scholarly journals Understanding Vaccine Hesitancy in the Context of COVID-19: The Role of Trust and Confidence in a Seventeen-Country Survey

2021 ◽  
Vol 66 ◽  
Author(s):  
Laura S. Rozek ◽  
Pauline Jones ◽  
Anil Menon ◽  
Allen Hicken ◽  
Samantha Apsley ◽  
...  

Objectives: An effective vaccine to SARS-CoV-2 cannot be successfully deployed if a significant number of people worldwide are unwilling to accept it. We investigated the relationship between trust in scientists and medical professionals and perceptions of vaccine safety and effectiveness. We also build on past studies by exploring the relationship between confidence in global health organizations and vaccine hesitancy.Methods: We conducted an online survey in seventeen countries/territories across five world regions between May -June 2020. We assessed the relationship between COVID19 vaccine hesitancy, confidence in public health organizations, and trust in key experts and leaders.Results: Our findings strongly suggest that confidence in the World Health Organization combined with trust in domestic scientists and healthcare professionals is a strong driver of vaccine acceptance across multiple countries/territories.Conclusion: We find that hesitancy is widespread, and uptake would be insufficient to achieve herd immunity. There is widespread confidence in how public health organizations have responded to the current pandemic and this is related to vaccine acceptance. Our results also highlight the important role of trust in health care providers and scientists in reducing COVID19 vaccine hesitancy.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Baiya ◽  
T Chankeaw ◽  
D Chinwong ◽  
S Chinwong

Abstract Background An electronic cigarette (e-cigarette) is an electronic nicotine delivering system that may be widely used by smokers in Thailand for some reasons, although e-cigarette is an embargo good in Thailand and their benefits are not clear. Moreover, the behaviors of Thai e-cigarettes users remain insufficient and ambiguous. This study aimed to survey behaviors of using e-cigarettes and rationales among Thai e-cigarette users. Methods We conducted a cross-sectional study from December 2019 to February 2020 throughout Thailand. The participants were Thais with at least 18 years old and currently using e-cigarette, and they were invited to voluntary participate in the study using an online questionnaire posting on social media. Results Of 1,050 participants, most of participants were men (89.1%); the average age was 31.2±8.4 years old. They were from all regions of Thailand, but most of them (64.5%), were from the central part of Thailand. Of currently Thai e-cigarette users, 43.2%, 23.1%, and 14.9% were private employees, business owners/ freelancers, and students, respectively. Most of the users were graduated with a bachelor's degree (53.8%), and Senior high school or Vocational certificate (25.0%). E-cigarette users reported the top 3 rationales for using e-cigarette were the belief of less harmful of e-cigarette than a conventional cigarette (81.0%), using as a smoking quitting aid (80.6%), and lacking attaching normal cigarette odor (58.2%). Conclusions This study shows that most of the e-cigarette users were males with an average age of 31 years old. Smokers used e-cigarette because of the belief of less harmful of e-cigarette than a conventional cigarette and being a quitting aid. The public health organizations and health care providers should provide accurate information and raise awareness of users about the harm of e-cigarettes and inconclusive evidence of using e-cigarettes as a quitting aid. Key messages The public health organizations should provide accurate information and raise awareness of users about the harm of e-cigarettes and inconclusive evidence of using e-cigarettes as a quitting aid. Most of Thai e-cigarette users were men, at the average age of 31 years old, from the central part of Thailand, work as private company employees and bachelor’s degree graduated.


2010 ◽  
Vol 42 (5) ◽  
pp. 695-698 ◽  
Author(s):  
KATHERINE TUMLINSON ◽  
DAVID HUBACHER ◽  
JENNIFER WESSON ◽  
CHRISTINE LASWAY

SummaryA job aid is a tool, such as a flowchart or checklist, that makes it easier for staff to carry out tasks by providing quick access to needed information. Many public health organizations are engaged in the production of job aids intended to improve adherence to important medical guidelines and protocols, particularly in resource-constrained countries. However, some evidence suggests that actual use of job aids remains low. One strategy for improving utilization is the introduction of job aids in training workshops. This paper summarizes the results of two separate evaluations conducted in Uganda and the Dominican Republic (DR) which measured the usefulness of a series of four family planning checklists 7–24 months after distribution in training workshops. While more than half of the health care providers used the checklists at least once, utilization rates were sub-optimal. However, the vast majority of those providers who utilized the checklists found them to be very useful in their work.


Author(s):  
Scott Burris ◽  
Micah L. Berman ◽  
Matthew Penn, and ◽  
Tara Ramanathan Holiday

Chapter 20 explores the strategic reasons why entities may challenge public health laws, and uses the R.J. Reynolds Tobacco Company v. FDA case to walk through the steps of a legal challenge to a public health law. The chapter also identifies the attorneys involved in defending public health laws on behalf of local, state, and federal government entities and explains how legal technical assistance from public health organizations can support their efforts. Finally, the chapter defines the role of amicus curiae briefs and how they may effectively contribute to the defense of public health laws and regulations.


Author(s):  
Kelly M. Trevino ◽  
Kenneth I. Pargament

The current chapter examines the relationship between religion/spirituality (R/S) and medicine through the psychological lens of a religious coping framework. This relationship is considered at the theoretical, patient, caregiver, and care team levels. The R/S beliefs, practices, and coping strategies of patients, informal caregivers, and health care providers in the context of illness is then discussed. A large body of research demonstrates the important role of R/S in how patients and caregivers understand and cope with illness. Similarly, many health care providers view illness and their clinical care through a R/S lens and believe that attending to patients’ spiritual needs is part of their professional role. The chapter concludes with a brief review of psycho-spiritual interventions in medical populations.


Author(s):  
Antonio G. Pisabarro ◽  
Denisse P. Rivera de la Torre

Access to medicines is one of the essential problems in Public Health of low- and middle-income countries (LMICs). The World Health Organization (WHO) defines access to medicines as the possibility of "having continuously accessible and affordable medicines in public or private health facilities that are within a kilometer of the place of residence." Access to medicines, as defined by the WHO, is not fully guaranteed in many LMICs and even in many regions of high-resource countries. The WHO identifies several factors as determinants of limitations in the access to medicines: rational selection, affordable prices, sustainable financing, and reliable health services. The action on these factors makes it possible to improve universal access to medicines with consequent improvement in Public Health. Adequate access to antibiotics and vaccination will avoid a large part of the deaths caused by infectious diseases in the LMICs. However, the emergence of resistance and the difficulties in vaccination campaigns due to socio-political or cultural problems make it challenging to fight many easily treatable infectious diseases. The use and abuse of antibiotics are inevitably associated with the appearance of resistances that make them ineffective. Thus, whereas limited access to antibiotics raises mortality rates from infectious diseases, generalized open access to them ends up eliminating their clinical value. Moreover, the contraction of research in this field for many years has reduced the success in discovering new drugs. Additionally, local market regulations, inadequate selection, inaccessible prices, especially for those of second and third-generation, inefficient health systems, and difficulties of administration and control of prescription compliance, especially in the case of combined therapies, are additional obstacles to universal access to antibiotics. In order to simultaneously improve access to antibiotics and keep resistances under control, it is necessary to develop training and education activities at different social levels (from patients to various Health Care Providers) to complement the national or supranational strategic plans.


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