Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers

In French Guiana, a French overseas territory in South America facing a fourth wave of COVID-19, vaccination coverage is very low, both in the population and among health care workers (HCWs). Vaccine hesitancy concerned 35.7% of the latter in early 2021. The objective of this complementary study is...

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Main Authors: Maylis Douine, Sibylle Granier, Kepha Brureau, Jacques Breton, Céline Michaud, Mélanie Gaillet, Camille Agostini, Mathilde Ballet, Mathieu Nacher, Audrey Valdes, Philippe Abboud, Antoine Adenis, Félix Djossou, Loïc Epelboin, Nicolas Vignier
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/9/11/1216
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author Maylis Douine
Sibylle Granier
Kepha Brureau
Jacques Breton
Céline Michaud
Mélanie Gaillet
Camille Agostini
Mathilde Ballet
Mathieu Nacher
Audrey Valdes
Philippe Abboud
Antoine Adenis
Félix Djossou
Loïc Epelboin
Nicolas Vignier
author_facet Maylis Douine
Sibylle Granier
Kepha Brureau
Jacques Breton
Céline Michaud
Mélanie Gaillet
Camille Agostini
Mathilde Ballet
Mathieu Nacher
Audrey Valdes
Philippe Abboud
Antoine Adenis
Félix Djossou
Loïc Epelboin
Nicolas Vignier
author_sort Maylis Douine
collection DOAJ
description In French Guiana, a French overseas territory in South America facing a fourth wave of COVID-19, vaccination coverage is very low, both in the population and among health care workers (HCWs). Vaccine hesitancy concerned 35.7% of the latter in early 2021. The objective of this complementary study is to understand barriers and levers and to adapt messages to increase vaccination coverage among HCWs. We conducted a regional cross-sectional survey of HCWs with a questionnaire containing open-ended questions exploring factors associated with vaccine hesitancy and the needs to adapt the vaccination campaign in French Guiana. The discourses were analyzed using a qualitative approach based on grounded theory, with open coding of data by themes and construction of abstract categories. The analysis of the 357 responses collected from January to March 2021 reveals several trends. The ethical aspect of the HCWs’ role emphasizes the importance of getting vaccinated themselves (to protect patients, to set an example...) and of vaccinating as many people as possible, including the most geographically or socially distant, such as undocumented migrants. However, some HCWs remain suspicious of the vaccine with concerns over the efficacy and side effects, of health institutions, and of the pharmaceutical industry. The role of fake news circulating on social networks has been widely discussed. Efforts to explain and convince HCWs must be continued in French Guiana using the identified levers to improve the acceptability of vaccination.
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spelling doaj.art-1245c5cf106b45a3a42749d145cb968e2023-11-23T01:51:07ZengMDPI AGVaccines2076-393X2021-10-01911121610.3390/vaccines9111216Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care WorkersMaylis Douine0Sibylle Granier1Kepha Brureau2Jacques Breton3Céline Michaud4Mélanie Gaillet5Camille Agostini6Mathilde Ballet7Mathieu Nacher8Audrey Valdes9Philippe Abboud10Antoine Adenis11Félix Djossou12Loïc Epelboin13Nicolas Vignier14Centre d’Investigation Clinique Antilles Guyane, CIC Inserm 1424, DRISP, Centre Hospitalier de Cayenne, Av des Flamboyants, 97300 Cayenne, FranceCentre d’Investigation Clinique Antilles Guyane, CIC Inserm 1424, DRISP, Centre Hospitalier de Cayenne, Av des Flamboyants, 97300 Cayenne, FranceCentre d’Investigation Clinique Antilles Guyane, CIC Inserm 1424, DRISP, Centre Hospitalier de Cayenne, Av des Flamboyants, 97300 Cayenne, FranceUnion Régionale des Professions de Santé—Médecins Libéraux de Guyane, Av des Flamboyants, 97300 Cayenne, FranceCentres Délocalisés de Prévention et de Soins, Centre Hospitalier de Cayenne Andrée Rosemon, Av des Flamboyants, 97300 Cayenne, FranceCentres Délocalisés de Prévention et de Soins, Centre Hospitalier de Cayenne Andrée Rosemon, Av des Flamboyants, 97300 Cayenne, FranceCentre Hospitalier Ouest Guyanais, Av Paul Castaing, 97320 Saint Laurent du Maroni, FranceAgence Régionale de la Santé de Guyane, Av des Flamboyants, 97300 Cayenne, FranceCentre d’Investigation Clinique Antilles Guyane, CIC Inserm 1424, DRISP, Centre Hospitalier de Cayenne, Av des Flamboyants, 97300 Cayenne, FranceHygiene Department, Centre Hospitalier de Cayenne Andrée Rosemon, Av des Flamboyants, 97300 Cayenne, FranceUnité des Maladies Infectieuses et Tropicales, Centre Hospitalier de Cayenne Andrée Rosemon, 97300 Cayenne, FranceCentre d’Investigation Clinique Antilles Guyane, CIC Inserm 1424, DRISP, Centre Hospitalier de Cayenne, Av des Flamboyants, 97300 Cayenne, FranceTBIP (Tropical Biome and Immuno Physiopathology), U1019-UMR9017-CIIL Centre d’Infection et d’Immunité de Lille, Institut Pasteur de Lille, CNRS, Inserm, Université de Guyane, Campus de Troubiran, 97337 Guyane Française, FranceTBIP (Tropical Biome and Immuno Physiopathology), U1019-UMR9017-CIIL Centre d’Infection et d’Immunité de Lille, Institut Pasteur de Lille, CNRS, Inserm, Université de Guyane, Campus de Troubiran, 97337 Guyane Française, FranceCentre d’Investigation Clinique Antilles Guyane, CIC Inserm 1424, DRISP, Centre Hospitalier de Cayenne, Av des Flamboyants, 97300 Cayenne, FranceIn French Guiana, a French overseas territory in South America facing a fourth wave of COVID-19, vaccination coverage is very low, both in the population and among health care workers (HCWs). Vaccine hesitancy concerned 35.7% of the latter in early 2021. The objective of this complementary study is to understand barriers and levers and to adapt messages to increase vaccination coverage among HCWs. We conducted a regional cross-sectional survey of HCWs with a questionnaire containing open-ended questions exploring factors associated with vaccine hesitancy and the needs to adapt the vaccination campaign in French Guiana. The discourses were analyzed using a qualitative approach based on grounded theory, with open coding of data by themes and construction of abstract categories. The analysis of the 357 responses collected from January to March 2021 reveals several trends. The ethical aspect of the HCWs’ role emphasizes the importance of getting vaccinated themselves (to protect patients, to set an example...) and of vaccinating as many people as possible, including the most geographically or socially distant, such as undocumented migrants. However, some HCWs remain suspicious of the vaccine with concerns over the efficacy and side effects, of health institutions, and of the pharmaceutical industry. The role of fake news circulating on social networks has been widely discussed. Efforts to explain and convince HCWs must be continued in French Guiana using the identified levers to improve the acceptability of vaccination.https://www.mdpi.com/2076-393X/9/11/1216COVID-19vaccinationFrench Guianawillingnessbarriersmulticulturalism
spellingShingle Maylis Douine
Sibylle Granier
Kepha Brureau
Jacques Breton
Céline Michaud
Mélanie Gaillet
Camille Agostini
Mathilde Ballet
Mathieu Nacher
Audrey Valdes
Philippe Abboud
Antoine Adenis
Félix Djossou
Loïc Epelboin
Nicolas Vignier
Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers
Vaccines
COVID-19
vaccination
French Guiana
willingness
barriers
multiculturalism
title Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers
title_full Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers
title_fullStr Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers
title_full_unstemmed Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers
title_short Levers and Barriers to Vaccinate against COVID-19 in the Multicultural Context of French Guiana: A Qualitative Cross-Sectional Survey among Health Care Workers
title_sort levers and barriers to vaccinate against covid 19 in the multicultural context of french guiana a qualitative cross sectional survey among health care workers
topic COVID-19
vaccination
French Guiana
willingness
barriers
multiculturalism
url https://www.mdpi.com/2076-393X/9/11/1216
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