| 1. |
- Amour, Maryam A., et al.
(författare)
-
Determinants of COVID-19 Vaccine Uptake and Hesitancy among Healthcare Workers in Tanzania : A Mixed-Methods Study
- 2023
-
Ingår i: COVID. - : MDPI. - 2673-8112. ; 3:5, s. 777-791
-
Tidskriftsartikel (refereegranskat)abstract
- The novel Coronavirus disease 2019 (COVID-19) presents a major threat to public health but can be prevented by safe and effective COVID-19 vaccines. Vaccine acceptance among healthcare workers (HCWs) is essential to promote uptake. This study, aimed to determine the COVID-19 vaccination uptake and hesitancy and its associated factors among HCWs in Tanzania. We employed a convergent-parallel mixed-methods design among 1368 HCWs across health facilities in seven geographical zones in Tanzania in 2021. We collected quantitative data by using an interviewer-administered questionnaire and qualitative data, using in-depth interviews and focus group discussions. Participants in the quantitative aspect were conveniently selected whereas those in the qualitative aspect were purposively selected based on their role in patient care, management, and vaccine provision. Stata software version 16.1 was used in the analysis of quantitative data and thematic analysis for the qualitative data. Multiple logistic regression was used to assess the determinants of COVID-19 vaccine uptake. The median age of 1368 HCWs was 33, and the interquartile range was 28-43 years; 65.6% were aged 30+ years, and 60.1% were females. Over half (53.4%) of all HCWs received the COVID-19 vaccine, 33.6% completely refused, and 13% chose to wait. HCWs aged 40+ years, from lower-level facilities (district hospitals and health centers), who worked 6+ years, and with perceived high/very high risk of COVID-19 infection had significantly higher odds of vaccine uptake. The qualitative data revealed misinformation and inadequate knowledge about COVID-19 vaccine safety and efficacy as the key barriers to uptake. Nearly half of all HCWs in Tanzania are still unvaccinated against COVID-19. The predominance of contextual influence on COVID-19 vaccine uptake calls for interventions to focus on addressing contextual determinants, focusing on younger HCWs' population, short working duration, those working at different facility levels, and providing adequate vaccine knowledge.
|
|
| 2. |
- Jagers, Sverker C., 1967, et al.
(författare)
-
Trust, corruption, and compliance with regulations: Attitudes to rule violations in the Great Limpopo Transfrontier Park
- 2021
-
Ingår i: Social Science Quarterly. - : Wiley. - 0038-4941 .- 1540-6237. ; 102:6, s. 2661-2675
-
Tidskriftsartikel (refereegranskat)abstract
- Objective While trust is proposed as a key concept to understand people's compliance in natural resource governance, research would benefit from being more precise. Our aim is to test whether more specific survey measures of people's tendency to violate rules and the degree to which law enforcing rangers are seen as corrupt trumps more commonly used items on intra-personal trust and trust in institutions. Methods We analyze an original survey of residents within the boundaries of the Great Limpopo Park, straddling Mozambique, South Africa, and Zimbabwe. Results While general trust items predict compliance intentions in a first model, these effects largely disappear when we introduce more specific measures. We find consistent negative effects from perceived corruption among rangers. We also report negative effects from perceptions of other people's noncompliant behavior. Conclusion Compliance to natural resource regulations hinges on specific perceptions of how rule enforcing agents and other resource users act.
|
|
| 3. |
- Mgongo, Melina Bernard, et al.
(författare)
-
A Qualitative Study on Barriers to COVID-19 Vaccine Uptake among Community Members in Tanzania
- 2023
-
Ingår i: Vaccines. - 2076-393X. ; 11:8, s. 1-13
-
Tidskriftsartikel (refereegranskat)abstract
- The use of vaccines is one of the key tools in reversing the COVID-19 pandemic; however, various reports reported the low uptake of the vaccines. This study explored the barriers to the COVID-19 vaccine uptake among community members in Tanzania. A qualitative explorative study was conducted in December 2021 and April 2022 in eight regions of Tanzania. Focus group discussions (FGDs) and in-depth interviews (IDIs) were the methods of data collection. A total of 48 FGDs and 32 IDIs were conducted. Participants were aware of the COVID-19 disease and vaccines. The barriers to the COVID-19 vaccine non-uptake included receiving contradicting statements from top government leaders, vaccine preceded the education, myths towards vaccines, the presence of different types of vaccines, the process of getting the vaccine, the influence of social media and random people from the community, and vaccine conflicting religious beliefs. Despite being aware of the vaccine, the uptake of the COVID-19 vaccine is still low. Interventions that focus on increasing community knowledge about COVID-19 vaccines and addressing myths about the vaccines are needed.
|
|
| 4. |
- Msuya, Sia E, et al.
(författare)
-
COVID-19 Vaccine Uptake and Associated Factors in Sub-Saharan Africa : Evidence from a Community-Based Survey in Tanzania
- 2023
-
Ingår i: Vaccines. - : MDPI AG. - 2076-393X. ; 11:2, s. 1-13
-
Tidskriftsartikel (refereegranskat)abstract
- COVID-19 is a major public health threat associated with the increased global burden of infectious diseases, mortality, and enormous economic loss to countries and communities. Safe and efficacious COVID-19 vaccines are crucial in halting the pandemic. We assessed the COVID-19 vaccine uptake and associated factors among community members from eight regions in Tanzania. The interviewer-administered questionnaire collected data. Multiple logistic regression models determined the factors associated with vaccine uptake. The median age of 3470 respondents was 37 years (interquartile range of 29-50 years) and 66% of them were females. Only 18% of them had received the COVID-19 vaccine, ranging from 8% in Dar es Salaam to 37% in Simiyu regions. A third (34%) of those vaccinated people did not know which vaccine they were given. Significantly higher rates of COVID-19 vaccine uptake were among the respondents aged 30+ years, males, and with a history of COVID-19 infection. Unfavorable perceptions about vaccine safety and efficacy lowered the rates of vaccine uptake. Setting-specific interventions and innovations are critical to improving vaccine uptake, given the observed differences between regions. Efforts are needed to increase vaccine uptake among women and younger people aged less than 30 years. Knowledge-based interventions should enhance the understanding of the available vaccines, benefits, target groups, and availability.
|
|
| 5. |
- Mtei, Monica, et al.
(författare)
-
Confidence in COVID-19 vaccine effectiveness and safety and its effect on vaccine uptake in Tanzania : A community-based cross-sectional study
- 2023
-
Ingår i: Human Vaccines & Immunotherapeutics. - 2164-5515. ; 19:1, s. 1-8
-
Tidskriftsartikel (refereegranskat)abstract
- COVID-19 is a major public health threat associated with increased disease burden, mortality, and economic loss to countries and communities. Safe and efficacious COVID-19 vaccines are key in halting and reversing the pandemic. Low confidence in vaccines has been one of the factors leading to hesitancy. We aimed to assess the COVID-19 vaccine confidence (safety and effectiveness), associated factors, and its effects on vaccine uptake among general community members in Tanzania. This was a community-based cross-sectional survey conducted from December 2021 to April 2022 in six regions of Tanzania mainland and two regions in Zanzibar. Participants were interviewed using an electronic questionnaire. Multiple logistic regression models estimated odds ratios (ORs) and 95% confidence interval (CI) for factors associated with vaccine confidence. All analyses were performed using SPSS version 25.0. The study enrolled 3470 general Tanzanian community members; their mean age was 40.3 (standard deviation ±14.9) years, and 34% were males. The proportion of COVID-19 vaccine confidence was 54.6%. Geographical region, residence area, COVID-19 disease risk perception, and good knowledge of COVID-19 vaccines were significantly associated with COVID-19 vaccine confidence. Confidence in COVID-19 vaccines was associated with over three times higher odds of vaccine uptake. Confidence in COVID-19 vaccines was low in Tanzania. Innovative community engagement strategies and region-specific interventions are needed to improve comprehensive knowledge and address community perceptions and attitudes toward COVID-19 vaccines.
|
|
| 6. |
- Ntuli, H., et al.
(författare)
-
Factors influencing local communities' perceptions towards conservation of transboundary wildlife resources: the case of the Great Limpopo Trans-frontier Conservation Area
- 2019
-
Ingår i: Biodiversity and Conservation. - : Springer Science and Business Media LLC. - 0960-3115 .- 1572-9710. ; 28:11, s. 2977-3003
-
Tidskriftsartikel (refereegranskat)abstract
- Local communities' perceptions of protected areas are important determinants of the success of conservation efforts in Southern Africa, as these perceptions affect people's attitudes and behaviour with respect to conservation. As a result, the involvement of local communities in transboundary wildlife conservation is now viewed as an integral part of regional development initiatives. Building on unique survey data and applying regression analysis, this paper investigates the determinants of the perceptions of local communities around the Great Limpopo Trans-frontier Conservation Area in Zimbabwe and South Africa. Our results illustrate that people perceiving the park as well-managed tend to have more positive perceptions regarding the benefits from the park, rules governing the park, and wildlife conservation in general. Household expertise on resource extraction, in turn, tends to make people more likely to perceive environmental crime as morally acceptable. Furthermore, the results indicate that if people perceive the rules of the park in a negative way, then they are less likely to conserve wildlife. Receiving benefits from the park has a positive impact on people's perceptions of the rules governing the park, as well as on their perception of wildlife conservation in general, but not on perceptions about environmental crime. Surprisingly, perceived high levels of corruption is positively associated with people's perception of wildlife benefits and with perceptions of that environmental crime is morally justified. There is also evidence of the role of socioeconomic variables on people's perceptions towards wildlife. However, unobservable contextual factors could be responsible for explaining part of the variation in people's perceptions. Our results speak to the literature on large-scale collective action since perceptions of wildlife benefits, corruption, environmental crime, park management and rules governing the parks, all affect local communities' ability and willingness to self organize. These variables are interesting because they can be influenced by policy through training and awareness campaigns.
|
|
| 7. |
- Sjöstedt, Martin, 1977, et al.
(författare)
-
Governance through community policing: What makes citizens report poaching of wildlife to state officials?
- 2022
-
Ingår i: World Development. - : Elsevier BV. - 0305-750X. ; 160
-
Tidskriftsartikel (refereegranskat)abstract
- Conservation rules - e.g. protected area regulations that aim to reduce wildlife poaching - often have an inherent challenge: while relying on that locals should share intelligence about observed crime to author-ities, such rules tend to be weakly supported by these communities. Enforcement officials of conservation authorities (such as rangers) are seldom trusted, and this in turn raises doubts about whether locals will provide sufficient information about conservation crime, which is not the least needed in all those set-tings where a small number of rangers are tasked to monitor vast areas. The case of wildlife poaching in African countries illustrates this tension, where rangers are few, sometimes have a dubious record, and where offenders often are on good terms with locals. This article asks: Why do some locals choose to assist rangers and report on poachers, while others refrain from doing so? We conducted a survey in the years 2017-2018 directed towards 2300 residents in and near the Great Limpopo Transfrontier Park in Mozambique, South Africa, and Zimbabwe, where a major challenge is both subsistence and com-mercial forms of poaching. Our focus was primarily on subsistent poaching. We also conducted in-depth interviews with rangers and park officials to corroborate that our quantitative insights point to the same description of the situation. Our survey demonstrates that people that are afraid of rangers and perceive them as corruptible are less willing to assist in information-sharing. Seeing poaching as condemnable increases people's propensity to report on illegal activities. In contrast, individuals' stakes in conservation and perceptions of wildlife as threatened do not predict our outcome. Our findings suggest that to achieve a more thorough involvement of locals in the enforcement of conservation laws, policy needs to change how communities perceive both officials and rules.(c) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
|
|
