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7 Achieving Acceptance of COVID-19 Vaccine
Pages 187-202

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From page 187...
... However, as has been pointed out repeatedly since the earliest days of the COVID-19 pandemic, readying a vaccine is just the starting point of what will be a challenging journey to achieving widespread public acceptance of COVID-19 vaccines. Strong demand for and acceptance of COVID-19 vaccines will be critical for protecting vulnerable populations and for regaining our pre-pandemic social and economic lives, but ensuring demand and promoting acceptance will be challenging.
From page 188...
... Measuring Behavioral and Social Drivers of Vaccination (BeSD) Increasing Vaccination Model as an organizing framework for recommendations to address COVID-19 vaccine hesitancy and ensure robust demand for an approved vaccine.
From page 189...
... residents decline the seasonal influenza vaccine, and coverage rates for many teen and adult vaccines are well below what is needed to achieve adequate population health protection (Williams et al., 2017)
From page 190...
... Medical Exploitation and Distrust Beyond a history of a system that has not always been trustworthy for many populations, a painful legacy of health care discrimination, medical research exploitation, and unconsented experimentation on Black, Latinx, American Indian, Alaska Native, and other marginalized communities has contributed to justified distrust of government-sponsored medical research (Frakt, 2020; Gamble, 1997)
From page 191...
... . It is also important to note that potential mistrust in public health authorities and a COVID-19 vaccine are not emerging on a "blank canvas." More broadly, other systemic failures to contain or mitigate COVID-19, including personal protective equipment shortages, inconsistent and frequently changing guidelines regarding the use of masks and diagnostic testing, and inadequate testing and contact tracing programs, have further eroded the public's trust in government response.
From page 192...
... , provides a useful organizing framework for important demand-side considerations related to addressing vaccine hesitancy and successfully promoting the novel coronavirus vaccine (WHO, 2020) (see Figure 7-1)
From page 193...
... Is there an opportunity to ask questions or follow up with concerns? STRATEGIES FOR VACCINE PROMOTION AND ADDRESSING VACCINE HESITANCY A 2015 systematic review of strategies to address vaccine hesitancy stated that "given the complexity of vaccine hesitancy and the limited evidence available on how it can be addressed, identified strategies should be carefully tailored according to the target population, their reasons for hesitancy, and the specific context" (Jarrett et al., 2015)
From page 194...
... By addressing vaccine hesitancy in order to gain and build public trust, it is critical to consider the needs and input of specific populations, a position endorsed by WHO's tailoring immunization programmes guidance (WHO, 2020)
From page 195...
... Bridging this last mile will require additional resources and significant effort at the national and community levels to ensure that equitable allocation of a COVID-19 vaccine becomes a reality. Operation Warp Speed has been an unprecedented effort to rapidly bring to market a safe and effective
From page 196...
... •  Partner with diverse stakeholders (e.g., health care providers, His torically Black Colleges and Universities research centers, Hispanic Association of Colleges and Universities, Tribal Colleges and Univer sities research centers, social marketing firms and other groups with specific expertise reaching underserved communities) and prioritize promoting the vaccine to Black, Hispanic or Latinx, American In dian and Alaska Native, Hawaiian Native and Pacific Islander, and other communities in which vaccine hesitancy and skepticism have been documented.  •  Engage thought and opinion leaders, such as celebrities, to help promote COVID-19 vaccination acceptance and uptake.
From page 197...
... Specific action steps to implement this recommenda tion include: •  Support innovation in vaccine promotion at the state, tribal, local, and territorial levels and among community-based organizations through existing and expanded program grant mechanisms, with an emphasis on supporting existing entities, programs, and infrastruc ture with community knowledge and expertise, and on expanding CDC's existing Vaccinate with Confidence programs. •  Support a new rapid response research mechanism to advance the science of COVID-19 vaccine acceptance through grants that: °  Foster partnership among research entities, public health agen cies, and community-based organizations; ° E  valuate existing or novel theory-driven strategies and in terventions to decrease COVID-19 vaccine hesitancy, increase COVID-19 vaccine uptake, and eliminate social, cultural, logis tic, and legal barriers to COVID-19 vaccination in focal popula tions; and °  upport research grounded in diverse theoretical and method S ological approaches, with an emphasis on novel approaches and data sources.
From page 198...
... 2020. COVID-19 clinical trials are failing to enroll diverse populations, despite awareness efforts.
From page 199...
... 2015. Addressing vaccine hesi tancy: The potential value of commercial and social marketing principles and practices.
From page 200...
... 2017. Barriers of influenza vaccination intention and behavior -- a systematic review of influenza vaccine hesitancy, 2005–2016.
From page 201...
... 2017. Surveillance of vaccination coverage among adult populations -- United States, 2015.


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