2021
DOI: 10.1371/journal.pone.0253318
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Perceived enablers and barriers of community engagement for vaccination in India: Using socioecological analysis

Abstract: Background There is high level policy consensus in India that community engagement (CE) improves vaccination uptake and reduces burden of vaccine preventable diseases. However, to date, vaccination studies in the country have not explicitly focused on CE as an outcome in and of itself. Therefore, this study sought to examine the barriers and enablers of community engagement for vaccination in India. Methods Employing qualitative methods, twenty-five semi-structured elite interviews among vaccine decisionmake… Show more

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Cited by 27 publications
(25 citation statements)
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References 65 publications
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“…Our findings suggest that raising awareness of COVID-19 vaccination through more personalized means at community levels using printed material in local languages, engaging with community leaders, and building partnerships with local organizations can improve vaccine willingness by changing behavioral intentions of residents, which is in line with previous literature on the topic [11,29,32]. By contrast, merely informing the public through television, internet or local pamphlets etc., i.e., non-personalized means, may be less effective, as was seen in the control area.…”
Section: Discussionsupporting
confidence: 88%
See 1 more Smart Citation
“…Our findings suggest that raising awareness of COVID-19 vaccination through more personalized means at community levels using printed material in local languages, engaging with community leaders, and building partnerships with local organizations can improve vaccine willingness by changing behavioral intentions of residents, which is in line with previous literature on the topic [11,29,32]. By contrast, merely informing the public through television, internet or local pamphlets etc., i.e., non-personalized means, may be less effective, as was seen in the control area.…”
Section: Discussionsupporting
confidence: 88%
“…Through our community engagement interventions, we aimed to change behavioral intentions (i.e., COVID-19 vaccine willingness) of residents in the treatment areas. Behavior change communication was carried out in context of social mobilization to engage the communities [2931]. Interventions aimed at mobilizing communities for vaccination can help strengthen weak links in the causal chain, as this can enable to take into account the local characteristics and implement the interventions in a more effective way [32].…”
Section: Theoretical Framework For the Studymentioning
confidence: 99%
“…While there has been improvement in the sector, financial and regulatory constraints are perceived as limiting the country’s ability to provide more equitable health services. Some of the priority areas in Ethiopia that need urgent attention include: a sustained and strong political will to develop the health sector; an increase in financial and human resources to support the health sector; and better government accountability to its citizens [ 14 , 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…Flexibility in service delivery, a needs-based approach that considered client socio-economic position, incentivization are some of the areas where cross-regional knowledge sharing will be valuable to practice. Proactive community engagement has been found effective at improving immunisation uptake by reducing negative group-think and decisions that lead to community resistance [ 72 , 73 ]. It should also be noted that proactive engagement with clients and communities help health care workers to assess client attitudes that point to vaccine hesitancy with an opportunity for such to be addressed thereby reducing resistance [ 72 ].…”
Section: Discussionmentioning
confidence: 99%