Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study

Objectives. To identify the factors contributing to coronavirus disease 2019 (COVID-19) vaccine hesitancy in Grenada. Methods. A phenomenological study was conducted using semi-structured interviews at vaccination and pop-up testing clinics during a spike in COVID-19 cases on the island. Interview q...

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Main Authors: Arlette M. Herry, Damian Greaves, Pauline Smith, Nilo A. Toledo, Ariel Wildman, Trent Wildman, Rosheem Browne, Madison Chen, Matthew Jones, Sebastian Aymat
Format: Article
Language:English
Published: Pan American Health Organization 2023-03-01
Series:Revista Panamericana de Salud Pública
Subjects:
Online Access:https://iris.paho.org/handle/10665.2/57281
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author Arlette M. Herry
Damian Greaves
Pauline Smith
Nilo A. Toledo
Ariel Wildman
Trent Wildman
Rosheem Browne
Madison Chen
Matthew Jones
Sebastian Aymat
author_facet Arlette M. Herry
Damian Greaves
Pauline Smith
Nilo A. Toledo
Ariel Wildman
Trent Wildman
Rosheem Browne
Madison Chen
Matthew Jones
Sebastian Aymat
author_sort Arlette M. Herry
collection DOAJ
description Objectives. To identify the factors contributing to coronavirus disease 2019 (COVID-19) vaccine hesitancy in Grenada. Methods. A phenomenological study was conducted using semi-structured interviews at vaccination and pop-up testing clinics during a spike in COVID-19 cases on the island. Interview questions were developed using the health belief model related to perceived threat of COVID-19, perceived benefits of and barriers to COVID-19 vaccination, and cues to action. Data were analyzed using a deductive approach to identify themes, categories, and subcategories. Results. Twenty-five interviews were transcribed and coded. In all, 68% of participants were unvaccinated, 12% were partially vaccinated, and 20% were fully vaccinated. Data analysis revealed two main themes: facilitators and barriers. Factors more likely to encourage vaccination (facilitators) included trust in medical advice and vaccine efficacy, social responsibility, and vaccine mandates for travel, employment, and social activities. Factors hindering vaccination (barriers) included: perceived low threat of COVID-19; preference for natural remedies; concerns about contraindications because of underlying health conditions; fear; mistrust of vaccines and related messaging; vaccine accessibility; and the many different information sources. Conclusions. Overcoming vaccine hesitancy is key to combating the detrimental effects of COVID-19 in Grenada. Public health interventions and policies that address barriers and capitalize on facilitators can increase vaccine uptake.
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spelling doaj.art-a5a362d391e84140b813d439602abb2b2023-03-17T17:12:20ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482023-03-0147441910.26633/RPSP.2023.44rpspFacilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative studyArlette M. Herry0Damian Greaves1Pauline Smith2Nilo A. Toledo3Ariel Wildman4Trent Wildman5Rosheem Browne6Madison Chen7Matthew Jones8Sebastian Aymat9St George’s University, St George, Grenada.St George’s University, St George, Grenada.St George’s University, St George, Grenada.St George’s University, St George, Grenada.St George’s University, St George, Grenada.St George’s University, St George, Grenada.McGovern Medical School at The University of Texas Health Science Center at Houston, Texas, United States of America.St George’s University, St George, Grenada.St George’s University, St George, Grenada.St George’s University, St George, Grenada.Objectives. To identify the factors contributing to coronavirus disease 2019 (COVID-19) vaccine hesitancy in Grenada. Methods. A phenomenological study was conducted using semi-structured interviews at vaccination and pop-up testing clinics during a spike in COVID-19 cases on the island. Interview questions were developed using the health belief model related to perceived threat of COVID-19, perceived benefits of and barriers to COVID-19 vaccination, and cues to action. Data were analyzed using a deductive approach to identify themes, categories, and subcategories. Results. Twenty-five interviews were transcribed and coded. In all, 68% of participants were unvaccinated, 12% were partially vaccinated, and 20% were fully vaccinated. Data analysis revealed two main themes: facilitators and barriers. Factors more likely to encourage vaccination (facilitators) included trust in medical advice and vaccine efficacy, social responsibility, and vaccine mandates for travel, employment, and social activities. Factors hindering vaccination (barriers) included: perceived low threat of COVID-19; preference for natural remedies; concerns about contraindications because of underlying health conditions; fear; mistrust of vaccines and related messaging; vaccine accessibility; and the many different information sources. Conclusions. Overcoming vaccine hesitancy is key to combating the detrimental effects of COVID-19 in Grenada. Public health interventions and policies that address barriers and capitalize on facilitators can increase vaccine uptake.https://iris.paho.org/handle/10665.2/57281covid-19covid-19 vaccinesvaccine hesitancyqualitative researchgrenada
spellingShingle Arlette M. Herry
Damian Greaves
Pauline Smith
Nilo A. Toledo
Ariel Wildman
Trent Wildman
Rosheem Browne
Madison Chen
Matthew Jones
Sebastian Aymat
Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study
Revista Panamericana de Salud Pública
covid-19
covid-19 vaccines
vaccine hesitancy
qualitative research
grenada
title Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study
title_full Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study
title_fullStr Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study
title_full_unstemmed Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study
title_short Facilitators of and barriers to COVID-19 vaccination in Grenada: a qualitative study
title_sort facilitators of and barriers to covid 19 vaccination in grenada a qualitative study
topic covid-19
covid-19 vaccines
vaccine hesitancy
qualitative research
grenada
url https://iris.paho.org/handle/10665.2/57281
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