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Braimah JA, Achore M, Dery F, Ayanore MA, Bisung E, Kuuire V. Do self-rated health and previous vaccine uptake influence the willingness to accept MPOX vaccine during a public health emergency of concern? A cross-sectional study. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003564. [PMID: 39146333 PMCID: PMC11326589 DOI: 10.1371/journal.pgph.0003564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 07/12/2024] [Indexed: 08/17/2024]
Abstract
Monkeypox (MPOX) was declared a global public health emergency of international concern in July 2022. Vaccinations may be an essential strategy to prevent MPOX infections and reduce their impact on populations, especially among at-risk populations. However, less is known about the factors associated with people's willingness to accept the MPOX vaccine in resource-constrained settings. In this study, we examine the associations between self-rated health, previous vaccine uptake, and people's willingness to accept the MPOX vaccine using cross-sectional data from four major cities in Ghana. The data were analyzed using descriptive and logistic regression techniques. We found that the acceptance of the MPOX vaccine is generally low (approximately 32%) in Ghana. The regression analysis reveals that individuals who did not receive vaccines in the past are much less likely to get the MPOX vaccine (AOR:.28; 95% CI:.62-2.37). The association between self-rated health and vaccine acceptance (AOR: 1.22; 95% CI:.62-2.37) disappeared after we accounted for covariates. Based on these findings, we conclude that vaccine uptake history may be critical to people's uptake of the MPOX vaccine.
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Affiliation(s)
- Joseph Asumah Braimah
- Department of Public Health, St. Lawrence University, Canton, New York, United States of America
| | - Meshack Achore
- Department of Population Health, Hofstra University, Hempstead, New York, United States of America
| | - Florence Dery
- Department of Geography, Geomatics & Environment, University of Toronto, Mississauga, Ontario, Canada
| | - Martin A Ayanore
- Department of Health Policy Planning and Management, University of Health and Allied Sciences, Ho, Volta Region, Ghana
| | - Elijah Bisung
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada
| | - Vincent Kuuire
- Department of Geography, Geomatics & Environment, University of Toronto, Mississauga, Ontario, Canada
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Braimah JA, Kuuire VZ, Bisung E, Pagra MMK, Kansanga MM, Stoner BP. Determinants of COVID-19 knowledge and self-action among African women: Evidence from Burkina Faso, the Democratic Republic of Congo, Kenya, and Nigeria. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001688. [PMID: 37134050 PMCID: PMC10156008 DOI: 10.1371/journal.pgph.0001688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 04/02/2023] [Indexed: 05/04/2023]
Abstract
Knowledge of infectious diseases and self-action are vital to disease control and prevention. Yet, little is known about the factors associated with knowledge of and self-action to prevent the coronavirus disease (COVID-19). This study accomplishes two objectives. Firstly, we examine the determinants of COVID-19 knowledge and preventive knowledge among women in four sub-Saharan African countries (Kenya, Nigeria, the Democratic Republic of Congo, and Burkina Faso). Secondly, we explore the factors associated with self-action to prevent COVID-19 infections among these women. Data for the study are from the Performance for Monitoring Action COVID-19 Survey, conducted in June and July 2020 among women aged 15-49. Data were analysed using linear regression technique. The study found high COVID-19 knowledge, preventive knowledge, and self-action among women in these four countries. Additionally, we found that age, marital status, education, location, level of COVID-19 information, knowledge of COVID-19 call centre, receipt of COVID-19 information from authorities, trust in authorities, and trust in social media influence COVID-19 knowledge, preventive knowledge, and self-action. We discuss the policy implications of our findings.
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Affiliation(s)
- Joseph A Braimah
- Department of Health & Society, University of Toronto Scarborough, Toronto, Canada
| | - Vincent Z Kuuire
- Department of Geography, Geomatics and Environment, University of Toronto Mississauga, Mississauga, Canada
- Social and Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Elijah Bisung
- School of Kinesiology and Health Studies, Queen's University, Kingston, Canada
| | - Mildred M K Pagra
- Department of African and General Studies, SD Dombo University of Business & Integrated Development Studies, Wa, Ghana
| | - Moses M Kansanga
- Department of Geography, George Washington University, Washington, DC, United States of America
| | - Bradley P Stoner
- Department of Public Health Sciences, Queen's University, Kingston, Canada
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Eboreime E, Ogwa O, Nnabude R, Aluka-Omitiran K, Banke-Thomas A, Orji N, Eluwa A, Ezeokoli A, Rotimi A, Eze LU, Offiong V, Odu U, Okonkwo R, Umeh C, Ilika F, Oreh A, Adams FN, Okpani IA, Ogundeji Y, Mbachu C, Obi FA, Badejo O. Engaging stakeholders to identify gaps and develop strategies to inform evidence use for health policymaking in Nigeria. Pan Afr Med J 2022; 43:140. [PMID: 36762150 PMCID: PMC9898774 DOI: 10.11604/pamj.2022.43.140.36754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 10/25/2022] [Indexed: 11/16/2022] Open
Abstract
Introduction recent efforts to bridge the evidence-policy gap in low-and middle-income countries have seen growing interest from key audiences such as government, civil society, international organizations, private sector players, academia, and media. One of such engagement was a two-day virtual participant-driven conference (the convening) in Nigeria. The aim of the convening was to develop strategies for improving evidence use in health policy. The convening witnessed a participant blend of health policymakers, researchers, political policymakers, philanthropists, global health practitioners, program officers, students, and the media. Methods in this study, we analyzed conversations at the convening with the aim to disseminate findings to key stakeholders in Nigeria. The recordings from the convening were transcribed and analyzed inductively to identify emerging themes, which were interpreted, and inferences are drawn. Results a total of 630 people attended the convening. Participants joined from 13 countries. Participants identified poor collaboration between researchers and policymakers, poor community involvement in research and policy processes, poor funding for research, and inequalities as key factors inhibiting the use of evidence for policymaking in Nigeria. Strategies proposed to address these challenges include the use of participatory and embedded research methods, leveraging existing systems and networks, advocating for improved funding and ownership for research, and the use of context-sensitive knowledge translation strategies. Conclusion overall, better interaction among the various stakeholders will improve the evidence generation, translation, and use in Nigeria. A road map for the dissemination of findings from this conference has been developed for implementation across the strata of the health system.
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Affiliation(s)
- Ejemai Eboreime
- Talk Health Real Media Limited, Abuja, Nigeria,,Corresponding author: Ejemai Eboreime, Department of Psychiatry, University of Alberta, Edmonton, Canada.
| | - Oluwafunmike Ogwa
- Systems Development Initiative, Abuja, Nigeria,,Doctorkk Health International, Lagos, Nigeria
| | - Rosemary Nnabude
- Systems Development Initiative, Abuja, Nigeria,,School of Public Health, University of Alberta, Edmonton, Canada
| | - Kasarachi Aluka-Omitiran
- Systems Development Initiative, Abuja, Nigeria,,Department of Community Health Services, National Primary Health Care Development Agency, Abuja, Nigeria
| | - Aduragbemi Banke-Thomas
- School of Human Sciences, University of Greenwich, London, United Kingdom,,London School of Economics and Political Science, London, United Kingdom
| | - Nneka Orji
- Systems Development Initiative, Abuja, Nigeria,,Department of Health Planning, Research and Statistics, Federal Ministry of Health, Abuja, Nigeria
| | - Achama Eluwa
- Systems Development Initiative, Abuja, Nigeria,,Health, Nutrition and Population Global Practice Unit, The World Bank, Washington DC, United States of America
| | - Adaobi Ezeokoli
- Systems Development Initiative, Abuja, Nigeria,,Harvard Kennedy School, Harvard University, Cambridge, Massachusetts, United States
| | - Aanu Rotimi
- Systems Development Initiative, Abuja, Nigeria,,Centre for Accountability and Inclusive Development, Abuja, Nigeria
| | - Laz Ude Eze
- Systems Development Initiative, Abuja, Nigeria,,Talk Health Real Media Limited, Abuja, Nigeria
| | - Vanessa Offiong
- Systems Development Initiative, Abuja, Nigeria,,As Equals, CNN International, Abuja, Nigeria
| | - Ugochi Odu
- Systems Development Initiative, Abuja, Nigeria,,Healthreach limited, Abuja, Nigeria
| | - Rita Okonkwo
- Systems Development Initiative, Abuja, Nigeria,,Institute of Human Virology Nigeria, International Research Center of Excellence, Abuja, Nigeria
| | - Chukwunonso Umeh
- Systems Development Initiative, Abuja, Nigeria,,African Youth Initiative on Population Health and Development (AfrYPoD), Abuja, Nigeria
| | - Frances Ilika
- Palladium, Health Policy Plus Project, Abuja, Nigeria
| | - Adaeze Oreh
- Department of Planning, Research and Statistics, National Blood Transfusion Service, Abuja, Nigeria
| | | | - Ikedichi Arnold Okpani
- School of Population and Public Health, The University of British Columbia, Vancouver, Canada
| | - Yewande Ogundeji
- O'Brien Institute for Public Health, University of Calgary, Calgary, Canada
| | - Chinyere Mbachu
- Health Policy Research Group, College of Medicine, University of Nigeria, Enugu, Nigeria
| | - Felix Abrahams Obi
- Systems Development Initiative, Abuja, Nigeria,,Results for Development (R4D), Nigeria Country Office, Abuja, Nigeria
| | - Okikiolu Badejo
- Systems Development Initiative, Abuja, Nigeria,,Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
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Prasad S, Shahid A, Co ELF, Khatri G, Cheema HA, Rocha ICN, Bardhan M, Hasan MM. Vaccine apartheid: the separation of the world's poorest and most vulnerable and the birth of Omicron. Ther Adv Vaccines Immunother 2022; 10:25151355221107975. [PMID: 35832726 PMCID: PMC9272166 DOI: 10.1177/25151355221107975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Sakshi Prasad
- National Pirogov Memorial Medical University, Vinnytsya, Ukraine
| | - Abia Shahid
- Department of Medicine, King Edward Medical University, Lahore, Pakistan
| | - Edzel Lorraine F Co
- Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines
| | | | | | | | - Mainak Bardhan
- Division of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, Kolkata, India
| | - Mohammad Mehedi Hasan
- Department of Biochemistry and Molecular Biology, Faculty of Life Science, Mawlana Bhashani Science and Technology University, Tangail 1902, Bangladesh
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Birungi C, Azcona JA, Munevar D. A pandemic triad: HIV, COVID-19 and debt in low- and middle-income countries. AFRICAN JOURNAL OF AIDS RESEARCH : AJAR 2022; 21:110-122. [PMID: 35901305 DOI: 10.2989/16085906.2022.2104168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 07/01/2022] [Accepted: 07/01/2022] [Indexed: 06/15/2023]
Abstract
This article assesses the impact of the HIV and COVID-19 pandemics and debt dynamics on health, HIV and pandemic preparedness and response-related financing in developing countries. Using a novel dataset, we did a cross-national systematic analysis of all data sources available for government expenditures on health, HIV, COVID-19 and debt servicing in selected developing countries. We found an inadequate multilateral response with the ensuing gaps allowing both pandemics to thrive. The G20 Debt Service Suspension Initiative and the Common Framework only covered countries with a third of the global population of people living with HIV. Rising and unsustainable debt levels are limiting the capacity of governments to protect the health of their populations. Government spending is already falling in response to high debt payments. Specifically, debt servicing is crowding out lifesaving investments. In 2020, for every USD 5 available, USD 4 was spent on debt servicing. Only USD 1 was invested in health. This is a binding constraint on countries' efforts to control COVID-19. Even with a gargantuan effort to increase health expenditure, the outlook for health financing remains negative. Fiscal consolidation, with a heavy emphasis on expenditure cuts, is expected to take place across 139 countries in the coming years. These findings suggest that fiscal policymakers should be concerned about the crowding-out and constraining effects of public debt. To this end, pragmatic recommendations are made to treat and cancel debt as a critical policy lever to accelerate the end of the HIV and COVID-19 pandemics in developing countries as a key condition to addressing the growing inequalities and to ensure debt can be a benefit, not a burden.
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Affiliation(s)
| | | | - Daniel Munevar
- United Nations Conference on Trade and Development (UNCTAD), Geneva, Switzerland
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