Journal article
A socio-ecological exploration to identify factors influencing the COVID-19 vaccine decision-making process among pregnant and lactating women: Findings from Kenya
The vaccine decision-making process of pregnant and lactating women is complex. Regarding COVID-19, pregnant women are at increased risk for severe disease and poor health outcomes. While pregnant and lactating women were excluded from COVID-19 vaccine trials, available evidence suggests that COVID-19 vaccines are safe and protective during pregnancy. In this study, we used a socio-ecological approach to explore factors influencing the decision-making process for COVID-19 vaccines in pregnant and lactating women in Kenya, for the purpose of informing demand generation strategies. As pregnant and lactating women are influenced by many factors, we conducted 84 in-depth interviews with a variety of stakeholders, including 31 pregnant or lactating women, 20 healthcare workers such as nurses, midwives, doctors, and frontline workers, 25 male family members of pregnant or lactating women, and 8 gatekeepers such as community leaders and faith-based leaders. These individuals were recruited from six communities in Kenya: three urban, and three rural. We applied a grounded theory approach to identify emerging themes and organized emerging themes using the SAGE Vaccine Hesitancy model, which includes three categories of determinants of vaccine acceptance, including contextual influences, individual and group influences, and vaccine and vaccination specific issues. Myths, interpersonal norms, and religion emerged as themes related to contextual influences. Safety, risk perception, and the role of the healthcare worker emerged as themes related to individual and group influences. For vaccine and vaccination specific issues, emerging themes included availability, accessibility, and eligibility. While maternal immunization can substantially reduce the effect of infectious diseases in mothers and infants, vaccine acceptance is critical. However, vaccines do not save lives; vaccination does. We hope the results of this study can be used to tailor communication efforts to increase vaccine demand among pregnant and lactating women.
Authors
Languages
- English
Publication year
2022
Type
Journal article
Categories
- Global initiatives
Topic references
MIRI-DEMAND
Title | Author | Year | Type | Language |
---|---|---|---|---|
“Why has this new vaccine come and for what reasons?” key antecedents and questions for acceptance of a future maternal GBS vaccine: Perspectives of pregnant women, lactating women, and community members in Kenya | Rupali J. Limaye, Prachi Singh, Berhaun Fesshaye, Clarice Lee, Jessica Schue, Ruth A. Karron | 2024 | Journal article | English |
A qualitative inquiry in understanding trusted media sources to reduce vaccine hesitancy among Kenyans | Berhaun Fesshaye, Clarice Lee, Alicia M. Paul, Eleonor Zavala, Prachi Singh, Ruth A. Karron, Rupali J. Limaye | 2023 | Journal article | English |
A socio-ecological comparison of the COVID-19 vaccine decision- making processes among pregnant and lactating women: Findings from Kenya and Bangladesh | Prachi Singh, Berhaun Fesshaye, Eleonor Zavala, Clarice Lee, Ruth A. Karron, Rupali J. Limaye | 2023 | Poster/infographic | English |
A socio-ecological exploration to identify factors influencing the COVID-19 vaccine decision-making process among pregnant and lactating women: Findings from Kenya | Rupali J. Limaye, Alicia M. Paul, Rachel Gur-Arie, Eleonor Zavala, Clarice Lee, Berhaun Fesshaye, Prachi Singh, Wincate Njagi, Paul Odila, Paul Munyao, Rosemary Njogu, Stephen Mutwiwa, Lisa Noguchi, Christopher Morgan, Ruth A. Karron | 2022 | Journal article | English |
Characterizing Attitudes Toward Maternal RSV Vaccines Among Pregnant and Lactating Persons in Kenya: Key Considerations for Demand Generation Efforts for Vaccine Acceptance | Rupali J. Limaye, Molly Sauer, Rosemary Njogu, Prachi Singh, Berhaun Fesshaye, Ruth A. Karron | 2023 | Journal article | English |
Conceptualizing the COVID-19 Pandemic: Perspectives of Pregnant and Lactating Women, Male Community Members, and Health Workers in Kenya | Alicia M. Paul, Clarice Lee, Berhaun Fesshaye, Rachel Gur-Arie, Eleonor Zavala, Prachi Singh, Ruth A Karron, Rupali J. Limaye | 2022 | Journal article | English |
COVID-19 vaccine decision-making among pregnant and lactating women in Bangladesh | Rupali J. Limaye, Prachi Singh, Alicia M. Paul, Berhaun Fesshaye, Clarice Lee, Eleonor Zavala, Sydney Wade, Hasmot Ali, Hafizur Rahman, Shirina Akter, Ruth A. Karron, Towfida Jahan Siddiqua | 2023 | Journal article | English |
COVID-19 vaccine eligibility of pregnant and lactating women in Bangladesh: Gap between policy and policy interpretation among policymakers and healthcare workers | Rupali J. Limaye, Berhaun Fesshaye, Prachi Singh, Eleonor Zavala, Shirina Akter, Towfida Jahan Siddiqua, Hafizur Rahman, Hasmot Ali, Ruth A. Karron | 2023 | Journal article | English |
COVID-19 vaccine preferences for pregnant and lactating women in Bangladesh and Kenya: a qualitative study | Jessica L. Schue, Berhaun Fesshaye, Emily Miller, Prachi Singh, Rupali J. Limaye | 2024 | Journal article | English |
Future GBS vaccines: Perspectives from pregnant and lactating people, healthcare providers, community members, and policymakers in Kenya | Berhaun Fesshaye, Prachi Singh, Molly Sauer, Ruth A. Karron, Rupali J. Limaye | 2023 | Poster/infographic | English |
Lack of clear national policy guidance on COVID-19 vaccines influences behaviors in pregnant and lactating women in Kenya | Eleonor Zavala, Berhaun Fesshaye, Clarice Lee, Stephen Mutwiwa, Wincate Njagi, Paul Munyao, Rosemary Njogu, Rachel Gur-Arie, Alicia M. Paul, Taylor A. Holroyd, Prachi Singh, Ruth A. Karron, Rupali J. Limaye | 2022 | Journal article | English |
Lessons learned from COVID-19 vaccine acceptance among pregnant and lactating women from two districts in Kenya to inform demand generation efforts for future maternal RSV vaccines | Rupali J. Limaye, Prachi Singh, Berhaun Fesshaye, Ruth A. Karron | 2024 | Journal article | English |
Maternal Immunization Decision-Making Among Pregnant and Lactating People in Kenya: A Qualitative Exploration of Peer Influences on Vaccine Decision-Making for a Future RSV Vaccine | Prachi Singh, Berhaun Fesshaye, Clarice Lee, Rosemary N. Njogu, Ruth A. Karron, Rupali J. Liimaye | 2024 | Journal article | English |
Maternal Immunization Readiness Initiative (MIRI) Kenya Results Dissemination | Rupali J. Limaye, Berhaun Fesshaye, Prachi Singh, Emily Miller, Ruth A. Karron | 2023 | Poster/infographic | English |
Maternal Immunization Readiness Initiative (MIRI) Kenya Results Dissemination Day 1 Slides | Rupali J. Limaye, Prachi Singh, Berhaun Fesshaye, Eleonor Zavala, Clarice Lee, Ruth A. Karron | 2023 | Presentation | English |
Maternal Immunization Readiness Initiative (MIRI) Kenya Results Dissemination Day 2 Slides | Rupali J. Limaye, Prachi Singh, Berhaun Fesshaye, Eleonor Zavala, Clarice Lee, Ruth A. Karron | 2023 | Presentation | English |
Maternal Immunization Readiness Initiative (MIRI) Kenya Results Dissemination Day 3 Slides | Rupali J. Limaye, Prachi Singh, Berhaun Fesshaye, Eleonor Zavala, Clarice Lee, Ruth A. Karron | 2023 | Presentation | English |
RSV awareness, risk perception, causes, and terms: Perspectives of pregnant and lactating women in Kenya to inform demand generation efforts for maternal RSV vaccines | Rupali J. Limaye, Berhaun Fesshaye, Prachi Singh, Ruth A. Karron | 2023 | Journal article | English |
Sources of COVID-19 Vaccine Promotion for Pregnant and Lactating Women in Bangladesh | Berhaun Fesshaye, Sydney A. Wade, Clarice Lee, Prachi Singh, Eleonor Zavala, Hasmot Ali, Hafizur Rahman, Towfida Jahan Siddiqua, Shirina Akter, Ruth A. Karron, Rupali J. Limaye | 2023 | Journal article | English |
Understanding Kenyan policymakers’ perspectives about the introduction of new maternal vaccines | Rupali J. Limaye, Berhaun Fesshaye, Prachi Singh, Rose Jalango, Rosemary Njrua Njogu, Emily Miller, Jessica Schue, Molly Sauer, Clarice Lee, Ruth A. Karron | 2024 | Journal article | English |