학술논문

Vaccine hesitancy and equity: lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia.
Document Type
Article
Source
Globalization & Health. 2/6/2024, Vol. 20 Issue 1, p1-16. 16p.
Subject
*VACCINE refusal
*VACCINE hesitancy
*PREVENTIVE health services
*COVID-19 pandemic
*MEDICAL personnel
*VACCINATION coverage
*ANTI-vaccination movement
Language
ISSN
1744-8603
Abstract
Introduction: Indonesia has made progress in increasing vaccine coverage, but equitable access remains challenging, especially in remote areas. Despite including vaccines in the National Immunization Program (NIP), coverage has not met WHO and UNICEF targets, with childhood immunization decreasing during the COVID-19 pandemic. COVID-19 vaccination has also experienced hesitancy, slowing efforts to end the pandemic. Scope: This article addresses the issue of vaccine hesitancy and its impact on vaccination initiatives amidst the COVID-19 pandemic. This article utilizes the vaccine hesitancy framework to analyze previous outbreaks of vaccine-preventable diseases and their underlying causes, ultimately providing recommendations for addressing the current situation. The analysis considers the differences between the pre-pandemic circumstances and the present and considers the implementation of basic and advanced strategies. Key findings and conclusion: Vaccine hesitancy is a significant challenge in the COVID-19 pandemic, and public health campaigns and community engagement efforts are needed to promote vaccine acceptance and uptake. Efforts to address vaccine hesitancy promote trust in healthcare systems and increase the likelihood of individuals seeking preventive health services. Vaccine hesitancy requires a comprehensive, culturally sensitive approach that considers local contexts and realities. Strategies should be tailored to specific cultural and societal contexts and monitored and evaluated. Highlights: Vaccine hesitancy is a complex issue influenced by various factors, including a lack of trust in vaccines, misinformation, cultural beliefs, and past negative vaccine experiences. The hesitancy to get vaccinated could lead to low vaccination coverage and slow eradication of vaccine-preventable diseases. It is crucial to understand the specific drivers of each country and population to overcome vaccine hesitancy. Collaborating with community or religious leaders, healthcare providers, and influencers could increase people's awareness and gain trust, which can help reduce vaccine hesitancy. The issue of vaccine hesitancy and vaccine inequity are closely related, with the potential to significantly influence each other. [ABSTRACT FROM AUTHOR]