scholarly journals Localising Vaccination Services: Qualitative Insights on an Orthodox Jewish Collaboration with Public health during the UK coronavirus Vaccine Programme

2021 ◽  
Author(s):  
Ben Kasstan ◽  
Sandra Mounier-Jack ◽  
Louise Letley ◽  
Katherine M Gaskell ◽  
Chrissy H Roberts ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Implementation Strategies ◽  
Childhood Vaccination ◽  
Orthodox Jewish ◽  
Public Health Services ◽  
Structured Interviews ◽  
Religious Minorities ◽  
Context Specific ◽  
The Uk

AbstractEthnic and religious minorities have been disproportionately affected by the SARS-CoV-2 pandemic and are less likely to accept coronavirus vaccinations. Orthodox (Haredi) Jewish neighbourhoods in England experienced high incidences of SARS-CoV-2 in 2020-21 and measles outbreaks (2018-19) due to suboptimal childhood vaccination coverage. The objective of our study was to explore how the coronavirus vaccination programme (CVP) was co-delivered between public health services and an Orthodox Jewish health organisation.Methods included 28 semi-structured interviews conducted virtually with public health professionals, community welfare and religious representatives, and household members. We examined CVP delivery from the perspectives of those involved in organising services and vaccine beneficiaries. Interview data was contextualised within debates of the CVP in Orthodox (Haredi) Jewish print and social media. Thematic analysis generated five considerations: i) Prior immunisation-related collaboration with public health services carved a role for Jewish health organisations to host and promote coronavirus vaccination sessions, distribute appointments, and administer vaccines ii) Public health services maintained responsibility for training, logistics, and maintaining vaccination records; iii) The localised approach to service delivery promoted vaccination in a minority with historically suboptimal levels of coverage; iv) Co-delivery promoted trust in the CVP, though a minority of participants maintained concerns around safety; v) Provision of CVP information and stakeholders’ response to situated (context-specific) challenges and concerns.Drawing on this example of CVP co-delivery, we propose that a localised approach to delivering immunisation programmes could address service provision gaps in ways that involve trusted community organisations. Localisation of vaccination services can include communication or implementation strategies, but both approaches involve consideration of investment, engagement and coordination, which are not cost-neutral. Localising vaccination services in collaboration with welfare groups raises opportunities for the on-going CVP and other immunisation programmes, and constitutes an opportunity for ethnic and religious minorities to collaborate in safeguarding community health.

The role of community consultation forums in supporting age-friendly communities: lessons from a disadvantaged British city

2019 ◽  
Author(s):  
Katie Wright-Bevans ◽  
Alison Stephanie Walker ◽  
Emma Vosper
Keyword(s):  
Public Health ◽  
Health Services ◽  
Service Providers ◽  
Added Value ◽  
Community Consultation ◽  
Public Health Services ◽  
World Cafe ◽  
Health Support ◽  
The Uk

In order to be age-friendly, communities need adequate public health support. Community consultation is increasingly favoured as a means of ensuring public health services adequately meet the needs of the populations they serve yet research has highlighted the frequency of inadequate and tokenistic consultation. Our aim was to address the gap in understanding of the subjective benefits of community consultation by being the first study to examine these events in a disadvantaged British city. A naturalistic world café study was co-designed with a community engagement service in the UK. Adults aged 68 to 91 years (n=103) participated in one of two world cafés which aimed to investigate the subjective benefits of consultation forums. Qualitative findings demonstrated how consultation through forums can support age-friendly communities in a variety of expected and unexpected ways. Understanding of the added value of consultation forums may incentivise service providers to facilitate more meaningful consultation.

scholarly journals ‘I don’t know anybody who said, “oh great, let’s get measles”’: a qualitative study of responses to childhood vaccinations (MMRV) among Orthodox Jews in Jerusalem following the 2018-19 measles outbreaks

2022 ◽  
Author(s):  
Ben Kasstan
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Religious Beliefs ◽  
Childhood Vaccination ◽  
Orthodox Jewish ◽  
Religious Minorities ◽  
Vaccination Uptake ◽  
Household Heads ◽  
Measles Outbreaks ◽  
Vaccine Decision Making

AbstractMeasles outbreaks have emerged among religious minorities in the global north, which cross regional and national boundaries and raise implications for measles elimination targets. Yet, studies are ambiguous about the reasons that underlie non-vaccination in religious populations, and whether and how religious “beliefs” influence vaccine decision-making among populations with suboptimal vaccination coverage. In 2018-19, Israel experienced the largest measles outbreaks in a quarter century – the burden of which disproportionately affected Orthodox Jewish neighbourhoods in Jerusalem. The objective of this study was to explore how Orthodox Jewish households in Jerusalem responded to the measles outbreaks in their neighbourhoods and how they viewed childhood vaccination (MMRV) during a public health emergency.Research methods primarily consisted of 25 in-depth semi-structured interviews conducted with 23 household heads, and 2 public health professionals involved in planning and implementation of vaccination services. Thematic analysis generated five key themes, i) where the issue of sub-optimal vaccination uptake was perceived to be located; ii) how responsive people and services were to the measles outbreaks; iii) the sources of information used in vaccine decisions by religious parents; vi) whether vaccination was deemed a religious issue; and v) how vaccination influenced social relations within religious neighbourhoods.Results demonstrate parental investment in protecting child health, with decisions around vaccination reflecting vaccine efficacy and safety, and the risk of measles transmission. Household heads across all Orthodox Jewish backgrounds were not apathetic towards measles transmission. No religious “beliefs” were identified for non-vaccination among the household heads in this cohort. Rather than relegating suboptimal vaccination uptake among religious minorities and populations as an issue of religious “beliefs,” quality social science research should examine – and clearly convey – how religion influences vaccine decision-making. Such clarity can help to avoid stigmatizing religious minorities and populations, and to plan for appropriate vaccination programmes and promotion campaigns.

General practitioners' patterns of treatment of febrile travellers in north Queensland: an exploratory study

2012 ◽  
Vol 18 (2) ◽  
pp. 166 ◽  
Author(s):  
Kajsa L. Engström ◽  
Jane Mills ◽  
William J. H. McBride ◽  
Caroline M. Johansson
Keyword(s):  
Public Health ◽  
Health Services ◽  
Dengue Fever ◽  
General Practitioners ◽  
Best Practice ◽  
Index Case ◽  
Health Concern ◽  
Public Health Services ◽  
Structured Interviews ◽  
The Cost

In north Queensland, recurring epidemics of dengue fever are a public health concern. Each epidemic is initiated by an index case: an infected person arriving from an endemic country or region with dengue activity who then transmits the disease to local mosquitoes. A timely diagnosis of dengue in an index case and notification to public health services is essential to prevent epidemics. This qualitative study explores north Queensland general practitioners’ experiences and patterns of treatment of febrile travellers. Individual, semi-structured interviews with 50 general practitioners working in north Queensland were conducted. Analysis of the data resulted in four themes for discussion: characteristics of febrile travellers presenting to local general practitioners, the cost of pathology tests as a barrier to diagnosis, appropriate pathology testing, and notifying tropical public health services. Recommendations from this study point to a need for ongoing education and training for general practitioners in best practice with regards pathology testing for suspected dengue fever cases. As well, there is a need to provide clearer guidelines to general practitioners on when to notify tropical public health services of suspicious diagnoses of dengue.

Market-Based Governance in Public Healthcare Delivery

2020 ◽  
pp. 1-35
Keyword(s):  
Public Health ◽  
Health Services ◽  
New Public Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Informal Networks ◽  
Public Health Services ◽  
The Government ◽  
The Uk

This chapter analyses the market-based reforms introduced in the UK. From 1979 onwards, it is clear that market governance has been central in the delivery of public healthcare services in the UK. The move towards using private sector techniques to run public health services has been reinforced over the last few decades, and New Public Management (NPM) reforms have often been more pronounced than in many other European countries. The chapter considers how public health services have been reconfigured within the changing boundaries between the state and its citizens. The government still continues to play a major role in the running of health services and decision making, even in the new configuration of public health services and the extension of informal networks, but health policy is also now formulated through a variety of different actors. This chapter will finish by presenting how healthcare is organised today in the UK following these reforms.

NHS screening programmes

2019 ◽  
Vol 13 (8) ◽  
pp. 378-381 ◽  
Author(s):  
Ian Peate
Keyword(s):  
Public Health ◽  
Health Services ◽  
Public Health Services ◽  
Screening Uptake ◽  
Health Practitioners ◽  
The Uk ◽  
Public Health Practitioners ◽  
Voluntary Organisations ◽  
Healthcare Assistant ◽  
Assistant Practitioner

This is the first article in a series that will focus on a range of NHS screening programmes that are available across the UK. The provision of NHS screening programmes available in each country of the UK differs slightly, as do public health services. This first article provides insight and understanding of the thinking behind population screening, and explains the differences between screening and testing. Various charities and voluntary organisations are working with statutory bodies to encourage screening uptake among various populations; they are calling for better information and easier access to the various screening programmes. The healthcare assistant and assistant practitioner (HCA and AP) are public health practitioners, whose role in improving screening uptake is highlighted in this article.

Future Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor
Keyword(s):  
Public Health ◽  
Health Services ◽  
Implementation Research ◽  
Clinical Care ◽  
Dissemination And Implementation ◽  
Public Health Services ◽  
Middle Income ◽  
Middle Income Countries ◽  
Dissemination And Implementation Research ◽  
The Many

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.

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