Ukraine tightens rules to boost COVID vaccine uptake

Significance This places two-thirds of Ukrainian regions under the most stringent COVID-19 restrictions. In its second pandemic autumn, Ukraine is performing poorly because this year's vaccination programme has been slow to pick up, until a recent acceleration prompted by tougher restrictions. Vaccine hesitancy has been compounded by a scandal involving fake certificates. Impacts The government will blame the COVID-19 surge for poor macroeconomic performance. President Zelensky's standing will be largely unaffected, as responsibility for restrictions is mostly devolved to regions. COVID-19 will not sideline the many challenges facing the government, currently reflected in an emerging cabinet reshuffle.

Significance The government closed the borders in December to avoid further spread of COVID-19, subsequently extending the closure through January. The move implied the loss of the entire summer tourism season, key for the economy and the current account, although the government still expects a rapid GDP recovery following an estimated 5.8% contraction in 2020. Impacts Official growth, inflation and fiscal targets look unlikely to be met this year. Employment, commerce, services and tax revenues will suffer from the enforced loss of the summer tourist season this year. Further delays to rolling out a vaccination programme risk a slower recovery and damage to the government’s approval ratings.


Significance A Thai court blocked the order on August 6, but the government is expected to push back forcefully. This comes as South-east Asian governments struggle to contain disinformation on COVID-19, which is fuelling vaccine hesitancy and thwarting attempts to contain the virus. Impacts Forthcoming elections in some of the region's countries will boost the use of disinformation. Rising support for Western over Chinese vaccines will fuel anti-China sentiment online and possibly violence against ethnic Chinese. Disinformation on COVID-19 by Islamic State and local jihadists, particularly in Indonesia, raises the risk of terrorist attacks.


2021 ◽  
Author(s):  
Paddington T Mundagowa ◽  
Samantha N Tozivepi ◽  
Edward T Chiyaka ◽  
Fadzai Mukora-Mutseyekwa ◽  
Richard Makurumidze

Background: To minimize the devastating effects of the coronavirus disease 2019 (COVID 19) pandemic, scientists hastily developed a vaccine. However, the scaling up of the vaccination is likely to be hindered by the widespread social media misinformation. We, therefore, conducted a study to assess the COVID 19 vaccine hesitancy among Zimbabweans. Methods: We conducted a descriptive online cross-sectional survey using a self administered questionnaire among adults. The questionnaire assessed willingness to be vaccinated; sociodemographic characteristics, individual attitudes and perceptions, effectiveness, and safety of the vaccine. Multivariable logistic regression analysis was utilized to examine the independent factors associated with vaccine uptake. Results: We analyzed data for 1168 participants, the age range of 19 to 89 years with the majority being females (57.5%). Half (49.9%) of the participants reported that they would accept the COVID 19 vaccine. The majority were uncertain about the effectiveness of the vaccine (76.0%) and its safety (55.0%). About half lacked trust in the government s ability to ensure the availability of an effective vaccine and 61.0% mentioned that they would seek advice from a healthcare worker to vaccinate. Age 55 years and above [vs 18 to 25 years Adjusted Odds Ratio (AOR): 2.04, 95% Confidence Interval (CI): 1.07 to 3.87], chronic disease [vs no chronic disease AOR: 1.72, 95%CI: 1.32 to 2.25], males [vs females AOR: 1.84, 95%CI: 1.44 to 2.36] and being a healthcare worker [vs not being a health worker AOR: 1.73, 95%CI: 1.34 to 2.24] were associated with increased likelihood to vaccinate. History of COVID 19 infection [vs no history - AOR: 0.45, 95%CI: 0.25 to 0.81) and rural residence [vs urban - AOR: 0.64, 95%CI: 0.40 to 1.01] were associated with reduced likelihood to vaccinate. Conclusion: We found half of the participants willing to vaccinate against COVID-19. The majority lacked trust in the government and were uncertain about vaccine effectiveness and safety. The policymakers should consider targeting geographical and demographic groups which were unlikely to vaccinate with vaccine information, education, and communication to improve uptake.


Significance Earlier this month, the Drugs Controller General of India (DCGI) approved the Oxford/AstraZeneca vaccine, marketed in India as ‘Covishield’, and a locally developed jab. The approval given to the latter has proved controversial, as it lacks efficacy data. Impacts The government may explore a public-private partnership model for later phases of the vaccination programme in a bid to speed up delivery. Any health controversy associated with a COVID-19 vaccine could exacerbate public concerns about the inoculation programme. Delhi will continue to talk up its capacity to export vaccines to neighbouring countries as part of its ‘vaccine diplomacy’.


Subject Prospects for the Tunisian economy since the formation of the coalition government. Significance Headwinds to the Tunisian economy are emerging from many directions: industrial action, a security-related shock to tourism and poor rainfall are all providing significant resistance to government efforts to stimulate economic activity. A great deal of focus will turn to how the government handles the many economic and security disruptions it faces. Impacts The decline in global oil prices gives the government some modest breathing space for the national budget. It should also lay the groundwork for longer-term subsidy reduction. However, it will not provide much of a boost to the economy since it is not directly passed through to businesses and consumers.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Haider Muthnna Almoatasm

Purpose This paper aims to scrutinize some determinants that affect the functions and roles of contemporary parliaments. In particular, such parliaments attempt to involve in new areas that were not represented in parliamentary study and to play new roles in the areas of development, diplomacy, the establishment of post-conflict peace rules and achieving the objectives of the sustainable development. The study found that the most important determinants affecting the new roles of contemporary parliaments are the constitutional and legal frameworks. Design/methodology/approach This paper adopts three basic methodologies so as to reach some applicable scientific findings that can be generalized. The researcher has used the descriptive methodology, to shed light on the parliament’s various activities and new roles and to take note of the many surrounding factors and available dimensions that enable parliaments to perform such roles. The researcher has also used the comparative methodology, to study parliaments with a view to identifying their roles in a way that includes their similarities and dissimilarities and the possibility of generalizing the outputs. Findings The paper has reached many findings, the most important of which are: first, the need to present appropriate amendments to the constitutions to give space to parliaments to play more effective and influential roles. Second, the internal regulations of parliaments must be in line with the attitudes and aspirations of the parliament and its members, giving appropriate cover for playing new roles in various areas. Research limitations/implications This study has found that contemporary parliaments can play new roles in various fields, whether internal or external and in different sectors as well, as a result of the great developments and complexities introduced around the world. Such developments and complexities have cast a shadow on governments and affected their abilities in dealing with the issues immediately because of the enormous challenges in addition to the ongoing developments occurring to the legislative systems in the world, at the technical level of the departments and secretariats of contemporary parliaments or for members of Parliament and the institution as a whole. Practical implications The new roles of contemporary parliaments have been affected by the determinants of the research, which are the constitutional framework, the legislative framework, the relationship between Parliament and civil society and the relationship between Parliament and the government. These factors cast a shadow over the expansion or contraction of the attempts of modern parliaments to play new roles. Social implications This study has found that contemporary parliaments can play social roles in various fields of a social nature, which is find solutions to the problems experienced by societies emerging from civil wars, which need national reconciliation, for example, the reconciliation of the ethnic tribes carried out by the Iraqi council of representatives between the local tribes to resolve the internal problems, in addition the role of Borondian council by it is trying end the conflict between the tribes of Hotsi and Tutsi. Originality/value The importance of the study stems from the fact that it focuses on the most important determinants of the new roles of contemporary parliaments that may be conducted outside the traditional framework of the parliament's study of legislation and supervision. Such contemporary parliaments have played new roles that take the form of political, economic, social, humanitarian, diplomatic and environmental works and other works concerned with the climate and their attempts to end internal and external conflicts and disputes.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261125
Author(s):  
Rihanna Mohammed ◽  
Teklehaimanot Mezgebe Nguse ◽  
Bruck Messele Habte ◽  
Atalay Mulu Fentie ◽  
Gebremedhin Beedemariam Gebretekle

Introduction COVID-19 poses significant health and economic threat prompting international firms to rapidly develop vaccines and secure quick regulatory approval. Although COVID-19 vaccination priority is given for high-risk individuals including healthcare workers (HCWs), the success of the immunization efforts hinges on peoples’ willingness to embrace these vaccines. Objective This study aimed to assess HCWs intention to be vaccinated against COVID-19 and the reasons underlying vaccine hesitancy. Methods A cross-sectional survey was conducted among HCWs in Addis Ababa, Ethiopia from March to July 2021. Data were collected from eligible participants from 18 health facilities using a pre-tested semi-structured questionnaire. Data were summarized using descriptive statistics and multivariable logistic regression was performed to explore factors associated with COVID-19 vaccine hesitancy. A p<0.05 was considered statistically significant. Results A total of 614 HCWs participated in the study, with a mean age of 30.57±6.87 years. Nearly two-thirds (60.3%) of HCWs were hesitant to use the COVID-19 vaccine. Participants under the age of 30 years were approximately five times more likely to be hesitant to be vaccinated compared to those over the age of 40 years. HCWs other than medical doctors and/or nurses (AOR = 2.1; 95%CI; 1.1, 3.8) were more likely to be hesitant for COVID-19 vaccine. Lack of believe in COVID-19 vaccine benefits (AOR = 2.5; 95%CI; 1.3, 4.6), lack of trust in the government (AOR = 1.9; 95%CI; 1.3, 3.1), lack of trust science to produce safe and effective vaccines (AOR = 2.6; 95%CI; 1.6, 4.2); and concern about vaccine safety (AOR = 3.2; 95%CI; 1.9, 5.4) were also found to be predictors of COVID-19 vaccine hesitancy. Conclusion COVID-19 vaccine hesitancy showed to be high among HCWs. All concerned bodies including the ministry, regional health authorities, health institutions, and HCWs themselves should work together to increase COVID-19 vaccine uptake and overcome the pandemic.


Significance Belize’s economic slowdown is proving prolonged, driven by the sharp drop in tourist arrivals as a result of the COVID-19 pandemic. The government has reduced spending and announced an austerity budget for 2021-22. Tourism looks likely to pick up somewhat this year, but high public debt and unemployment will weigh on economic activity into 2022. Impacts Failure to agree a debt restructuring could force Belize to seek an IMF loan. Protracted debt negotiations will deter investment in the short term. Ongoing vaccine uptake in the United States will be crucial for Belize’s tourism sector, as it is the main tourism source country.


2019 ◽  
Vol 121 (3) ◽  
pp. 658-674 ◽  
Author(s):  
Kingsley Purdam ◽  
Aneez Esmail ◽  
Elisabeth Garratt

Purpose The purpose of this paper is to present findings from research into food insecurity amongst older people aged 50 years and older in the UK. Design/methodology/approach This paper uses secondary analysis of national-level survey data and semi-structured interviews with older people receiving emergency food from foodbanks. Findings There is a forgotten care gap in the UK where a substantial number of older people are living in food insecurity. Many older people live alone and in poverty, and increasing numbers are constrained in their spending on food and are skipping meals. Food insecurity amongst older people can be hidden. Within families a number of older people were trying to ensure that their children and grandchildren had enough to eat, but were reluctant to ask for help themselves. Research limitations/implications The broad categorisation of older people aged 50 and above comprises people in very different circumstances. The qualitative component of the research was undertaken across various sites in a single city in England. Despite these limitations, the analysis provides important insights into the experiences of the many older people enduring food insecurity. Practical implications An increased public and professional awareness of food insecurity amongst older people is needed. Increased routine screening for under-nutrition risk is a priority. Policy initiatives are needed that are multifaceted and which support older people across a range of age groups, particularly those living alone. Social implications Food insecurity amongst older people in the UK raises questions about the present policy approach and the responsibilities of the government. Originality/value The research provides important new insights into the experiences of the many older people experiencing food insecurity in the UK by drawing on survey data and interviews with older people using foodbanks.


Author(s):  
Hyun Kyung Park ◽  
Ji Hye Ham ◽  
Deok Hyun Jang ◽  
Jin Yong Lee ◽  
Won Mo Jang

This study aimed to assess the correlation between political ideologies, government trust, and COVID-19 vaccine hesitancy in South Korea during the COVID-19 pandemic. A cross-sectional survey was conducted among South Korea’s general population and 1000 respondents (aged 18 years and older) were included. We used multivariate logistic regression models to identify the factors associated with vaccine hesitancy. Respondents who self-identified as liberal or held “no political opinion” had higher rates of vaccine hesitancy than conservative respondents. People’s trust in the government’s countermeasures was associated with vaccination. Respondents who had risk perceptions (affective and cognitive) of COVID-19 had lower rates of vaccine hesitancy. Perceptions that the vaccine was not safe and being aged 18–29, 30–39, or 40–49 were associated with a higher probability of vaccine hesitancy. This study found that even if vaccine safety and risk perceptions toward COVID-19 were adjusted, self-rated political ideologies and government trust was associated with COVID-19 vaccine hesitancy. More effort to communicate with those who are conservative, younger, and have lower level of trust in the government are required to dissolve vaccine hesitancy. Further studies should analyze the mechanism of COVID-19 vaccine uptake for effective herd immunity.


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