Journal article
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
Background: Respiratory syncytial virus (RSV) is a leading cause of acute lower respiratory infections globally, with most RSV-related deaths occurring in infants < 6 months of age. The highest burden of RSV is in low-and-middle income countries, and in sub-Saharan Africa, RSV may be responsible for almost half of all hospital admissions with severe or very severe pneumonia among infants under 1 year. There is a maternal RSV vaccine on the horizon. Our study objective was to better understand how lessons learned from the COVID-19 vaccine experience rollout among pregnant and lactating people in Kenya could inform future maternal RSV vaccine rollout.
Methods: This qualitative study interviewed 16 healthcare providers including doctors, nurses, midwives, community health workers, and vaccinators. Participants were recruited from two counties in Kenya and included healthcare providers that served diverse communities. A grounded theory approach was used to analyze the data.
Results: As healthcare providers interviewed were instrumental in COVID-19 vaccine rollout among pregnant women in Kenya, they provided lessons learned from the COVID-19 vaccine experience to inform future maternal RSV vaccine rollout. Community sensitization emerged as the most critical lesson learned, including communication, mobilization, and education. Using communication to ensure community awareness of RSV, community awareness of RSV harms and benefits of RSV maternal vaccines, and providing up-to-date, clear information about maternal RSV vaccines emerged as lessons. Related to mobilization, participants identified the need for healthcare providers and community leaders to gain the trust of communities, and the importance of routinizing the vaccine. Finally, for education, participants outlined critical questions patients would have about a maternal RSV vaccine, including those related to vaccine safety concerns, duration of protection, and vaccine dosing.
Conclusions: This is one of the first studies that has examined how lessons learned from the COVID-19 vaccine rollout for pregnant and lactating women can inform the rollout of future maternal vaccines, including an RSV maternal vaccine. As healthcare providers are directly involved in vaccine rollout, their perspectives are crucial for successful vaccine acceptance.
Languages
- English
Publication year
2024
Journal
BMC Pregnancy and Childbirth
Type
Journal article
Categories
- Global initiatives
Diseases
- COVID-19
Countries
- Kenya
Tags
- Demand
WHO Regions
- African Region
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 |