Rapid behavioral assessment of barriers and opportunities to improve vaccination coverage among displaced Rohingyas in Bangladesh, January 2018

Jalloh, Mohamed F.; Bennett, Sarah; Alam, Didarul; Kouta, Paryss; Lourenço, D; Alamgir, Mohammad; Feldstein, Leora R.; Ehlman, Daniel C.; Abad, Neetu; Kapil, Neha; Vandenent, Maya; Conklin, Laura; Wolff, Brent

doi:10.1016/j.vaccine.2018.12.042

Cited by 33 publications

(71 citation statements)

References 37 publications

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“…the lack of female vaccinators to vaccinate girls). 31 Results from the assessment were used by outbreak response partners to guide the revamping of social mobilization efforts in subsequent vaccination campaigns in the camps. For instance, radio messages were revised to address vaccination concerns.…”

Section: Rohingya Humanitarian Emergency In Bangladeshmentioning

confidence: 99%

“…• Use qualitative approaches to get a deeper understanding of the safety or efficacy concerns and identify appropriate messages and trusted messengers to communicate the safety profile of the vaccine, using plain language 31,50 • Prevent misinformation by clarifying who is eligible and who is not and why to address misinformation 50 • Consider policy updates required to successfully target social mobilization at new locations (e.g. schools) and with new populations (e.g.…”

Section: Places Of Worship Food Distribution Centers and Recreationmentioning

confidence: 99%

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Mobilize to vaccinate: lessons learned from social mobilization for immunization in low and middle-income countries

Jalloh

Wilhelm

Abad

et al. 2019

Human Vaccines & Immunotherapeutics

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Creating and sustaining demand for immunization services is a global priority to ensure that vaccineeligible populations are fully protected from vaccine-preventable diseases. Social mobilization remains a key health promotion strategy used by low-and middle-income countries (LMICs) to promote vaccination demand. In this commentary, we synthesize illustrative evidence on successful social mobilization efforts promoting the uptake of immunization services in select LMICs. The first example focuses on Sierra Leone's routine immunization program during the Universal Child Immunization initiative in the late 1980s. We then give an example of India's establishment of a social mobilization network in the early-to mid-2000s to support polio elimination in high-risk communities. Thirdly, we highlight the complexities of social mobilization in a humanitarian emergency during the 2017-2018 diphtheria outbreak among displaced Rohingyas in camps and settlements in Bangladesh. Lastly, we draw upon examples from the introduction of the human papillomavirus vaccine in several countries. We then critically examine recurring challenges faced when implementing social mobilization for immunization in LMICs and offer practical recommendations for improvement.

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Section: Rohingya Humanitarian Emergency In Bangladeshmentioning

confidence: 99%

Section: Places Of Worship Food Distribution Centers and Recreationmentioning

confidence: 99%

Mobilize to vaccinate: lessons learned from social mobilization for immunization in low and middle-income countries

Jalloh

Wilhelm

Abad

et al. 2019

Human Vaccines & Immunotherapeutics

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“…However, the growing recognition of the importance of health equity has shown that clusters of susceptible populations within vaccinated societies can preempt disease outbreaks, such as the reemergence of diphtheria infections in Bangladesh and India. 6,7 Second, the decreasing incidence of vaccine-preventable diseases has diminished the public's memory of the devastation caused by the diseases, leading to a rise in vaccine hesitancy. Therefore, national programs will have to refocus on maintaining the momentum, although in a world with limited government resources, health policymakers may find it difficult to financially and operationally justify large vaccination programs.…”

Section: Introductionmentioning

confidence: 99%

Why vaccines matter: understanding the broader health, economic, and child development benefits of routine vaccination

Nandi

Shet

2020

Human Vaccines & Immunotherapeutics

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The direct benefits of childhood vaccination in reducing the burden of disease morbidity and mortality in a cost-effective manner are well-established. By preventing episodes of vaccine-preventable diseases, vaccination can also help avert associated out-of-pocket medical expenses, healthcare provider costs, and losses in wages of patients and caregivers. Studies have associated vaccines positively with cognition and school attainment, suggesting benefits of long-term improved economic productivity. New evidence suggests that the measles vaccine may improve immunological memory and prevent coinfections, thereby forming a protective shield against other infections, and consequently improving health, cognition, schooling and productivity outcomes well into the adolescence and adulthood in lowincome settings. Systematically documenting these broader health, economic, and child development benefits of vaccines is important from a policy perspective, not only in low and middle-income countries where the burden of vaccine-preventable diseases is high and public resources are constrained, but also in high-income settings where the emergence of vaccine hesitancy poses a threat to benefits gained from reducing vaccine-preventable diseases. In this paper, we provide a brief summary of the recent evidence on the benefits of vaccines, and discuss the policy implications of these findings.

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“…As a result, focus group discussions and key informant interviews with caregivers of children living in the MSs, camp leaders, religious leaders, and teachers were conducted to identify potential barriers to participation in the vaccination campaigns. Findings from the assessment highlighted several barriers, including beliefs about vaccination causing people to become Christian, concerns about multiple vaccinations given on the same day, worries about vaccination side effects, and lack of sensitivity to cultural gender norms at vaccination sites [8].…”

Section: Introductionmentioning

confidence: 99%

Vaccination coverage survey and seroprevalence among forcibly displaced Rohingya children, Cox's Bazar, Bangladesh, 2018: A cross-sectional study

Feldstein¹,

Bennett²,

Estívariz³

et al. 2020

PLoS Med

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Background During August 2017-January 2018, more than 700,000 forcibly displaced Rohingyas crossed into Cox's Bazar, Bangladesh. In response to measles and diphtheria cases, first documented in September and November 2017, respectively, vaccination campaigns targeting children <15 years old were mobilized during September 2017-March 2018. However, in a rapidly evolving emergency situation, poor sanitation, malnutrition, overcrowding, and lack of access to safe water and healthcare can increase susceptibility to infectious diseases, particularly among children. We aimed to estimate population immunity to vaccinepreventable diseases (VPDs) after vaccination activities in the camps to identify any remaining immunity gaps among Rohingya children. Methods and findings We conducted a cross-sectional serologic and vaccination coverage survey in Nayapara Registered Refugee Camp ("Nayapara") and makeshift settlements (MSs) April 28, 2018 to May 31, 2018, among 930 children aged 6 months to 14 years. MSs are informal, self-settled areas with a population of more than 850,000, the majority of whom arrived after August 2017, whereas Nayapara is a registered camp and has better infrastructure than MSs, including provision of routine immunization services. Households were identified using simple random sampling (SRS) in Nayapara and multistage cluster sampling in MSs (because PLOS MEDICINE

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Rapid behavioral assessment of barriers and opportunities to improve vaccination coverage among displaced Rohingyas in Bangladesh, January 2018

Cited by 33 publications

References 37 publications

Mobilize to vaccinate: lessons learned from social mobilization for immunization in low and middle-income countries

Mobilize to vaccinate: lessons learned from social mobilization for immunization in low and middle-income countries

Why vaccines matter: understanding the broader health, economic, and child development benefits of routine vaccination

Vaccination coverage survey and seroprevalence among forcibly displaced Rohingya children, Cox's Bazar, Bangladesh, 2018: A cross-sectional study

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