000008348 001__ 8348
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000008348 022__ $$a0264-410X
000008348 0247_ $$2DOI$$a10.1016/j.vaccine.2017.10.087
000008348 037__ $$aARTICLE
000008348 039_9 $$a2024-08-19 14:25:30$$b1$$c2023-09-05 15:24:44$$d1$$c2021-12-17 15:25:31$$d0$$c2021-11-17 11:26:48$$d1001252$$c2021-09-02 23:38:18$$d0$$c2021-09-02 09:43:04$$d1000944$$c2021-09-02 09:39:06$$d1000944$$c2021-09-01 12:39:11$$d1000092$$c2021-08-26 11:15:14$$d0$$y2021-08-26 11:15:07$$z1000944
000008348 041__ $$aeng
000008348 245__ $$aA rapid qualitative assessment of oral cholera vaccine anticipated acceptability in a context of resistance towards cholera intervention in Nampula, Mozambique
000008348 269__ $$a2018-10
000008348 300__ $$a9 p.
000008348 500__ $$aDémolis, Rachel est chercheuse à la HES-SO, HESAV, depuis 2018
000008348 506__ $$avisible
000008348 520__ $$9eng$$aIntroduction : While planning an immunization campaign in settings where public health interventions are subject to politically motivated resistance, designing context-based social mobilization strategies is critical to ensure community acceptability. In preparation for an Oral Cholera Vaccine campaign implemented in Nampula, Mozambique, in November 2016, we assessed potential barriers and levers for vaccine acceptability. Methods : Questionnaires, in-depth interviews, and focus group discussions, as well as observations, were conducted before the campaign. The participants included central and district level government informants (national immunization program, logistics officers, public health directors, and others), community leaders and representatives, and community members. Results : During previous well chlorination interventions, some government representatives and health agents were attacked, because they were believed to be responsible for spreading cholera instead of purifying the wells. Politically motivated resistance to cholera interventions resurfaced when an OCV campaign was considered. Respondents also reported vaccine hesitancy related to experiences of problems during school-based vaccine introduction, rumors related to vaccine safety, and negative experiences following routine childhood immunization. Despite major suspicions associated with the OCV campaign, respondents’ perceived vulnerability to cholera and its perceived severity seem to override potential anticipated OCV vaccine hesitancy. Discussion : Potential hesitancy towards the OCV campaign is grounded in global insecurity, social disequilibrium, and perceived institutional negligence, which reinforces a representation of estrangement from the central government, triggering suspicions on its intentions in implementing the OCV campaign. Recommendations include a strong involvement of community leaders, which is important for successful social mobilization; representatives of different political parties should be equally involved in social mobilization efforts, before and during campaigns; and public health officials should promote other planned interventions to mitigate the lack of trust associated with perceived institutional negligence. Successful past initiatives include public intake of purified water or newly introduced medication by social mobilizers, teachers or credible leaders.
000008348 540__ $$aincorrect
000008348 592__ $$aHESAV
000008348 592__ $$bAucun institut
000008348 592__ $$cSanté
000008348 6531_ $$9eng$$aanthropology
000008348 6531_ $$9eng$$acholera vaccines
000008348 6531_ $$9eng$$apublic health
000008348 6531_ $$9eng$$aattitude to health
000008348 6531_ $$9eng$$apolitics
000008348 6531_ $$9eng$$aMozambique
000008348 655__ $$ascientifique
000008348 700__ $$aDémolis, Rachel$$uAgence de Médecine Préventive, Ferney-Voltaire, France
000008348 700__ $$aBotão, Carlos$$uInstituto Nacional de Saúde, Avenido Eduardo Mundlane/Salvador Allende, Maputo, Mozambique
000008348 700__ $$aHeyerdahl, Léonard W$$uAgence de Médecine Préventive, Abidjan, Cote d’Ivoire
000008348 700__ $$aGessner, Bradford D.$$uAgence de Médecine Préventive, Ferney-Voltaire, France
000008348 700__ $$aCavailler, Philippe$$uAgence de Médecine Préventive, Ferney-Voltaire, France
000008348 700__ $$aSinai, Celestino$$uInstituto Nacional de Saúde, Avenido Eduardo Mundlane/Salvador Allende, Maputo, Mozambique
000008348 700__ $$aMagaço, Amílcar$$uInstituto Nacional de Saúde, Avenido Eduardo Mundlane/Salvador Allende, Maputo, Mozambique
000008348 700__ $$aGargasson, Jean-Bernard Le$$uAgence de Médecine Préventive, Ferney-Voltaire, France
000008348 700__ $$aMengel, Martin$$uAgence de Médecine Préventive, Ferney-Voltaire, France
000008348 700__ $$aGuillermet, Elise$$uAgence de Médecine Préventive, Ferney-Voltaire, France
000008348 773__ $$jOctober 2018, vol. 36, no. 44, pp. 6497-6505$$tVaccine
000008348 8564_ $$s607202$$uhttps://arodes.hes-so.ch/record/8348/files/Published%20version.pdf$$9ec19e0e7-e189-4db6-b54f-f3d284230999
000008348 906__ $$aGOLD
000008348 909CO $$ooai:hesso.tind.io:8348$$pGLOBAL_SET
000008348 950__ $$aaucun
000008348 980__ $$ascientifique
000008348 981__ $$ascientifique