Challenges of COVID‐19 vaccination program in rural areas of Eastern Indonesia: A qualitative study from a multistakeholder perspective.
Uloženo v:
| Název: | Challenges of COVID‐19 vaccination program in rural areas of Eastern Indonesia: A qualitative study from a multistakeholder perspective. |
|---|---|
| Autoři: | Nurmansyah, Mochamad Iqbal, Samsudin, Agus, Listiowati, Ekorini, Nurjuman, Husnan, Wulandari, Yuanita, Asmawati, Wa Ode, Soularto, Dirwan Suryo |
| Zdroj: | World Medical & Health Policy; Jun2024, Vol. 16 Issue 2, p134-152, 19p |
| Témata: | COVID-19 vaccines, RURAL geography, VACCINATION coverage, COMMUNITY-based participatory research, FOCUS groups |
| Geografický termín: | INDONESIA |
| Abstract (English): | This research aimed to explore the challenges of the COVID‐19 vaccination program from the perspective of multiple stakeholders in rural areas of eastern Indonesia. This qualitative participatory action research involved 115 participants selected from various groups in 20 subdistricts across five provinces, including Health Service workers, police staff monitoring the vaccination program, religious figures, and adult and youth community leaders. Furthermore, focus group discussion was conducted using semi‐structured interview guidelines based on the WHO Strategic Advisory Group of Experts (SAGE) for vaccine and immunization model. The manifest content approach was employed to analyze the visible contents within the text. Implementation of the vaccination program was complicated by contextual, individual, and group factors, as well as vaccine and vaccination‐specific factors. The contextual factors were socioeconomic, religious, and cultural conditions, changes in government policies, and geographical and climatic obstacles. Meanwhile, examples of group and individual factors were people's beliefs of COVID‐19 being harmless and their invulnerability to the disease, along with misinformation and disinformation about vaccination, and fatalistic attitudes. Factors related to the vaccine and vaccination process include limited vaccine supplies, inadequate supporting facilities, and insufficient administration of vaccines. Multiple and complex challenges of COVID‐19 vaccination in the rural areas of eastern Indonesia need attention from the local and national government, as well as other parties including the private sector, socio‐religious figures and organizations, and the media. Key Points: This study involved participants from government and nongovernment elements, young and adult age groups, as well as health and nonhealth actors to explore challenges of the COVID‐19 vaccination program in Eastern Indonesia.The results showed that the low COVID‐19 vaccination coverage cannot be attributed to a single factor, as multiple complex and context‐specific factors are at play.Health and nonhealth sectors, as well as governmental and nongovernmental actors with their respective roles can be involved in supporting the COVID‐19 vaccination and other vaccination programs. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Resumen: Esta investigación tuvo como objetivo explorar los desafíos del programa de vacunación COVID‐19 desde la perspectiva de múltiples partes interesadas en las zonas rurales del este de Indonesia. Esta investigación de acción participativa cualitativa involucró a 115 participantes seleccionados de varios grupos en 20 subdistritos de cinco provincias, incluidos trabajadores del Servicio de Salud, personal de policía que supervisa el programa de vacunación, figuras religiosas y líderes comunitarios adultos y jóvenes. Además, la discusión en grupos focales (DGF) se llevó a cabo utilizando pautas de entrevista semiestructuradas diseñadas en base al modelo de vacilación sobre las vacunas del Grupo de Expertos en Asesoramiento Estratégico (SAGE) de la OMS. Se empleó el enfoque de contenido manifiesto para analizar los contenidos visibles dentro del texto. La implementación del programa de vacunación se vio complicada por factores contextuales, individuales y grupales, así como por cuestiones relacionadas con las vacunas y sus específicas. Los factores contextuales fueron las condiciones socioeconómicas, religiosas y culturales, los cambios en las políticas gubernamentales y los obstáculos geográficos y climáticos. Mientras tanto, ejemplos de influencias grupales e individuales fueron las creencias de las personas de que el COVID‐19 es inofensivo y su invulnerabilidad a la enfermedad, junto con la información errónea y desinformada sobre la vacunación y las actitudes fatalistas. Los problemas relacionados con la vacuna y el proceso de vacunación incluyen suministros limitados de vacunas, instalaciones de apoyo inadecuadas y administración insuficiente de vacunas. Los múltiples y complejos desafíos de la vacunación contra la COVID‐19 en las zonas rurales del este de Indonesia requieren la atención del gobierno local y nacional, así como de otras partes, incluido el sector privado, figuras y organizaciones socioreligiosas y los medios de comunicación. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 摘要: 本研究旨在从印度尼西亚东部农村地区的多利益攸关方角度，探究2019冠状病毒病(COVID‐19)疫苗接种计划面临的挑战。该定性参与式行动研究包括了115名参与者，他们来自5省20个分区的不同群体，其中包括卫生服务人员、监督疫苗接种计划的警察、宗教人士、以及成人和青少年社区领袖。此外，通过半结构化访谈指南进行焦点小组讨论，半结构化访谈指南的设计基于世卫组织免疫战略咨询专家组(SAGE)提出的疫苗犹豫模型。采用显性内容法来分析文本中的可见内容。由于情境因素、个人因素、群体因素、以及疫苗和特定的疫苗接种问题，疫苗接种计划的实施变得复杂。情境因素包括社会经济情况、宗教情况和文化情况、政府政策的变化、以及地理障碍和气候障碍。与此同时，群体影响因素和个人影响因素的例子包括人们相信COVID‐19无害且不会感染这种疾病、有关疫苗接种的错误信息和虚假信息、以及宿命论态度。与疫苗和疫苗接种过程相关的问题包括:疫苗供应有限、配套设施不足、疫苗管理不到位等。印度尼西亚东部农村地区COVID‐19疫苗接种一事面临的多重复杂挑战需要地方和国家政府的关注，以及包括私营部门、社会宗教人士和组织、以及媒体在内的其他群体的关注。 [ABSTRACT FROM AUTHOR] |
| Copyright of World Medical & Health Policy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Databáze: | Biomedical Index |
Full Text Finder 
Nájsť tento článok vo Web of Science Buďte první, kdo okomentuje tento záznam!