Leading from the frontlines: community-oriented approaches for strengthening vaccine delivery and acceptance Article Swipe
Baldeep K. Dhaliwal
,
Rajeev Seth
,
Betty Thankachen
,
Yawar Qaiyum
,
Svea Closser
,
Tyler Best
,
Anita Shet
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12919-023-00259-w
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12919-023-00259-w
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.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12919-023-00259-w
- https://bmcproc.biomedcentral.com/counter/pdf/10.1186/s12919-023-00259-w
- OA Status
- gold
- Cited By
- 21
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4382777580
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4382777580Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s12919-023-00259-wDigital Object Identifier
- Title
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Leading from the frontlines: community-oriented approaches for strengthening vaccine delivery and acceptanceWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-06-30Full publication date if available
- Authors
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Baldeep K. Dhaliwal, Rajeev Seth, Betty Thankachen, Yawar Qaiyum, Svea Closser, Tyler Best, Anita ShetList of authors in order
- Landing page
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https://doi.org/10.1186/s12919-023-00259-wPublisher landing page
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https://bmcproc.biomedcentral.com/counter/pdf/10.1186/s12919-023-00259-wDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://bmcproc.biomedcentral.com/counter/pdf/10.1186/s12919-023-00259-wDirect OA link when available
- Concepts
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Medicine, Psychological intervention, Intervention (counseling), Vaccination, Public health, Nursing, Health facility, Community health, Public relations, Family medicine, Medical education, Environmental health, Political science, Population, Health services, ImmunologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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21Total citation count in OpenAlex
- Citations by year (recent)
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2025: 11, 2024: 9, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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19Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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