Evidence map›Paper›PMID 41295468›Full record

ArticleVaccines2025

Adapting the WHO BeSD COVID-19 Survey to Examine Behavioral and Social Drivers of Vaccine Uptake Among Transgender, Intersex, and Disability Communities in India.

Eesha Lavalekar, Sharin D'souza, Harikeerthan Raghuram, Namdeo Dongare, Mohammed A Khan, Chaitanya Likhite, Gauri Mahajan, Pabitra Chowdhury, Aqsa Shaikh, Sunita Sheel Bandewar and 2 more

Abstract read
In one paragraph

Article in Vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Disability-inclusive health systems & the quest for Viksit Bharat.The Indian journal of medical research · 2025
    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

12 authors.

Eesha LavalekarInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.
Sharin D'souzaInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0000-0002-3850-5595
Harikeerthan RaghuramInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0000-0002-8730-5944
Namdeo DongareInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0009-0000-1818-5769
Mohammed A KhanInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.
Chaitanya LikhiteInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.
Gauri MahajanInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0009-0008-8094-5421
Pabitra ChowdhuryInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.
Aqsa ShaikhInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0000-0002-1236-1458
Sunita Sheel BandewarInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.
Satendra SinghInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0000-0002-4857-659X
Anant BhanInitiative for Health Equity, Advocacy and Research (iHEAR), Sangath, Bhopal 462042, India.ORCID 0000-0002-7456-535X

Funding

Sabin Vaccine Institute 050260-00
6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, transgender and gender-diverse (TGD) people and people with disabilities in India faced disproportionate barriers to accessing vaccination services. Building on previous studies, this study explored the experiences of COVID-19 vaccine access in these two marginalized communities, using the WHO Behavioral and Social Drivers (BeSD) framework.

methodsKeeping community-based participatory methods (CBPR) at heart, we conducted a survey adapted from the BeSD COVID-19 survey tool. The survey was adapted using insights from a prior study, a literature review, stakeholder consultations, and discussions with a community leadership group (CLG) and an advisory board (AdB). Participants were recruited through transgender, gender-diverse, and disability rights networks. Data were analyzed descriptively, using percent analysis, and psychometrically, using exploratory factor analysis on polychoric correlations.

resultsThe adapted BeSD survey tool showed a high 0.85 (

conclusionsVaccine willingness alone is insufficient to ensure that vaccines reach everyone. Addressing trust deficits, infrastructural barriers, and digital exclusions requires diligent attention and commitment from the government to mitigate broader challenges faced by TGD people and people with disabilities.

Indexed as

BeSD frameworkcommunity-based participatory researchCOVID-19 vaccinationdisabilityintersextransgendervaccine equity

Identifiers

PMID41295468
PMCPMC12656831

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.