PDF(Pubmed)
Abstract：
UNASSIGNED: Vaccination was a key measure in the COVID-19 pandemic response, though much work was needed to promote vaccine uptake and acceptance. In Kenya, Community Health Volunteers (CHVs) played a key role in vaccine education and promotion. We conducted this study to explore CHVs\' experiences of implementing COVID-19 vaccine education and promotion during the pandemic to increase COVID-19 vaccine uptake in two areas of Kenya.
UNASSIGNED: In a qualitative descriptive study, we conducted 30 structured in-depth interviews with 20 CHVs and 10 Community Health Assistants from rural Kilifi County and Kangemi, an urban informal settlement of Nairobi County in Kenya between April 2022 and July 2022.
UNASSIGNED: Thematic analysis generated five key themes in relation to CHVs\' experiences of implementing COVID-19 vaccine education and promotion: Five key themes emerged regarding CHVs\' experiences of implementing COVID-19 vaccine education and promotion: (1) vaccine preferences influenced acceptance, (2) the fear of side effects was a barrier, (3) misinformation was widespread (4) lack of trust in government and politicization of vaccines was a barrier, and (5) CHVs\' efforts were a facilitator to increased uptake.
UNASSIGNED: Extensive community outreach from CHVs contributed to the high uptake of primary vaccines and boosters during the COVID-19 pandemic. CHVs acting as role models by receiving vaccinations first was particularly important in influencing communities to accept vaccinations. Findings provide evidence for prioritizing CHVs in the planning and implementation of future vaccination initiatives in Kenya and other countries.
UNASSIGNED: In a qualitative descriptive study, we conducted 30 structured in-depth interviews with 20 CHVs and 10 Community Health Assistants from rural Kilifi County and Kangemi, an urban informal settlement of Nairobi County in Kenya between April 2022 and July 2022.
UNASSIGNED: Thematic analysis generated five key themes in relation to CHVs\' experiences of implementing COVID-19 vaccine education and promotion: Five key themes emerged regarding CHVs\' experiences of implementing COVID-19 vaccine education and promotion: (1) vaccine preferences influenced acceptance, (2) the fear of side effects was a barrier, (3) misinformation was widespread (4) lack of trust in government and politicization of vaccines was a barrier, and (5) CHVs\' efforts were a facilitator to increased uptake.
UNASSIGNED: Extensive community outreach from CHVs contributed to the high uptake of primary vaccines and boosters during the COVID-19 pandemic. CHVs acting as role models by receiving vaccinations first was particularly important in influencing communities to accept vaccinations. Findings provide evidence for prioritizing CHVs in the planning and implementation of future vaccination initiatives in Kenya and other countries.
摘要：
■疫苗接种是COVID-19大流行应对的关键措施，尽管需要做很多工作来促进疫苗的吸收和接受。在肯尼亚,社区卫生志愿者（CHV）在疫苗教育和推广中发挥了关键作用。我们进行了这项研究，以探索在大流行期间实施COVID-19疫苗教育和推广的CHV经验，以增加肯尼亚两个地区的COVID-19疫苗摄入量。
■在一项定性的描述性研究中，我们对来自基利菲县和Kangemi农村的20名CHV和10名社区卫生助理进行了30次结构化深度访谈，2022年4月至2022年7月之间肯尼亚内罗毕县的城市非正式定居点。
■主题分析产生了与CHV实施COVID-19疫苗教育和推广经验相关的五个关键主题：关于CHV实施COVID-19疫苗教育和推广经验的五个关键主题：（1）疫苗偏好影响接受度，（2）对副作用的恐惧是一个障碍，（3）错误信息普遍存在（4）对政府缺乏信任，疫苗政治化是一个障碍，（5）CHV的努力是增加摄取的促进因素。
在COVID-19大流行期间，来自CHV的广泛社区外展促成了初级疫苗和助推器的高摄取。CHV首先通过接种疫苗充当榜样，在影响社区接受疫苗接种方面尤为重要。研究结果为肯尼亚和其他国家在规划和实施未来疫苗接种计划中优先考虑CHV提供了证据。
■在一项定性的描述性研究中，我们对来自基利菲县和Kangemi农村的20名CHV和10名社区卫生助理进行了30次结构化深度访谈，2022年4月至2022年7月之间肯尼亚内罗毕县的城市非正式定居点。
■主题分析产生了与CHV实施COVID-19疫苗教育和推广经验相关的五个关键主题：关于CHV实施COVID-19疫苗教育和推广经验的五个关键主题：（1）疫苗偏好影响接受度，（2）对副作用的恐惧是一个障碍，（3）错误信息普遍存在（4）对政府缺乏信任，疫苗政治化是一个障碍，（5）CHV的努力是增加摄取的促进因素。
在COVID-19大流行期间，来自CHV的广泛社区外展促成了初级疫苗和助推器的高摄取。CHV首先通过接种疫苗充当榜样，在影响社区接受疫苗接种方面尤为重要。研究结果为肯尼亚和其他国家在规划和实施未来疫苗接种计划中优先考虑CHV提供了证据。
