COVID-19 vaccine express strategy in Malawi: An effort to reach the un-reach

Ghanashyam Sethy · Mike Chisema · Lokesh Sharma · Krupal Joshi · Sanjay Singhal · Patrick Omar Nicks +7 more

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 epidemiological studies

Abstract

OBJECTIVES: To establish the impact of "Covid-19 Vaccination express" (CVE) on vaccine uptake in Malawi. DESIGN: Retrospective cross-sectional study to compare the daily vaccine administration rate in CVE and routine covid vaccination (RCV). RCV data was collected from March 2021 to October 2021. The data regarding CVE was collected from 5 November 2021 to 31 December 2021. Data was collected regarding (1) the total number and type of vaccine doses administered and (2) Demographic details like age, gender, occupation, presence of comorbidities, the first dose, or the second dose of the people who received a vaccine. RESULTS: From March-December 2021, a total of 1,866,623 COVID-19 vaccine doses were administered, out of which 1,290,145 doses were administered at a mean daily vaccination rate of 1854 (95 % CI: 1292-2415) doses as a part of RCV, and 576,478 doses were administered at a mean daily vaccination rate of 3312 (95 % CI: 2377-4248) doses as a part of CVE. Comparing the mean daily doses (Astra Zeneca, AZ doses 1 & 2) administered in the CVE and RCV showed that the mean daily doses of AZ vaccine administered were significantly higher in the CVE (p < 0.05). CONCLUSION: CVE successfully increased the uptake of the Covid-19 vaccine.

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2021Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment 2021COVID-19 Vaccine Hesitancy in the United States: A Systematic Review 2021Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage 2021When it is available, will we take it? Social media users’ perception of hypothetical COVID-19 vaccine in Nigeria 2021A rapid review of evidence on the determinants of and strategies for COVID-19 vaccine acceptance in low- and middle-income countries 2021Factors Associated with Willingness to be Vaccinated Against COVID-19 in a Large Convenience Sample 2022Low coverage of COVID-19 vaccines in Africa: current evidence and the way forward 2021Using mobile clinics to deliver care to difficult-to-reach populations: A COVID-19 practice we should keep

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