VACCINE CONFIDENCE IN KHYBER PAKHTUNKHWA IN LIGHT OF RECENT UPSURGE IN POLIO CASES: A VIEW BY PUBLIC HEALTH ASSOCIATION- KHYBER PAKHTUNKHWA, PAKISTAN
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Keywords

Vaccine

How to Cite

Ali, Z., Abid, S., Shah, I., Ali, M., & Taizai, A. (2019). VACCINE CONFIDENCE IN KHYBER PAKHTUNKHWA IN LIGHT OF RECENT UPSURGE IN POLIO CASES: A VIEW BY PUBLIC HEALTH ASSOCIATION- KHYBER PAKHTUNKHWA, PAKISTAN. KHYBER MEDICAL UNIVERSITY JOURNAL, 11(2). https://doi.org/10.35845/kmuj.2019.19318

Abstract

Vaccine hesitancy as defined by World Health Organization (WHO) refers to “delay in acceptance or refusal of vaccines despite availability of vaccination services. Vaccine hesitancy is complex and context specific, varying across time, place and vaccines. It is influenced by factors such as complacency, convenience and confidence.”1 Vaccine hesitancy is a multidimensional complex phenomenon with many determinants.2,3 It is usually seen amongst specific subgroups of population within a country and have certain context. Vaccine hesitancy is not always related to one specific vaccine. Sometimes it is against immunization in general. It is important to understand who is hesitant towards vaccines or the immunization program and why.4 Many models are available to understand and help elucidate this phenomenon. WHO has adopted “the 3C model” as it is readily understandable and has incorporated the themes in its definition as well i.e. complacency, convenience and confidence.5 Complacency and convenience are important determinants of vaccine hesitancy, in this write up we will keep ourselves limited to discussion on vaccine confidence. Vaccine confidence implies “trust in the vaccine (the product), trust in the vaccinator or other health professional (the provider), and trust in those who make the decisions about vaccine provision (the policy-maker).” It is the trust of the public not only on the vaccine itself but also the healthcare workers and the government that leads to vaccine confidence.

https://doi.org/10.35845/kmuj.2019.19318
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References

The Strategic Advisory Group of Experts (SAGE). (2014). Report of the SAGE working group on vaccine hesitancy. SAGE REPORT. [Cited on May 03, 2019]. Available from URL https://www.who.int/immunization/sage/meetings/2014/october/SAGE_working_group_revised_report_vaccine_hesitancy.pdf?ua=1

Cooper LZ, Larson HJ, Katz SL. Protecting public trust in immunization. Pediatrics 2008 Jul 1;122(1):149-53. DOI: 10.1542/peds.2008-0987

Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. ). Addressing the vaccine confidence gap. Lancet. 2011 Aug 6;378(9790):526-35. DOI: 10.1016/S0140-6736(11)60678-8. Epub 2011 Jun 12.

Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, et al. Measuring vaccine hesitancy: The development of a survey tool. Vaccine. Vaccine 2015 Aug 14;33(34):4165-75. DOI: 10.1016/j.vaccine.2015.04.037. Epub 2015 Apr 18.

MacDonald NE1; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine 2015 Aug 14;33(34):4161-4. DOI:10.1016/j.vaccine.2015.04.036. Epub 2015 Apr 17

Larson HJ, Schulz WS, Tucker JD, Smith DM. Measuring vaccine confidence: introducing a global vaccine confidence index. PLoS Curr 2015 Feb 25;7. pii:ecurrents.outbreaks.ce0f6177bc97332602a8e3fe7d7f7cc4. DOI:10.1371/currents.outbreaks.ce0f6177bc97332602a8e3fe7d7f7cc4.

Endpolio Pakistan. Polio cases district wise | polio cases in Pakistan. [Cited on May 03, 2019]. Available from URL: http://www.endpolio.com.pk/polioin-pakistan/polio-cases-district-wise-2019

The Express Tribune. Health unit set on fire in protest sparked by polio vaccine in Peshawar. [Cited on May 03, 2019].. Available from URL: https://tribune.com.pk/story/1956381/1-polio-vaccination-drive-peshawar-triggers-controversy/

Paterson P, Meurice F, Stanberry LR, Glismann S, Rosenthal SL, Larson HJ. Vaccine hesitancy and healthcare providers. Vaccine. 2016 Dec 20;34(52):6700-6706. DOI:10.1016/j.vaccine.2016.10.042. Epub 2016 Oct 31.

Duclos P, Martinez L, MacDonald N, Asturias E, Nohynek H, Lambert PH, et al. Global vaccinology training: Report from an ADVAC workshop. Vaccine. 2019 May 16;37(22):2871-2881. DOI: 10.1016/j.vaccine.2019.02.062. Epub 2019 Mar 18.

Gerke C, Phalipon A, Tangy F. Bringing vaccinology to the world. Hum Vaccin Immunother 2018;14(9):2105-6. DOI: 10.1080/21645515.2018.1490379. Epub 2018 Jul 26

Lambert PH, Podda A. Education in Vaccinology: An Important Tool for Strengthening Global Health. Front Immunol 2018 May 24;9:1134. DOI: 10.3389/fimmu.2018.01134. eCollection 2018.

O’Brien J. Advancing vaccinology in India. Expert Rev Vaccines 2012 Jan;11(1):27-9. DOI: 10.1586/erv.11.169

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