TY - JOUR
T1 - COVID-19 vaccine confidence project for perinatal women (CCPP)—Development of a stepped-care model to address COVID-19 vaccine hesitancy in low and middle-income countries
AU - Ransing, Ramdas
AU - Raghuveer, Pracheth
AU - Mhamunkar, Aman
AU - Kukreti, Prerna
AU - Puri, Manju
AU - Patil, Suvarna
AU - Pavithra, Hegde
AU - Padma, Kumari
AU - Kumar, Praveen
AU - Ananthathirtha, Kavya
AU - Goel, Manish Kumar
AU - Deshpande, Smita N.
N1 - Funding Information:
We thank ICMR for funding this project. This work is part of the COVID-19 Vaccine Confidence Project for Pregnant and Lactating Women (CTRI/2022/02/040359). We thank the faculty of Cross Fertilized Research Training for New Investigators in India and Egypt (D43 TW009114, HMSC File No. Indo-Foreign/35/M/2012-NCD-1, funded by Fogarty International Centre, NIH) for guidance. We also thank Sadhana Mohite for her help in data collection.
Funding Information:
This study was funded by the Indian Council of Medical Research (ICMR), New Delhi (File No.: OR/05/112021-ECD-II).
Publisher Copyright:
Copyright © 2023 Ransing, Raghuveer, Mhamunkar, Kukreti, Puri, Patil, Pavithra, Padma, Kumar, Ananthathirtha, Goel and Deshpande.
PY - 2023/1/13
Y1 - 2023/1/13
N2 - Background: COVID-19 vaccine hesitancy (CVH) is common among perinatal women in low and middle-income countries (LMICs), but it is often unaddressed. This could be due to a lack of feasible, scalable, and acceptable interventions and models for CVH in LMICs. Our study aimed to develop a CVH intervention model that can be implemented in LMICs using existing human healthcare resources. Methods: A literature review was conducted on aspects of vaccine hesitancy, pre-existing interventions, and models for addressing vaccine hesitancy (COVID-19 and non-COVID-19). The lead authors (RR and PKuk) formed a team consisting of vaccinators, experts, and stakeholders. Members shared their perspectives and proposals for various models and interventions that could be implemented in LMICs. A CVH intervention model was developed using a logic model, a WHO implementation toolkit, experts' feedback, and consensus. Results: A consensus was reached to develop a COVID-19 Vaccine Confidence Project for Perinatal Women (CCPP), which is a primary health care worker (HCWs)-based stepped-care model. The CCPP model includes HCW training, integration into ongoing COVID-19 vaccination programs, CVH screening, CVH intervention, and referral services suitable for implementation in LMICs. Conclusion: The CCPP project/model provides a practical approach that can help in the early detection and management of CVH. The model can be tailored to different healthcare settings to improve COVID-19 vaccine uptake among perinatal women in LMICs.
AB - Background: COVID-19 vaccine hesitancy (CVH) is common among perinatal women in low and middle-income countries (LMICs), but it is often unaddressed. This could be due to a lack of feasible, scalable, and acceptable interventions and models for CVH in LMICs. Our study aimed to develop a CVH intervention model that can be implemented in LMICs using existing human healthcare resources. Methods: A literature review was conducted on aspects of vaccine hesitancy, pre-existing interventions, and models for addressing vaccine hesitancy (COVID-19 and non-COVID-19). The lead authors (RR and PKuk) formed a team consisting of vaccinators, experts, and stakeholders. Members shared their perspectives and proposals for various models and interventions that could be implemented in LMICs. A CVH intervention model was developed using a logic model, a WHO implementation toolkit, experts' feedback, and consensus. Results: A consensus was reached to develop a COVID-19 Vaccine Confidence Project for Perinatal Women (CCPP), which is a primary health care worker (HCWs)-based stepped-care model. The CCPP model includes HCW training, integration into ongoing COVID-19 vaccination programs, CVH screening, CVH intervention, and referral services suitable for implementation in LMICs. Conclusion: The CCPP project/model provides a practical approach that can help in the early detection and management of CVH. The model can be tailored to different healthcare settings to improve COVID-19 vaccine uptake among perinatal women in LMICs.
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U2 - 10.3389/fpubh.2022.1100046
DO - 10.3389/fpubh.2022.1100046
M3 - Article
C2 - 36711386
AN - SCOPUS:85147076481
SN - 2296-2565
VL - 10
JO - Frontiers in Public Health
JF - Frontiers in Public Health
M1 - 1100046
ER -