Prioritizing the marginalized in the COVID-19 vaccine rollout

Braganza, Brent B; Capulong, Harvey Gain M; Gopez, Jose Ma W; Gozum, Ivan Efreaim A; Galang, Joseph Renus F

doi:10.1093/pubmed/fdab083

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…People living in acute poverty tend to give the least priority to their health, especially preventive care such as vaccination due to economic compulsions. They cannot afford to miss work and wage days for purposes like vaccination [ 16 ]. All these factors contribute to lower vaccine uptake among poor households.…”

Section: Resultsmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy and Vaccination Coverage in India: An Exploratory Analysis

et al. 2022

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Our paper examines the key determinants of COVID-19 vaccination coverage in India and presents an analytical framework to probe whether vaccine hesitancy, socioeconomic factors and multi-dimensional deprivations (MPI) play a role in determining COVID-19 vaccination uptake. Our exploratory analysis reveals that COVID-19 vaccine hesitancy has a negative and statistically significant impact on COVID-19 vaccination coverage. A percentage increase in vaccine hesitancy can lead to a decline in vaccination coverage by 30 percent. Similarly, an increase in the proportion of people living in multi-dimensional poverty reduces the COVID-19 vaccination coverage. A unit increase in MPI or proportion of people living in acute poverty leads to a mean decline in vaccination coverage by 50 percent. It implies that an increase in socioeconomic deprivation negatively impacts health outcomes, including vaccination coverage. We additionally demonstrated that gender plays a significant role in determining how access to digital technologies such as the internet impacts vaccine coverage and hesitancy. We found that, as males’ access to the internet increases, vaccination coverage also increases. This may be attributed to India’s reliance on digital tools (COWIN, AAROGYA SETU, Imphal, India) to allocate and register for COVID-19 vaccines and the associated digital divide (males have greater digital excess than females). Conversely, females’ access to the internet is statistically significant and inversely associated with coverage. This can be attributed to higher vaccine hesitancy among the female population and lower utilization of health services by females.

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Section: Resultsmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy and Vaccination Coverage in India: An Exploratory Analysis

et al. 2022

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“…The presence of culture underscores that no people must be left behind in this vaccination program. Thus, the inclusion of the marginalized sector of society, 49 such as indigenous people and ethnic communities, 50 in the list of the government vaccination program is a form of cultural competence. In a way, cultural competence is the ability of health systems to provide care to patients with diverse values, beliefs, and behaviors by tailoring delivery to meet patients’ social, cultural, and linguistic needs.…”

Section: Vaccinationmentioning

confidence: 99%

Culture, Religion and the State: Towards a Multidisciplinary Approach to Ensuring Public Health During the COVID-19 Pandemic (and Beyond)

Gozum¹,

Capulong²,

Gopez³

et al. 2021

RMHP

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Background This research investigates different approaches by cultural, religious and political groups in ensuring public health during the COVID-19 pandemic. During the pandemic, several methods were done by governments and healthcare institutions to mitigate the spread of the virus. Methods This study uses content analysis, specifically a literature review, on existing online literature found in online journals, books, and reports relevant to the COVID-19 pandemic. The paper presents the available qualitative data including substantive findings as well as theoretical and methodological foundations relevant to the topic. Results Culture, religion and the state have roles to play in ensuring public health during the COVID-19 pandemic. These three areas can help in mitigating the transmission of the virus, managing patients, and aiding the rollout of COVID-19 vaccines. Conclusion This paper ends by suggesting that, in ensuring public health during the COVID-19 pandemic, a multidisciplinary approach, involving a concerted effort among culture, religion and the state, is necessary. This approach is also recommended for any public health crisis in the future.

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“…This vaccine campaign should include rural residents, especially forgotten ones, and society's biases, not COVID-19. CO-WIN, a vaccine monitoring and registration software, organizes, distributes, and monitors India's massive COVID-19 immunization drive [2]. Aarogya Setu, India's COVID-19 contact tracking app, lets users schedule vaccinations.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccination and Gaps in India

Choudhary¹,

Choudhary²,

Pervez³

2023

Cureus

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Introduction: The important variables that influence how many people are vaccinated against coronavirus disease in India include vaccine skepticism, socioeconomic status, and multi-dimensional deprivation. Our preliminary research suggests that uncertainty about the safety of the COVID-19 vaccine has a large and detrimental effect on immunization rates.Materials and methods: The Crucial Subsets Survey (CSS) is performed daily on Facebook to recruit participants for cross-section surveys by academic institutions, the Delphi Research Center, and the University of Maryland's Joint Program in Survey Methodology. Facebook will notify a portion of its daily users to take a vote. CSS adds behavior, attitude toward policy and preventive measures, economic consequences, and critical indicators to official reporting data.Results: It has been estimated that a 30% drop in vaccination coverage may be attributed to a 1% rise in vaccine skepticism. Similarly, higher rates of multidimensional poverty are associated with lower rates of COVID-19 vaccine coverage. When the multidimensional poverty index (MPI), or the percentage of persons living in extreme poverty, rises by one unit, immunization rates fall by around half. It suggests that higher rates of socioeconomic hardship have unfavorable effects on health outcomes like vaccination rates. We also showed that gender is a major factor in influencing how internet availability affects vaccination rates and hesitation. We discovered that male vaccination rates went up in tandem with male internet use. This might be because of the digital divide and India's reliance on digital technologies like the COVID Vaccine Intelligence Network (COWIN), AAROGYA SETU, and Imphal, India, to assign and register for COVID-19 vaccinations, while males have greater digital excess than females. While male internet access is significantly and positively correlated with coverage, female internet access is significantly and negatively correlated with coverage. Women are less likely to seek medical care and have more vaccination reluctance than men, both of which contribute to this trend. Conclusion: The government's strategy for disseminating information about the COVID-19 vaccination should prioritize reaching out to women. In order to recruit more women to vaccination clinics, it is important to raise public awareness about the need for immunization among women via the media and community outreach.

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Prioritizing the marginalized in the COVID-19 vaccine rollout

Cited by 6 publications

References 4 publications

COVID-19 Vaccine Hesitancy and Vaccination Coverage in India: An Exploratory Analysis

COVID-19 Vaccine Hesitancy and Vaccination Coverage in India: An Exploratory Analysis

Culture, Religion and the State: Towards a Multidisciplinary Approach to Ensuring Public Health During the COVID-19 Pandemic (and Beyond)

COVID-19 Vaccination and Gaps in India

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