR 0.85, 95 % CI 0.75-0.97). People who reported higher patient-centered quality of vaccination care had much lower odds of having children with delayed or missed vaccine dose(s) (aOR missed dose(s) 0.14, 95 % CI 0.04-0.58; aOR under-vaccination 0.27, 95 % CI 0.10-0.79). Conclusions: These findings highlight potential strategies to improve vaccine coverage: greater focus on patient-centered quality of care, training healthcare workers on how to address safety concerns about vaccines, and building trust in the health care system and in health workers. Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Corrina Moucheraud reports financial support was provided by Sabin Vaccine Institute. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
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