Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Reducing Barriers to COVID-19 Vaccination Uptake: Community Ideas From Urban And Rural Kenya

Version 1 : Received: 22 August 2023 / Approved: 23 August 2023 / Online: 24 August 2023 (03:35:18 CEST)

A peer-reviewed article of this Preprint also exists.

Al-Aghbari, A.A.; Naanyu, V.; Luchters, S.; Irungu, E.; Baalawy, K.; Bärnighausen, T.; Mauti, J. Reducing Barriers to COVID-19 Vaccination Uptake: Community Ideas from Urban and Rural Kenya. Int. J. Environ. Res. Public Health 2023, 20, 7093. Al-Aghbari, A.A.; Naanyu, V.; Luchters, S.; Irungu, E.; Baalawy, K.; Bärnighausen, T.; Mauti, J. Reducing Barriers to COVID-19 Vaccination Uptake: Community Ideas from Urban and Rural Kenya. Int. J. Environ. Res. Public Health 2023, 20, 7093.

Abstract

Ever since the tremendous success of the rapid vaccine development against COVID‑19, its availa-bility, distribution, and deployment have been a significant concern; however, evidence suggests that vaccine hesitancy has become a greater problem. Therefore, trust in vaccines is crucial and critically dependent on regimes' ability to communicate the benefits of immunization. This study investigated ideas on ways to reduce barriers to COVID-19 vaccination uptake. It explores methods to overcome COVID-19 vaccine barriers through qualitative research: interviews and group discussions involving healthcare providers, administration personnel, teachers, and individuals with chronic conditions across urban (Mombasa) and rural (Kilifi) Kenya. Audio-recorded discussions were transcribed and thematically analyzed across locations. Five themes emerged in our results regarding how to reduce barriers to the COVID vaccine in the context of Kenya, including awareness campaigns, engaging diverse stakeholders, using various communication techniques, capacity building to increase vac-cination centers and trained staff, and lastly, revising relevant government health policies and guidelines. These results indicate the importance of adopting multiple approaches, as no single strategy could boost vaccine acceptance. Moreover, this study provides recommendations for con-ceiving actionable interventions to potentially boost vaccine demand and maintain routine immun-ization in Kenya.

Keywords

COVID-19; Vaccine uptake; reduction of barriers to vaccination; health misinformation; vaccine hesitancy; Kenya

Subject

Public Health and Healthcare, Health Policy and Services

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