@article{Heyerdahl:8350,
      recid = {8350},
      author = {Heyerdahl, Leonard W. and Ngwira, Bagrey and Démolis,  Rachel and Gabriel, Nyirenda and Mwesawina, Maurice and  Rafael, Florentina and Cavailler, Philippe and Gargasson,  Jean Bernard Le and Mengel, Martin A. and Gessner, Bradford  D. and Guillermet, Elise},
      title = {Innovative vaccine delivery strategies in response to a  cholera outbreak in the challenging context of Lake Chilwa  : a rapid qualitative assessment},
      journal = {Vaccine},
      address = {2018-10},
      number = {ARTICLE},
      pages = {6 p.},
      note = {Démolis, Rachel est chercheuse à la HES-SO, HESAV, depuis  2018.},
      abstract = {A reactive campaign using two doses of Shanchol Oral  Cholera Vaccine (OCV) was implemented in 2016 in the Lake  Chilwa Region (Malawi) targeting fish dependent  communities. Three strategies for the second vaccine dose  delivery (including delivery by a community leader and  self-administration) were used to facilitate vaccine  access. This assessment collected vaccine perceptions and  opinions about the OCV campaign of 313 study participants,  including: fishermen, fish traders, farmers, community  leaders, and one health and one NGO officer.  Socio-demographic surveys were conducted, In Depth  Interviews and Focus Group Discussions were conducted  before and during the campaign. Some fishermen perceived  the traditional delivery strategy as reliable but less  practical. Delivery by traditional leaders was acceptable  for some participants while others worried about  traditional leaders not being trained to deliver vaccines  or beneficiaries taking doses on their own. A slight  majority of beneficiaries considered the  self-administration strategy practical while some  beneficiaries worried about storing vials outside of the  cold chain or losing vials. During the campaign, a majority  of participants preferred receiving oral vaccines instead  of injections given ease of intake and lack of pain. OCV  was perceived as efficacious and safe. However, a lack of  information on how sero-protection may be delayed and the  degree of sero-protection led to loss of trust in vaccine  potency among some participants who witnessed cholera cases  among vaccinated individuals. OCV campaign implementation  requires accompanying communication on protective levels,  less than 100% vaccine efficacy, delays in onset of  sero-protection, and out of cold chain storage.},
      url = {http://arodes.hes-so.ch/record/8350},
      doi = {https://doi.org/10.1016/j.vaccine.2017.10.108},
}