Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates.
<h4>Background</h4>Immunisation against COVID-19 is crucial for controlling the pandemic, yet global challenges persist in vaccine coverage and equitable distribution. A well-integrated primary health care approach can enhance vaccination programmes.<h4>Aim</h4>To explore the...
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| Format: | Article |
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0317970 |
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| author | Sumeet Sodhi Rifka Chamali Devarsetty Praveen Manushi Sharma Marcelo Garcia Dieguez Robert Mash Felicity Goodyear-Smith David Ponka |
| author_facet | Sumeet Sodhi Rifka Chamali Devarsetty Praveen Manushi Sharma Marcelo Garcia Dieguez Robert Mash Felicity Goodyear-Smith David Ponka |
| author_sort | Sumeet Sodhi |
| collection | DOAJ |
| description | <h4>Background</h4>Immunisation against COVID-19 is crucial for controlling the pandemic, yet global challenges persist in vaccine coverage and equitable distribution. A well-integrated primary health care approach can enhance vaccination programmes.<h4>Aim</h4>To explore the relationship between perceived PC (primary care)-PH (public health) integration, as well as other vaccination program implementation factors, and national COVID-19 vaccination coverage.<h4>Design and setting</h4>A convenience sample of self-identified primary care professionals completed an online survey on COVID-19 vaccination programme implementation and their perceptions of PC-PH integration.<h4>Methods</h4>Countries with ≥5 responses were included in the data analysis. COVID-19 vaccination implementation approach and perceived PC-PH integration against COVID-19 vaccination coverage was investigated using bivariate and subgroup analyses, Spearman correlation, and linear regression.<h4>Results</h4>A total of 394 responses from 32 countries were analysed. Participants included primary care providers, academics, and researchers. The median national COVID-19 vaccination coverage was 28.41% at time of study. Perceived barriers included patient hesitancy and vaccine supply shortages, while facilitators included vaccine product choices, equity, and community engagement. The study revealed a positive relationship between perceptions of PC-PH integration and national vaccination coverage in upper-middle and lower-middle income countries.<h4>Conclusion</h4>Perceived PC-PH integration increased with decreasing economic quartiles and this perception was linked to actual national vaccination coverage. Integration may be especially important for countries with lesser vaccine supply. High-income countries may benefit from increased collaboration between PC and PH to enhance vaccination efficiency. The findings contribute to understanding the role of PC-PH integration in vaccination programmes in different settings. |
| format | Article |
| id | doaj-art-ef56e8ccfc9f47ffbd4f182d7c41d511 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-ef56e8ccfc9f47ffbd4f182d7c41d5112025-08-20T02:22:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031797010.1371/journal.pone.0317970Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates.Sumeet SodhiRifka ChamaliDevarsetty PraveenManushi SharmaMarcelo Garcia DieguezRobert MashFelicity Goodyear-SmithDavid Ponka<h4>Background</h4>Immunisation against COVID-19 is crucial for controlling the pandemic, yet global challenges persist in vaccine coverage and equitable distribution. A well-integrated primary health care approach can enhance vaccination programmes.<h4>Aim</h4>To explore the relationship between perceived PC (primary care)-PH (public health) integration, as well as other vaccination program implementation factors, and national COVID-19 vaccination coverage.<h4>Design and setting</h4>A convenience sample of self-identified primary care professionals completed an online survey on COVID-19 vaccination programme implementation and their perceptions of PC-PH integration.<h4>Methods</h4>Countries with ≥5 responses were included in the data analysis. COVID-19 vaccination implementation approach and perceived PC-PH integration against COVID-19 vaccination coverage was investigated using bivariate and subgroup analyses, Spearman correlation, and linear regression.<h4>Results</h4>A total of 394 responses from 32 countries were analysed. Participants included primary care providers, academics, and researchers. The median national COVID-19 vaccination coverage was 28.41% at time of study. Perceived barriers included patient hesitancy and vaccine supply shortages, while facilitators included vaccine product choices, equity, and community engagement. The study revealed a positive relationship between perceptions of PC-PH integration and national vaccination coverage in upper-middle and lower-middle income countries.<h4>Conclusion</h4>Perceived PC-PH integration increased with decreasing economic quartiles and this perception was linked to actual national vaccination coverage. Integration may be especially important for countries with lesser vaccine supply. High-income countries may benefit from increased collaboration between PC and PH to enhance vaccination efficiency. The findings contribute to understanding the role of PC-PH integration in vaccination programmes in different settings.https://doi.org/10.1371/journal.pone.0317970 |
| spellingShingle | Sumeet Sodhi Rifka Chamali Devarsetty Praveen Manushi Sharma Marcelo Garcia Dieguez Robert Mash Felicity Goodyear-Smith David Ponka Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates. PLoS ONE |
| title | Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates. |
| title_full | Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates. |
| title_fullStr | Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates. |
| title_full_unstemmed | Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates. |
| title_short | Does integration matter? an international cross-sectional study on the relationship between perceived public health and primary care integration and COVID-19 vaccination rates. |
| title_sort | does integration matter an international cross sectional study on the relationship between perceived public health and primary care integration and covid 19 vaccination rates |
| url | https://doi.org/10.1371/journal.pone.0317970 |
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