Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review

Background Understanding of the behavioural and social drivers (BeSD) of vaccination is key to addressing vaccine hesitancy and accessibility issues. Vietnam’s national COVID-19 vaccination programme resulted in high uptake of primary doses among adults, but lower booster doses for adults and primar...

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Main Authors: Jessica Kaufman, Thu Anh Nguyen, Margie Danchin, Mai Nguyen, Thao Nguyen, Tho Dang, Gregory Fox, Luong Tran, Isabella Overmars, Shiva Shrestha, Ikram Abdi, Muthu Marahajan, Trang Chu
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e081134.full
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author Jessica Kaufman
Thu Anh Nguyen
Margie Danchin
Mai Nguyen
Thao Nguyen
Tho Dang
Gregory Fox
Luong Tran
Isabella Overmars
Shiva Shrestha
Ikram Abdi
Muthu Marahajan
Trang Chu
author_facet Jessica Kaufman
Thu Anh Nguyen
Margie Danchin
Mai Nguyen
Thao Nguyen
Tho Dang
Gregory Fox
Luong Tran
Isabella Overmars
Shiva Shrestha
Ikram Abdi
Muthu Marahajan
Trang Chu
author_sort Jessica Kaufman
collection DOAJ
description Background Understanding of the behavioural and social drivers (BeSD) of vaccination is key to addressing vaccine hesitancy and accessibility issues. Vietnam’s national COVID-19 vaccination programme resulted in high uptake of primary doses among adults, but lower booster doses for adults and primary doses for 5–11 years. This scoping review assessed BeSD influencing COVID-19 vaccine uptake in Vietnam to design interventions on reaching the national vaccination targets.Method We conducted a scoping review by searching PubMed, MedRxiv, LitCOVID, COVID-19 LOVE platform, WHO’s COVID-19 research database and seven dominant Vietnamese language medical journals published in English or Vietnamese between 28 December 2019 and 28 November 2022. Data were narratively synthesised and summarised according to the four components of the WHO BeSD framework. The drivers were then mapped along the timeline of COVID-19 vaccine deployment and the evolution of the pandemic in Vietnam.Results We identified 680 records, of which 39 met the inclusion criteria comprising 224 204 participants. Adults’ intention to receive COVID-19 vaccines for themselves (23 studies) ranged from 58.0% to 98.1%. Parental intention to vaccinate their under 11-year-old children (six studies) ranged from 32.8% to 79.6%. Key drivers of vaccination uptake were perceived susceptibility and severity of disease, perceived vaccine benefits and safety, healthcare worker recommendation, and positive societal perception. Commonly reported COVID-19 vaccines’ information sources (six studies) were social and mainstream media (82%–67%), television (72.7%–51.6%) and healthcare workers (47.5%–17.5%). Key drivers of COVID-19 uptake remained consistent for both adults and children despite changes in community transmission and vaccine deployment.Conclusion Key enablers of vaccine uptake for adults and children included perceived disease severity, perceived vaccine benefits and safety and healthcare worker recommendations. Future studies should assess vaccine communication targeted to these drivers, national policies and political determinants to optimise vaccine uptake.
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spelling doaj-art-381a35cd4e184b0f9326055e0aa809c22025-08-20T03:52:29ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-081134Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping reviewJessica Kaufman0Thu Anh Nguyen1Margie Danchin2Mai Nguyen3Thao Nguyen4Tho Dang5Gregory Fox6Luong Tran7Isabella Overmars8Shiva Shrestha9Ikram Abdi10Muthu Marahajan11Trang Chu12The University of Melbourne Department of Paediatrics, Parkville, Victoria, AustraliaWoolcock Institute of Medical Research, Hanoi, Viet NamThe Royal Children’s Hospital, Melbourne, Victoria, AustraliaWoolcock Institute of Medical Research, Hanoi, Viet NamDepartment of Health Communication, Government of Viet Nam Ministry of Health, Hanoi, Viet NamWoolcock Institute of Medical Research, Hanoi, Viet NamRoyal Prince Alfred Hospital, Camperdown, New South Wales, AustraliaWoolcock Institute of Medical Research, Hanoi, Viet NamVaccine Uptake Group, Murdoch Childrens Research Institute, Parkville, Victoria, AustraliaNational Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Westmead, New South Wales, AustraliaNational Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Westmead, New South Wales, AustraliaUnited Nations Children’s Fund, Hanoi, Viet NamUnited Nations Children’s Fund, Hanoi, Viet NamBackground Understanding of the behavioural and social drivers (BeSD) of vaccination is key to addressing vaccine hesitancy and accessibility issues. Vietnam’s national COVID-19 vaccination programme resulted in high uptake of primary doses among adults, but lower booster doses for adults and primary doses for 5–11 years. This scoping review assessed BeSD influencing COVID-19 vaccine uptake in Vietnam to design interventions on reaching the national vaccination targets.Method We conducted a scoping review by searching PubMed, MedRxiv, LitCOVID, COVID-19 LOVE platform, WHO’s COVID-19 research database and seven dominant Vietnamese language medical journals published in English or Vietnamese between 28 December 2019 and 28 November 2022. Data were narratively synthesised and summarised according to the four components of the WHO BeSD framework. The drivers were then mapped along the timeline of COVID-19 vaccine deployment and the evolution of the pandemic in Vietnam.Results We identified 680 records, of which 39 met the inclusion criteria comprising 224 204 participants. Adults’ intention to receive COVID-19 vaccines for themselves (23 studies) ranged from 58.0% to 98.1%. Parental intention to vaccinate their under 11-year-old children (six studies) ranged from 32.8% to 79.6%. Key drivers of vaccination uptake were perceived susceptibility and severity of disease, perceived vaccine benefits and safety, healthcare worker recommendation, and positive societal perception. Commonly reported COVID-19 vaccines’ information sources (six studies) were social and mainstream media (82%–67%), television (72.7%–51.6%) and healthcare workers (47.5%–17.5%). Key drivers of COVID-19 uptake remained consistent for both adults and children despite changes in community transmission and vaccine deployment.Conclusion Key enablers of vaccine uptake for adults and children included perceived disease severity, perceived vaccine benefits and safety and healthcare worker recommendations. Future studies should assess vaccine communication targeted to these drivers, national policies and political determinants to optimise vaccine uptake.https://bmjopen.bmj.com/content/13/12/e081134.full
spellingShingle Jessica Kaufman
Thu Anh Nguyen
Margie Danchin
Mai Nguyen
Thao Nguyen
Tho Dang
Gregory Fox
Luong Tran
Isabella Overmars
Shiva Shrestha
Ikram Abdi
Muthu Marahajan
Trang Chu
Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review
BMJ Open
title Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review
title_full Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review
title_fullStr Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review
title_full_unstemmed Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review
title_short Behavioural and social drivers of COVID-19 vaccination in Vietnam: a scoping review
title_sort behavioural and social drivers of covid 19 vaccination in vietnam a scoping review
url https://bmjopen.bmj.com/content/13/12/e081134.full
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