scholarly journals Towards understanding vaccine hesitancy and vaccination refusal in Austria

2020 ◽  
Author(s):  
Anja Bauer ◽  
Daniel Tiefengraber ◽  
Ursula Wiedermann
Keyword(s):  
Health Care ◽  
Disease Prevention ◽  
Health Information ◽  
Health Care Workers ◽  
Communicable Disease ◽  
Negative Attitude ◽  
Vaccine Hesitancy ◽  
Care Workers ◽  
Coverage Rates ◽  
Mandatory Vaccination

SummaryIn Austria, data on vaccine hesitancy is scarce. Available studies suggest around 1-11% of parents refuse vaccination, while many more are hesitant and consider refraining from some but not all of the recommended vaccinations. However, the key drivers for vaccine hesitancy in Austria are largely unknown. To learn more about vaccination coverage, attitude towards and knowledge around immunization as well as views on mandatory vaccination, we conducted a survey in a rural Austrian lay population including adults and children. Two paper-based questionnaires, one for adults 16 years or older and one for children aged 6-15 years, were developed, then sent to all houses of a rural community in Austria as well as handed out at the local primary and middle school, respectively. Self-reported coverage rates of children and adults were found to be low. Within the surveyed population 3% of children had never been or do not get vaccinated. More than half (57%) of the survey participants had a positive attitude towards vaccines, 21% were without reserves, 16% were found skeptical and 5% had a generally negative attitude. Knowledge about immunization in general was poor. Younger adults and people with secondary education appear to be most skeptical and negative towards vaccination. Children’s attitudes were closely linked to those of their parents. The major concern around vaccination in adults was fear of side effects. In adults, 54.2% support mandatory vaccination for Health Care Workers and 20.7% are against it. 39% of adults and 37% of children wanted more information on vaccination, preferably provided by physicians. Knowledge about disease prevention by vaccination should be improved and children could also benefit from an early age-appropriate vaccine education to strengthen health literacy. Physicians are the most trusted source of health information. Medical doctors should be aware of their very important role in transmitting trusted health information. This should include an up-to-date education in communicable disease prevention and immunization during their whole medical career. Furthermore, the curricula of health-care workers may need to be improved and harmonized concerning prevention and vaccination.

scholarly journals Needed: Less influenza vaccine hesitancy and less presenteeism among health care workers in the COVID-19 era

2020 ◽  
pp. 105215
Author(s):  
Victor Grech ◽  
Michael Borg ◽  
Charmaine Gauci ◽  
Christopher Barbara ◽  
Simon Attard-Montalto ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccine ◽  
Health Care Workers ◽  
Vaccine Hesitancy ◽  
Care Workers

scholarly journals Health information systems to improve health care: A telemedicine case study

2013 ◽  
Vol 15 (1) ◽  
Author(s):  
Liezel Cilliers ◽  
Stephen V. Flowerday
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Health Care System ◽  
Health Care Workers ◽  
Health Information Systems ◽  
User Acceptance ◽  
Eastern Cape ◽  
Care Workers ◽  
Care System

Background: E-health has been identified as an integral part of the future of South African public healthcare. Telemedicine was first introduced in South Africa in 1997 and since then the cost of running the Telemedicine projects has increased substantially. Despite these efforts to introduce the system, only 34% of the Telemedicine sites in South Africa are functional at present.Objectives: Literature has suggested that one of the barriers to the successful implementation of health information systems is the user acceptance by health care workers of systems such as Telemedicine. This study investigated the user acceptance of Telemedicine in the public health care system in the Eastern Cape Province, making use of the Unified Theory of the Use and Acceptance of Technology.Method: The study employed a quantitative survey approach. A questionnaire was developed making use of existing literature and was distributed to various clinics around the province where Telemedicine has been implemented. Statistics were produced making use of Statistical Package for the Social Sciences (SPSS).Results: In general, the health care workers did understand the value and benefit of health information systems to improve the effectiveness and efficiency of the health care system. The barriers to the effective implementation of a health information system include the lack of knowledge and the lack of awareness regarding the Telemedicine system. This in turn means that the user is apprehensive when making use of the system thus contributing to less frequent usage.Conclusion: Health care workers do acknowledge that information systems can help to increase the effectiveness of the health care system. In general, the acceptance of Telemedicine in the Eastern Cape Department of Health is positive, but in order to integrate it into standard work practices, more must be done with regards to the promotion and education of telemedicine.

scholarly journals Determinants of COVID-19 Vaccination Willingness among Health Care Workers: A Quick Online Survey in India

2021 ◽  
Vol 42 (6) ◽  
pp. 445-452
Author(s):  
Rajesh Kumar ◽  
Kalpana Beniwal ◽  
Yogesh Bahurupi ◽  
Ravi Kant ◽  
Mukesh Bairwa
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Perceived Risk ◽  
Online Survey ◽  
Vaccine Safety ◽  
Economic Effects ◽  
Vaccine Hesitancy ◽  
Multinomial Regression ◽  
Chi Square ◽  
Care Workers

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused a large number of deaths along with severe socio-economic effects. The vaccine is considered to be the last hope to control viral transmission. This study aimed to explore the determinants of health care workers’ (HCWs) willingness to take the COVID-19 vaccination.Methods: A structured, pre-validated, and pre-tested questionnaire was administered online to 599 HCWs including physicians, residents, and nurses from different types of healthcare set-ups across India. Information was collected regarding vaccine acceptability, attitude toward vaccination, and reasons for hesitancy. The chi-square test, followed by multinomial regression analysis, was applied to determine the factors associated with HCWs’ vaccination willingness.Results: It was found that 73 % (n=437) of HCWs were willing to accept the vaccines, while 10.85% (n=65) refused and 16.2% (n=96) needed more time to decide. Gender (P<0.001), occupation (P=0.040), working as front-line workers (P=0.008), vaccine manufacturing country preferences (P<0.001), and perceived risk of catching COVID-19 in the next 6 months (P=0.005) had a significant association with intent to receive vaccination (the response were “yes” vs. “no” and “not sure”). The reasons for vaccine hesitancy were vaccine safety and efficacy concerns, antivaccine attitude and beliefs, personal choice, and not wanting to take a vaccine before others.Conclusion: The majority of HCWs agreed to take COVID-19 vaccines once available. Nevertheless, providing support to manage evolving vaccine environments will help change the perception of HCWs who refuse or are reluctant to take the vaccines.

scholarly journals 1182Vaccine hesitancy among health care workers: A study amidst COVID-19 vaccine drive in India

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Medha Mathur ◽  
Navgeet Mathur
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Vaccination Site ◽  
Validated Questionnaire ◽  
Care Workers ◽  
The Government

Abstract Background After the launch of COVID-19 vaccine by the government of India in 2021, the current study was conducted to assess the vaccine hesitancy among health care workers regarding COVID-19 vaccination and its safety, efficacy, rolling out strategy and undesirable effects. Methods This cross-sectional study, conducted on health care workers vaccinated at a tertiary care center of southern Rajasthan using a pre-designed and pre-validated questionnaire to collect data through the ‘Exit Interview’ technique after consent and ethical approval. Results Out of 3102, 56.8% were male and 43.2% were female health care workers. Out of total 80.7% and 73.2% of study participants perceived the vaccine as safe and effective respectively. The vaccine hesitancy was contributed due to apprehension for undesirable effects following immunization (19.3%). The commonest undesirable effect was pain at the injection site. The perception regarding the timing of rolling out of vaccine and readiness for COVID appropriate behavior after vaccination was significant (p &lt; 0.001). The mean time spent at vaccination site was 33.90 (±11.34) minutes ranging 5-120 minutes (median = 35; interquartile range (IQR) = 10; 95% confidence interval (CI) = 33.50-34.30). Conclusions The study concludes that the apprehension of undesirable effects contributed to vaccine hesitancy, but it was perceived safe and effective by health care workers. Key messages The vaccine hesitancy among general population and vaccine acceptance will be affected directly by instance shown by health care workers who presented themselves at the forefront both for battling the pandemic and accepting the vaccine.

scholarly journals Analysis of COVID-19 Prevention Practices on Health Care Workers in Three Hospitals in Palembang

2021 ◽  
Vol 12 (3) ◽  
pp. 205-216
Author(s):  
Tamarakha Yumna ◽  
Nur Alam Fajar ◽  
Rico Januar Sitorus
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Positive Attitude ◽  
Influencing Factor ◽  
Good Practice ◽  
Negative Attitude ◽  
P Value ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Care Workers

The COVID-19 pandemic is a global concern. In this case, Health Care Workers (HCW) are at the front lines in dealing with the pandemic as they provide diagnosis, care, and treatment. However, their duties have directly placed them at the most at risk of infection. Mitigation and risk reduction are crucial for safeguarding HCWs' health as it prevents the spread of COVID-19. This research aimed to find out the practice of COVID-19 prevention and the correlation among practice and knowledge, attitudes, and personality traits of HCW in Palembang. A cross-sectional study was conducted between May and July 2021 on 255 HCW who have direct contact with patients. The number of respondents per hospital is taken proportionally according to the portion of HCW in each selected hospital. The instrument consisted of demographic variables, knowledge, attitudes, and practices. It proves that it is reliable with Cronbach's alpha value of 0.7. The researchers used descriptive statistics, chi-square, and logistic regression. Overall, 65.2% of participants had good knowledge, 60% had a positive attitude, and 53.3% had good practice. Education (p-value 0.022) and attitude (p-value 0.000) of HCW were all influencing factor in practice. HCW who have a negative attitude are 5.413 times more to have bad practices than those who have a positive attitude (p-value<0.001;PR=5.413). However, training for HCW and further research are recommended to analyze the availability of personal protective equipment, adequate facilities, hospital policies, or other factors that can influence and motivate the practice of HCW.

scholarly journals Covishield vaccine experience in a health care setting

2021 ◽  
Vol 9 (8) ◽  
pp. 2435
Author(s):  
Hari Kishan Boorugu ◽  
Krushna Chandra Misra ◽  
B. Saroj Kumar Prusty
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Care Setting ◽  
Vaccine Safety ◽  
Vaccine Hesitancy ◽  
Injection Site Pain ◽  
Care Workers ◽  
Major Adverse Events ◽  
Common Adverse Reaction ◽  
Site Pain

Background: SARS-CoV-2 pandemic has affected the whole world and India is one among the most affected countries. Vaccination is the most important tool to halt this pandemic and vaccine hesitancy unfortunately derails vaccination drive. Vaccine hesitancy among people is mainly due to concerns about vaccine safety! This study was done to assess adverse effects of Covishield vaccine among health care workers in a single health care organization.Methods: All the vaccine recipients were requested to answer a questionnaire with demographic details and various side effects following both the doses of Covishield vaccination.Results: About 665 employees responded to the questionnaire and the most common adverse reaction following Covishield vaccine was injection site pain, which was reported by 63% of vaccinees after first dose of vaccine.Conclusions: Covishield vaccine is relatively safe and incidence of major adverse events are rare following vaccination.

scholarly journals Attitude of Jordanian Health Care Workers Toward Surrogacy

2020 ◽  
Author(s):  
Rami Saadeh ◽  
Nancy Abdulrahim ◽  
Mahmoud Alfaqih ◽  
Yousef Khader
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Negative Attitude ◽  
Public Hospitals ◽  
University Hospital ◽  
Cultural Changes ◽  
Commercial Surrogacy ◽  
Care Workers ◽  
Job Titles

Materials and methods: Three municipalities in Jordan were randomly selected, one from each region: north, south and central of Jordan. A total of: four public hospitals, three private hospitals, one university hospital, 40 health centers and 40 private clinics were included in the study. Healthcare workers in the selected facilities were randomly approached using a self– administered questionnaire to collect data. Distributions of attitude by gender, job title, and physician’s specialty were used to describe participants’ attitude toward surrogacy. Results: Responses of 382 participants were reported, of whom, 230 (60.2%) were females. Three in every four participants didn’t support legalizing surrogacy in Jordan. Majority reported negative attitude toward commercial surrogacy (85.1%) and noncommercial surrogacy (76.4%). Religious considerations were the main reason (71.1%) for the attitude toward surrogacy. Most items describing attitude toward surrogacy were significantly distributed across different job titles: nurses, medical doctors, and other healthcare workers (p < 0.05). Conclusion: Negative attitude among health care workers toward surrogacy was mainly driven by religious beliefs. However, there are core cultural changes in the community which might alter the attitude toward surrogacy in the future.

scholarly journals Knowledge of Human Papillomavirus (HPV), Attitudes and Practices Towards Anti-HPV Vaccination Among Israeli Pediatricians, Gynecologists, and Internal Medicine Doctors: Development and Validation of an Ad Hoc Questionnaire

Vaccines ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 157 ◽  
Author(s):  
Rola Khamisy-Farah ◽  
Mohammad Adawi ◽  
Haneen Jeries-Ghantous ◽  
Jacob Bornstein ◽  
Raymond Farah ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Hpv Vaccine ◽  
Ad Hoc ◽  
Vaccine Hesitancy ◽  
Lower Probability ◽  
Care Providers ◽  
Attitudes And Practices ◽  
Care Workers

Human papillomavirus (HPV) is a highly widespread virus which is responsible for one of the most common sexually transmitted infections. Two main preventative strategies exist: anti-HPV vaccination and cervical screening. Health-care workers play a key role in promoting public health campaigns; however, vaccine hesitancy is an often under-recognized challenge. To investigate the overall knowledge of HPV and HPV-related issues, as well as the attitudes and practices of health professionals towards recommending the anti-HPV vaccine, an ad hoc knowledge, attitudes, and practices (KAP) questionnaire was developed and validated in a sample of 139 Israeli pediatricians, gynecologists, and internal medicine doctors. The KAP questionnaire was found to be psychometrically valid and sound (with an rKR-20 coefficient of 0.74 for the second part and a Cronbach’s alpha of 0.85 for the third part). Furthermore, the present study confirmed the importance of health-care providers in recommending the immunization practice. Parents that had been strongly advised by health-care providers to vaccinate their children accepted immunization for their girls (odds ratio (OR) 1.09 (95% CI 1.04–1.14)) and boys (OR 1.06 (95% CI 1.02–1.10)), had a lower probability of deciding to postpone the immunization appointment (OR 0.81 (95% CI 0.66–0.98)), had fewer doubts and concerns about the vaccine (OR 0.69 (95% CI 0.54–0.89)), and had a lower probability of refusing the vaccination (OR 0.93 (95% CI 0.86–0.99)). Interestingly, the use of new, emerging tools such as ad hoc websites, applications, and other interactive devices reduced vaccine hesitancy (OR 0.90 (95% CI 0.82–0.99)) and concerns about the side-effects of the vaccine (OR 0.92 (95% CI 0.86–0.99)). However, among Israeli health-care workers, knowledge was generally moderate, with updated information lacking in about 30% of surveyed health-care providers and approximately 20% of them not recommending the anti-HPV vaccine among boys. This study has practical implications for policy- and decision-makers in that they should be aware of the overall level of knowledge among health-care workers and should implement ad hoc educational interventions to address gaps in knowledge and help medical providers routinely recommend the anti-HPV vaccine both to male and female children and adolescents.

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