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How to increase and maintain high immunization coverage: Vaccination Demand Resilience (VDR) framework.
- Source :
-
Vaccine . Oct2023, Vol. 41 Issue 45, p6710-6718. 9p. - Publication Year :
- 2023
-
Abstract
- • Building resilience in vaccination demand is essential to continue to save lives. • Developed the Vaccination Demand Resilience (VDR) framework. • Incongruence between vaccination attitudes/beliefs, behavior, and status can arise. • For vaccination demand to be resilient, attitudes/beliefs, behavior, and status should align. • Framework for program managers and policy makers to improve vaccination resilience. Resilience in vaccination demand is ever more critical as the COVID-19 pandemic has increased our understanding of the importance of vaccines on health and well-being. Yet timid demand for COVID-19 vaccines where available and reduced uptake of routine immunizations globally further raise the urgent need to build vaccination resilience. We demonstrate the complexity of vaccination demand and resilience in a framework where relevant dimensions are intertwined, fluid, and contextual. We developed the Vaccination Demand Resilience (VDR) framework based on a literature review on vaccination demand and expert consultation. The matrix framework builds on three main axes: 1) vaccination attitudes and beliefs; 2) vaccination seeking behavior; and 3) vaccination status. The matrix generated eight quadrants, which can help explain people's levels of vaccination demand and resilience. We selected four scenarios as examples to demonstrate different interventions that could move people across quadrants and build vaccination resilience. Incongruence between individuals' attitudes and beliefs, vaccination behavior, and vaccination status can arise. For example, an individual can be vaccinated due to mandates but reject vaccination benefits and otherwise avoid seeking vaccination. Such incongruence could be altered by interventions to build resilience in vaccination demand. These interventions include information, education and communication to change individuals' vaccination attitudes and beliefs, incentive programs and reminder-recalls to facilitate vaccination seeking, or by strengthening healthcare provider communications to reduce missed opportunities. Vaccination decision-making is complex. Individuals can be vaccinated without necessarily accepting the benefits of vaccination or seeking vaccination, threatening resilience in vaccination demand. The VDR framework can provide a useful lens for program managers and policy makers considering interventions and policies to improve vaccination resilience. This would help build and sustain confidence and demand for vaccinations, and help to continue to prevent disease, disability, and death from vaccine-preventable diseases. [ABSTRACT FROM AUTHOR]
- Subjects :
- *VACCINATION coverage
*HEALTH attitudes
*VACCINATION status
*LITERATURE reviews
Subjects
Details
- Language :
- English
- ISSN :
- 0264410X
- Volume :
- 41
- Issue :
- 45
- Database :
- Academic Search Index
- Journal :
- Vaccine
- Publication Type :
- Academic Journal
- Accession number :
- 173010887
- Full Text :
- https://doi.org/10.1016/j.vaccine.2023.09.027