scholarly journals Novel strategies to support global promotion of COVID-19 vaccination

2021 ◽  
Vol 6 (10) ◽  
pp. e006066
Author(s):  
Stacy Wood ◽  
Muhammad Ali Pate ◽  
Kevin Schulman
Keyword(s):  
Social Identity ◽  
Large Scale ◽  
Holistic Approach ◽  
Vaccine Hesitancy ◽  
Delphi Panel ◽  
Successful Implementation ◽  
Global Public Health ◽  
Cognitive Mechanisms ◽  
Behavioural Science ◽  
Individual Country

In 2021, many countries have begun distribution of COVID-19 vaccines but are hampered by significant levels of vaccine hesitancy or apathy. Experts recommend that standard health communication campaigns be expanded to include a more holistic approach of behaviourally oriented strategies. We constructed a large-scale Delphi panel of marketing and behavioural science university faculty to assess 12 previously reported US vaccination promotion strategies, asking respondents to assess applicability of the strategy in their country, how efficacy might compare to the USA and recommendations for local adaptations necessary to successful implementation. Separately, we sought to determine whether strategies based on cognitive mechanisms (eg, ‘nudges’) are more readily generalisable than strategies based on social identity. Ninety-two marketing and behavioural science faculty from universities worldwide participated. Globally, all 12 behavioural strategies were validated; a majority of respondents reported that they would or could work well in their country. While all strategies were strongly validated at a global level, specific need for regional adaptation was identified. Also, open-ended responses suggested the addition of three emergent strategies to a global effort. Finally, we see that strategies based on some types of cognitive mechanisms are more readily generalisable across regions than mechanisms based on social identity, however, this is not always true of ‘nudge’ strategies. All 12 strategies are robust to global use and consensus exists on adaptation for optimal efficacy in different regions; specific strategy recommendations are posited. Use of these strategies can accelerate individual country efforts to achieve desired vaccination rates to protect global public health.

scholarly journals COVID-19 Vaccination Efforts: Is Afghanistan Prepared?

2021 ◽  
Author(s):  
Mohammad Faisal Wardak ◽  
Ali Rahimi ◽  
Attaullah Ahmadi ◽  
Shekiba Madadi ◽  
Shamim Arif ◽  
...  
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Public Trust ◽  
Cold Chain ◽  
Vaccine Hesitancy ◽  
Successful Implementation ◽  
Cultural Issues ◽  
Vaccination Programs ◽  
Fully Integrated ◽  
Control And Prevention

A country’s preparedness for a prompt and successful implementation of vaccination programs plays a pivotal role in disease control and prevention. As it stands now, Afghanistan seems to be ill-prepared to embrace a successful implementation of the COVID-19 vaccination program because of a spate of challenges. These include, but are not limited to, the insufficient number of vaccinators, a dearth of fully integrated functioning cold chain, challenging geographical barriers, cultural issues, insecurity, and protracted conflict. The COVID-19 infodemic along with vaccine mistrust in the country will lead to a pervasive public vaccine hesitancy in Afghanistan, which will present serious obstacles to the COVID-19 immunization efforts. The politicization of the Ministry of Public Health (MoPH) and the complaints of embezzlement and misuse of the pandemic aid have already eroded public trust during the pandemic. To ensure a large-scale and equitable distribution of COVID-19 vaccines, the cold chain infrastructure should be strengthened, and the immunization personnel trained. Antivaccination propaganda and misinformation should be tackled with effective communication approaches and effective community engagement, which consider culturally relevant messages appropriate to the culture and people. The allegations of corruption should be addressed to revive public trust in public health interventions, including COVID-19 vaccination.

Some applications of electron beam microanalysis techniques in VLSI process evaluation

1983 ◽  
Vol 41 ◽  
pp. 160-161
Author(s):  
Simon Thomas
Keyword(s):  
Integrated Circuits ◽  
Process Evaluation ◽  
Large Scale ◽  
Technology Development ◽  
Analytical Techniques ◽  
Successful Implementation ◽  
Analysis Of Failures ◽  
Characterization Of Materials ◽  
Circuits Vlsi

Trends in the technology development of very large scale integrated circuits (VLSI) have been in the direction of higher density of components with smaller dimensions. The scaling down of device dimensions has been not only laterally but also in depth. Such efforts in miniaturization bring with them new developments in materials and processing. Successful implementation of these efforts is, to a large extent, dependent on the proper understanding of the material properties, process technologies and reliability issues, through adequate analytical studies. The analytical instrumentation technology has, fortunately, kept pace with the basic requirements of devices with lateral dimensions in the micron/ submicron range and depths of the order of nonometers. Often, newer analytical techniques have emerged or the more conventional techniques have been adapted to meet the more stringent requirements. As such, a variety of analytical techniques are available today to aid an analyst in the efforts of VLSI process evaluation. Generally such analytical efforts are divided into the characterization of materials, evaluation of processing steps and the analysis of failures.

Qualitative Analysis of Underlying Factors Affecting Vaccine Hesitancy in Iran- A Study Protocol (Preprint)

2020 ◽  
Author(s):  
Salime Goharinezhad
Keyword(s):  
Vaccine Coverage ◽  
Deep Understanding ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Slight Reduction ◽  
Cultural Variation ◽  
Global Public Health ◽  
Factors Affecting ◽  
Wide Range ◽  
Context Specific

BACKGROUND World Health Organization declared the vaccine hesitancy as a global public health threat in 2019. Since even a slight reduction in vaccine coverage rates can lead to a decrease in herd immunity, it is imperative to explore the underlying factors affecting vaccine hesitancy. in specific contexts, considering socioeconomic and cultural variation, to ensure interventions targeting hesitancy are well formulated and intervened. OBJECTIVE The main objective of this study is to identify underlying factors affecting vaccine hesitancy in Iran. METHODS A framework qualitative study will be conducted in the west of Tehran province in 2020. Participants in the study will be recruited hesitance-parents who extracted from the SIB system (an electronic health record in Iran) to maximize diversity. Interviews will be analyzed based on ''Determinants of Vaccine Hesitancy Matrix'' which developed by the WHO-SAGE Working Group. RESULTS deep understanding from the context-specific reasons for vaccine hesitancy cause to formulate better strategies to address them. The ultimate goal of this study is to inform future policies to increase the uptake of the vaccine in Iran. CONCLUSIONS This result of study will show variety opinions about vaccination among different types of socioeconomic and demographic households. The wide range of reasons related to vaccine hesitancy imply to more comprehensive, context-specific interventions. Today, the most important intervention issues focus on improving information about effectiveness and safety of vaccines, while other interventions for promoting vaccination is need to addressed.

scholarly journals Easier Said Than Done: Keys to Successful Implementation of the Distress Assessment and Response Tool (DART) Program

2016 ◽  
Vol 12 (5) ◽  
pp. e513-e526 ◽  
Author(s):  
Madeline Li ◽  
Alyssa Macedo ◽  
Sean Crawford ◽  
Sabira Bagha ◽  
Yvonne W. Leung ◽  
...  
Keyword(s):  
Cancer Care ◽  
Large Scale ◽  
Performance Indicator ◽  
Evaluation Framework ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Successful Implementation ◽  
Psychosocial Needs ◽  
Electronic Screening ◽  
Screening For Distress

Purpose: Systematic screening for distress in oncology clinics has gained increasing acceptance as a means to improve cancer care, but its implementation poses enormous challenges. We describe the development and implementation of the Distress Assessment and Response Tool (DART) program in a large urban comprehensive cancer center. Method: DART is an electronic screening tool used to detect physical and emotional distress and practical concerns and is linked to triaged interprofessional collaborative care pathways. The implementation of DART depended on clinician education, technological innovation, transparent communication, and an evaluation framework based on principles of change management and quality improvement. Results: There have been 364,378 DART surveys completed since 2010, with a sustained screening rate of > 70% for the past 3 years. High staff satisfaction, increased perception of teamwork, greater clinical attention to the psychosocial needs of patients, patient-clinician communication, and patient satisfaction with care were demonstrated without a resultant increase in referrals to specialized psychosocial services. DART is now a standard of care for all patients attending the cancer center and a quality performance indicator for the organization. Conclusion: Key factors in the success of DART implementation were the adoption of a programmatic approach, strong institutional commitment, and a primary focus on clinic-based response. We have demonstrated that large-scale routine screening for distress in a cancer center is achievable and has the potential to enhance the cancer care experience for both patients and staff.

MODELING THE IMPACT OF AWARENESS CREATED BY MEDIA CAMPAIGNS ON VACCINATION COVERAGE IN A VARIABLE POPULATION

2014 ◽  
Vol 22 (02) ◽  
pp. 249-270 ◽  
Author(s):  
ANUPAMA SHARMA ◽  
A. K. MISRA
Keyword(s):  
Hepatitis B ◽  
Vaccination Coverage ◽  
Total Population ◽  
Hepatitis B Vaccination ◽  
Preventive Strategy ◽  
Successful Implementation ◽  
Global Public Health ◽  
Media Campaigns ◽  
Model Stability ◽  
The Impact

Vaccines are a core component of any preventive strategy designed to ensure the global public health. A major factor influencing the successful implementation of any immunization program is awareness and public acceptance of the vaccine. The present study focuses on potential impacts of awareness created by media campaigns on vaccination coverage of hepatitis B. In this paper, a SIR model with vital dynamics in a population of varying size is investigated, which couples hepatitis B vaccination and awareness created by media within a single framework. It is assumed that media campaigns propagate awareness about measures requisite for escaping the chances of contracting hepatitis B. The awareness created by media motivates people to get vaccinated and attain full immunization against hepatitis B virus. For analyzing the model, stability theory of differential equations is employed. First, equilibria of the system comprising fractions of the population are obtained and their stability behavior is discussed. Then the asymptotic behavior of total population is discussed in detail. Three threshold parameters R0, R1and R2governing the dynamics of infection and total population are also affirmed. The findings of numerical simulations are also in line with analytically obtained results.

Working towards sustainable urban water management: the vulnerability blind spot

2011 ◽  
Vol 64 (12) ◽  
pp. 2362-2369 ◽  
Author(s):  
L. Werbeloff ◽  
R. Brown
Keyword(s):  
Water Management ◽  
Water Scarcity ◽  
Large Scale ◽  
Holistic Approach ◽  
Blind Spot ◽  
Response Strategy ◽  
Urban Water ◽  
Urban Water Management ◽  
Sustainable Urban Water Management ◽  
Diversity Strategy

The unprecedented water scarcity in Australia coincides with the adoption of a new urban water rhetoric. The ‘Security through Diversity’ strategy has been adopted in a number of Australian cities as a new and innovative approach to urban water management. Although this strategy offers a more holistic approach to urban water management, in practice, the Security through Diversity strategy is largely being interpreted and implemented in a way that maintains the historical dependence on large scale, centralised water infrastructure and therefore perpetuates existing urban water vulnerabilities. This research explores the implementation of Security through Diversity as the new water scarcity response strategy in the cities of Perth and Melbourne. Through a qualitative study with over sixty-five urban water practitioners, the results reveal that the practitioners have absorbed the new Security through Diversity language whilst maintaining the existing problem and solution framework for urban water management. This can be explained in terms of an entrenched technological path dependency and cognitive lock-in that is preventing practitioners from more comprehensively engaging with the complexities of the Security through Diversity strategy, which is ultimately perpetuating the existing vulnerability of our cities. This paper suggests that greater engagement with the underlying purpose of the security though diversity strategy is a necessary first step to overcome the constraints of the traditional technological paradigm and more effectively reduce the continued vulnerability of Australian cities.

Supporting our supervisors: a Summary and Discussion of the Special Issue on CBT supervision

2016 ◽  
Vol 9 ◽  
Author(s):  
Cory F. Newman ◽  
Robert P. Reiser ◽  
Derek L. Milne
Keyword(s):  
Large Scale ◽  
Political Support ◽  
Successful Implementation ◽  
Special Issue ◽  
Cultural Adaptations ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Feedback Strategies ◽  
Technical Innovations ◽  
Procedural Guidance

AbstractContributors to this Special Issue of the Cognitive Behaviour Therapist have considered the kind of infrastructure that should be in place to best support and guide CBT supervisors, providing practical advice and extensive procedural guidance. Here we briefly summarize and discuss in turn the 10 papers within this Special Issue, including suggestions for further enhancements. The first paper, by Milne and Reiser, conceptualized this infrastructure in terms of an ‘SOS’ (supporting our supervisors) framework, from identifying supervision competencies, to training, evaluation and feedback strategies. The next nine papers illustrate this framework with specific technical innovations, educational enhancements and procedural issues, or through comprehensive quality improvement systems, all designed to support supervisors. These papers suggest an assortment of workable infrastructure developments: two large-scale and comprehensive initiatives, some promising proposals and technologies, and a series of local, exploratory work. Collectively, they provide us with models for further developing evidence-based cognitive-behavioural supervision, and offer practical suggestions for giving supervisors the tools and support to maximize their supervisees’ learning, and to improve the associated client outcomes. Much research and development work remains to be done, and successful implementation will require institutional and political support, as well as cross-cultural adaptations. We conclude with an optimistic assessment of progress toward addressing some of the infrastructure improvements required to adequately support supervisors.

scholarly journals Confronting the Moscow Healthcare System with the Shocks of COVID-19

2021 ◽  
Vol 2 (1) ◽  
pp. 41-46
Author(s):  
Aleksandr N. Tsibin ◽  
Munira F. Latypova ◽  
Olga I. Ivanushkina
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Virus Disease ◽  
Laboratory Diagnosis ◽  
Capital City ◽  
Laboratory Diagnostics ◽  
Successful Implementation ◽  
Laboratory Service ◽  
The Government ◽  
Challenging Situation

Introduction. Transmissible coronavirus SARS-CoV-2I is the seventh known coronavirus that causes an acute infectious disease predominantly affecting the lungs (Corona Virus Disease 2019, COVID-19). The COVID-19 pandemic exposed serious gaps in health systems preparedness. The epidemic urgently required priority organizational measures to contain and reduce the spread of COVID-19. Public health authorities had to make decisions in a challenging situation where there was a lack of knowledge, experience, and great confidence, and the number of infected was steadily increasing. Purpose. The purpose of this article is to present the unique experience of Moscow in organizing a large-scale laboratory examination of the population of a metropolis with about 12.6 million inhabitants to meet the needs of the capital in testing for SARS-CoV-2 virus and combating its circulation in conditions of the COVID-19 pandemic. Materials and Methods. The decisions made and the measures taken by the Government of Moscow, the Moscow Operational Staff, the DZM and the DZM Laboratory Service to slow the growth of the COVID-19 epidemic among the population of the capital are listed step-by-step. Results. In the course of organizational activities, sufficient capacity to maintain the public health infrastructure in terms of laboratory diagnosis of the new coronavirus infection was ensured by the joint efforts. Safe laboratory diagnostics for detecting, treating, and isolating COVID-19 cases and contacts have been established in the capital city. Thanks to the successful implementation of timely decisions, the spread of infection in the city of Moscow has been slowed. The Moscow government has reported a steady decline in cases of the new coronavirus disease and most hospitals have switched to a safe treatment regimen for patients requiring hospitalization. Centralized laboratories with readiness to perform screening and referral studies for COVID-19 outbreaks have been established within the structure of the DZM.

scholarly journals RESEARCH ON THE KEY TECHNOLOGY OF LARGE SCALE MAPPING FROM LOW ALTITUDE PHOTOGRAMMETRY

2016 ◽  
Vol XLI-B1 ◽  
pp. 789-796
Author(s):  
Wu Bo-Yi ◽  
Zhang Ning ◽  
Su Guo-Zhong
Keyword(s):  
Large Scale ◽  
Shanxi Province ◽  
Successful Implementation ◽  
Control Points ◽  
Theoretic Analysis ◽  
Ground Control Points ◽  
Traditional Procedure ◽  
Map Processing ◽  
Low Altitude ◽  
Wide Angle Camera

Based on the theoretic analysis of the accuracy in large scale photogrammetric mapping, some defects in traditional procedure were discussed. A set of key technologies dedicate to accuracy improvement in low altitude photogrammetry were analyzed in detail, namely the utilization of wide angle camera and low altitude flight, enhancement in image matching, predesigned layout of Ground Control Points (GCPs) in field survey, optimization of adjustment model and improvement in map processing. Besides, a low altitude aerial unmanned airship system was established. Finally, successful implementation in 1:500 topographic mapping project in built-up areas of 30 counties in Shanxi Province proves the practicability and effectiveness of the proposed approaches.

scholarly journals Atlantic puffin diet reflects haddock and redfish abundance in the Gulf of Maine

2020 ◽  
Vol 656 ◽  
pp. 75-87
Author(s):  
KM Depot ◽  
LC Scopel ◽  
SW Kress ◽  
P Shannon ◽  
AW Diamond ◽  
...  
Keyword(s):  
Fisheries Management ◽  
Large Scale ◽  
Gulf Of Maine ◽  
Strong Predictor ◽  
Principal Component ◽  
Melanogrammus Aeglefinus ◽  
Generalist Predator ◽  
Successful Implementation ◽  
Ecosystem Based Fisheries Management ◽  
Atlantic Puffin

Ecosystem-based fisheries management, which considers the interactions between fisheries, target species, and the physical and biological components of ecosystems, is necessary to ensure that directed fisheries avoid adverse impacts to ecosystems over the long term. The successful implementation of ecosystem-based fisheries management requires an understanding of predator-prey relationships and ways to operationalize such relationships to inform fisheries management. Here, we investigated if the diet of a generalist predator, Atlantic puffin Fratercula arctica, can be used as an indicator of the abundance of 2 commercially exploited prey species (haddock Melanogrammus aeglefinus and Acadian redfish Sebastes fasciatus) in the Gulf of Maine. Because haddock and redfish eaten by puffins are juveniles (age 0), there is potential to use their proportions and lengths in puffin diet to better understand the processes influencing haddock and redfish recruitment. By using principal component analysis to develop measures of diet across multiple puffin colonies, we show both spatial variation and large-scale patterns in the proportions and lengths of haddock and redfish in puffin diet. Spawning stock biomass was a strong predictor of haddock proportion in puffin diet and a moderate predictor of redfish proportion; however, proportions in puffin diet did not predict age-1 recruitment, suggesting that variation in recruitment is caused by processes that occur after the puffin breeding season and which affect the survival of older juveniles. Haddock length on one colony was a moderate predictor of age-1 recruitment. We conclude that puffin diet can be used as an indicator of haddock and redfish abundance.

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