Evidence map›Paper›PMID 38873637›Full record

ArticleVaccine: X2024

A qualitative assessment of influenza vaccine uptake among children in Kenya.

Nzisa Liku, Caroline Mburu, Kathryn E Lafond, Malembe Ebama, Mamu Athman, Salma Swaleh, Isaac Jewa, Elen Ngware, Virginia Njenga, Elizabeth Kiptoo and 17 more

Abstract read
In one paragraph

Article in Vaccine: X, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Nzisa LikuInfluenza Program, U.S. Centers for Disease Control and Prevention, Nairobi, Kenya.
Caroline MburuDepartment of Social Anthropology, University of St Andrews, Scotland, UK.
Kathryn E LafondInfluenza Division, National Center for Immunization and Respiratory Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA.
Malembe EbamaPartnership for Influenza Vaccine Introduction, Task Force for Global Health, Atlanta, USA.
Mamu AthmanMombasa County Health Management Team, Department of Health, Mombasa County, Kenya.
Salma SwalehMombasa County Health Management Team, Department of Health, Mombasa County, Kenya.
Isaac JewaMombasa County Health Management Team, Department of Health, Mombasa County, Kenya.
Elen NgwareNakuru County Health Management Team, Department of Health, Nakuru County, Kenya.
Virginia NjengaNakuru County Health Management Team, Department of Health, Nakuru County, Kenya.
Elizabeth KiptooNakuru County Health Management Team, Department of Health, Nakuru County, Kenya.
Catherine MunyaoNational Vaccines and Immunisation Program, Ministry of Health, Kenya.
Christine MianoNational Vaccines and Immunisation Program, Ministry of Health, Kenya.
Edwina AnyangoNational Vaccines and Immunisation Program, Ministry of Health, Kenya.
Samson ThuoNational Vaccines and Immunisation Program, Ministry of Health, Kenya.
Wycliffe MatiniDivision of Disease Surveillance and Response, Ministry of Health, Kenya.
Harriet MirieriWashington State University (WSU) Global Health Kenya, Nairobi, Kenya.
Nancy OtienoCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Mwanasha AthmanJomvu Sub-County Health Management Team, Department of Health, Mombasa County, Kenya.
Patrick ChanzeraJomvu Sub-County Health Management Team, Department of Health, Mombasa County, Kenya.
Zahra AwadhLikoni Sub-County Health Management Team, Department of Health, Mombasa County, Kenya.
Monica MuthoniNakuru North Sub-County Health Management Team, Department of Health, Nakuru County, Kenya.
Patrick KingoriNjoro Sub-County Health Management Team, Department of Health, Nakuru County, Kenya.
M Kariuki NjengaWashington State University (WSU) Global Health Kenya, Nairobi, Kenya.
Gideon O EmukuleInfluenza Program, U.S. Centers for Disease Control and Prevention, Nairobi, Kenya.
Eric OsoroWashington State University (WSU) Global Health Kenya, Nairobi, Kenya.
Collins TabuNational Vaccines and Immunisation Program, Ministry of Health, Kenya.
Jeanette DawaWashington State University (WSU) Global Health Kenya, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Influenza is a significant contributor to acute respiratory infections (ARI), and children < 5 years are at increased risk of severe influenza disease. In Kenya the influenza vaccine is not included in the Kenya Expanded Programme on Immunization (KEPI). To inform roll-out of a national influenza vaccination program, we implemented an influenza vaccine demonstration project in Nakuru and Mombasa counties in Kenya from 2019 to 2021 and set out to establish factors driving influenza vaccine acceptance and hesitancy among caregivers of children aged 6-23 months. Methods: Using semi-structured questionnaires, we conducted eight focus group discussions among community members and twelve key informant interviews among healthcare workers to elicit both lay and expert opinions. Thematic analysis of the interviews was conducted using the World Health Organization's "3 Cs" model of vaccine hesitancy to determine reasons for acceptance or hesitancy of the influenza vaccine. Results: The influenza vaccine was well received among community members and healthcare workers though concerns were raised. Vaccine hesitancy was fuelled by misconceptions about reasons for introducing the vaccine (confidence), perceptions that influenza was not a serious disease (complacency) and administrative fees required at some facilities (convenience). Despite the use of various advocacy, communication and social mobilisation strategies targeted at educating the community on the influenza disease and importance of vaccination, there remained a perception of inadequate reach of the sensitization among some community members. Contextual factors such as the COVID-19 pandemic affected uptake, and parents expressed concern over the growing number of vaccines recommended for children. Conclusion: Despite lingering concerns, caregivers had their children vaccinated indicating that vaccine hesitancy exists, even among those who accepted the vaccine for their children. Efforts targeted at increasing confidence in and reducing misconceptions towards vaccines through effective communication strategies, are likely to lead to increased vaccine uptake.

Indexed as

DemonstrationHesitancyInfluenzaQualitativeVaccine

Identifiers

PMID38873637
PMCPMC11169957

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.