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Hesitation and Refusal Factors in Individuals' Decision-Making Processes Regarding a Coronavirus Disease 2019 Vaccination

Cerda A. A., Garcia L. Y. (2021) C2

Introduction: Considering the global prevalence of coronavirus disease 2019 (COVID-19), a vaccine is being developed to control the disease as a complementary solution to hygiene measures—and better, in social terms, than ... social distancing. Given that a vaccine will eventually be produced, information will be needed to support a potential campaign to promote vaccination. Objective: The aim of this study was to determine the variables affecting the likelihood of refusal and indecision toward a vaccine against COVID-19 and to determine the acceptance of the vaccine for different scenarios of effectiveness and side effects. Materials and Methods: A multinomial logistic regression method based on the Health Belief Model was used to estimate the current methodology, using data obtained by an online anonymous survey of 370 respondents in Chile. Results: The results indicate that 49% of respondents were willing to be vaccinated, with 28% undecided or 77% of individuals who would potentially be willing to be inoculated. The main variables that explained the probability of rejection or indecision were associated with the severity of COVID-19, such as, the side effects and effectiveness of the vaccine; perceived benefits, including immunity, decreased fear of contagion, and the protection of oneself and the environment; action signals, such as, responses from ones' family and the government, available information, and specialists' recommendations; and susceptibility, including the contagion rate per 1,000 inhabitants and relatives with COVID-19, among others. Our analysis of hypothetical vaccine scenarios revealed that individuals preferred less risky vaccines in terms of fewer side effects, rather than effectiveness. Additionally, the variables that explained the indecision toward or rejection of a potential COVID-19 vaccine could be used in designing public health policies. Conclusions: We discovered that it is necessary to formulate specific, differentiated vaccination-promotion strategies for the anti-vaccine and undecided groups based on the factors that explain the probability of individuals refusing or expressing hesitation toward vaccination. more

South Africa Emergency Appeal for the Impact of Covid-19

UNCT South Africa (2020) C2

South Africa reported it fist case of COVID-19 on 5 March 2020. While the first cases were imported, local transmission has led to a rapid increase in the number of cases. As of 21 April 2020, more than 3,400 cases and 58 deaths had been confirmed. On 15 March, President Cyril Ramaphosa declared a n ... more

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Effective Implementation of Public Health and Social Measures in Tanzania: Situational Analysis

WHO; Africa CDC; World Economic Forum et al. PERC (2020) C_WHO

PERC produces regional and member state situation analyses, updated regularly.

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Protection Response Under the Restrictions of COVID-19

INTERSOS (2020) C1

COVID-19 pandemic has taken the entire world by surprise, creating the greatest global catastrophe since WWII, impacting all spheres of our societies, including health, economy, social protection, as well as security, and human rights. The virus aff ... more

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لمكافحة الأمراض والوقاية منها ] Africa CDC [ بشأن التباعد البدني، الدعم الاجتماعي التباعد البدني المجتمعي خلال جائحة مرض فيروس كورونا المستجد ] ]COVID-19 دليل المراكز الأفريقية

African Union, Africa CDC (2020) C_CDC

This guidance document addresses how physical distancing (referred to in previous guidance documents as ‘social distancing’) can help slow down ... more

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Resilience in a Riskier World: Managing Systemic Risks from Biological and Other Natural Hazards - Asia-Pacific Disaster Report 2021

UN Economic and Social Commission for Asia and the Pacific (2021) C1

Since the start of the pandemic, the region has been hit by multiple natural and biological disasters. At the same time, climate change has continued to warm the world, exacerbating the impacts of many of these disasters. The *Asia-Pacific Disaster Report 2021, *also launched today, shows that the p ... more

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Guidance on easing lockdown

Africa CDC Centers for Disease Control and Prevention (2020) CC

In response to the first cases of coronavirus disease 2019 (COVID-19) reported on the continent, many African Union Member States implemented large-scale public health and social measures (PHSM) rapidly. These measures were aimed at reducing transmi ... more

Safe Eid al Adha practices in the context of COVID-19: Interim guidance

World Health Organization WHO (2021) C_WHO

13 July 2021. Eid al Adha is a festival during which Muslim families and friends unite to pray together and give alms, especially in the form of sacrificed animal meat. In light of the COVID-19 pandemic, this document highlights public health advice for so ... more

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Emergency Appeal - Kenya April - September 2020

UN Office for the Coordination of Humanitarian Affairs; Humanitarian Response et al. (2020) C2

Kenya reported its first case of COVID-19 on 12 March 2020 and, as at 7 April 2020, 172 cases had been confirmed and 6 deaths reported. The Government of Kenya has taken a number of measures to curb the spread of the virus, including implementing a curfew, restricting movement out and into four coun ... more

COVID 19 Vaccine Perceptions: A 15 country study
recommended

African Union; Africa CDC Centres for Disease Control and Prevention; World Health Organization WHO, et al. (2021) CC

Initial public health responses to control the pandemic focused on promoting protective behaviors among the general population, including frequent hand washing, physical distancing and the use of face masks in public spaces However, many saw these o ... more

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Online micro learning activities on non-pharmaceutical countermeasures in relation to COVID-19

European Centre for Disease Prevention and Control ECDC (2020) C1

ECDC is now offering a series of micro learning activities related to COVID-19 (the disease causing the 2019 novel coronavirus outbreak). The e-learning activities are available in the ECDC Virtual Academy (EVA). https://eva.ecdc.europa.eu/mod/scorm/view.php?id=9691 The short e-learning activitie ... more

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Rooted in Trust: Rumor Bulletins – Lebanon

Internews (2021) CC

Internews and Maharat collected and analyzed 433 rumors about COVID-19 circulating on social media between January 5, 2021and January 31, 2021. This bulletin highlights community perceptions and criticisms about different topics

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COVID-19 in Africa

The Center For Disease Dynamics, Economics & Policy (2020) CC

The purpose of this work is to estimate potential COVID-19 case burdens in each African nation considering various social distancing interventions. Given current trends in case burden, the model est ... more

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UNFPA Global Technical Brief - Implications of COVID-19 for Older Persons: Responding to the Pandemic

reliefweb; UNFPA (2020) C2

This technical brief was developed by the UNFPA Global Ageing Network to complement the UN Department of Economic and Social Affairs' (UN DESA) Issue Brief: Older Persons and COVID-19, which emphasized the humanitarian imperative of addressing older ... more

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A Technical Brief for Breakthrough ACTION Field Teams – COVID-19 rumor tracking

Breathrough Action - For social and behavior change USAID (2020) C2

This is a short technical brief with important steps and resources on how country programs can track and address rumors around COVID-19 (as needed). The guide includes a number of great resources and links while also sharing nuggets from global, collective thinking around rumors.

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Gender and COVID-19

World Health Organisation (2020) C_WHO

Pandemics and outbreaks have differential impacts on women and men. From risk of exposure and biological susceptibility to infection to the social and economic implications, individuals’ experiences are likely to vary according to ... more

National Ebola Response Strategy "Scaling up to the challenge"

Ministry of Health and Social Welfare, Liberia (2014)

Checklist to support schools re-opening and preparation for COVID-19 resurgences or similar public health crises
recommended

World Health Organization WHO (2020) C_WHO

The checklist is aligned with, and builds upon, existing COVID-19-related WHO guidelines and is structured around protective measures related to: 1) hand hygiene and respiratory etiquette; 2) physical distancing; 3) use of masks in schools; 4) envir ... more

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In Control: A Practical Handbook for Professionals Working in Health Emergencies Internationally RKI

Robert Koch Institut RKI (2023) CC

The greatest risk to persons engaging in international medical emergency response is poor preparation. The In Control handbook hopes to provide a remedy. At the time of writing, we are living through the Coronavirus (COVID-19) pandemic, a health emergency that disregards physical borders, brin ... gs into focus social inequalities and affects people on every continent. This shared challenge requires unprecedented measures and the collaboration of the brightest minds to support global health protection through this crisis and beyond. Healthcare infrastructures have to be strengthened, public health capacities and processes upgraded, medical countermeasures and vaccinations found and psychosocial side-effects treated. Solidarity is the normative order of the day and the human species has to collaborate to face this invisible threat. Hiding and living in fear is not an option in this interconnected world. We have both a responsibility and an opportunity to make substantial contributions to a safer, healthier and more sustainable future for us all. The existence of this handbook is an impressive example of solidarity. Over 50 authors from more than 15 institutes and organisations have come together voluntarily within a very short time to make their expertise available and enable cross-sectoral thinking. Knowledge is bundled, resources are combined, information gaps are filled. The In Control handbook is not a theoretical treatise of possible dangers, but a collection of subject-matter expertise, written by experts and practitioners who have shaped health topics over the past 20 years in the most diverse corners of the world. The Centre for International Health Protection at the Robert Koch Institute (RKI) is collaborating with its partners and investing heavily in the build-up of operational know-how and capacity to support health crisis response abroad. This is done by preparing and enabling professionals to deploy safely across the world to assist those in need. In Control addresses the multi-faceted challenges of an international deployment. Readers will find not only technical medical information, but also insights into, for example, the fragility of our environment, the cultural differences that influence risk communication or the dilemmas arising from social distancing. Legal principles are highlighted, along with ethical guidance to ensure that our actions and decisions correspond to the highest moral standards. more

Responding to the Second Wave of COVID-19 in Africa
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2020) CC

In an effort to limit transmission and achieve pandemic control on the continent, Africa CDC is proposing the following measures to be taken by all Member States: Remain vigilant Countries should adapt or adopt best practices, strategies, guidelines and recommendations proposed by the Africa CDC ... more

COVID 19 Vaccine Perceptions: A 15 country study recommended

Checklist to support schools re-opening and preparation for COVID-19 resurgences or similar public health crises recommended

Responding to the Second Wave of COVID-19 in Africa recommended

COVID 19 Vaccine Perceptions: A 15 country study
recommended

Checklist to support schools re-opening and preparation for COVID-19 resurgences or similar public health crises
recommended

Responding to the Second Wave of COVID-19 in Africa
recommended