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Overcoming Challenges in covid-19 Vaccination among Ethnic Minority Groups in Bangladesh: A Qualitative Exploration

World Journal of vaccines 2024年第2期14卷 25-42页

作者： Esmat Ara Md. Assraf Seddiky Abdul Basit Md. Habibullah Balaly Department of Public Administration Shahjalal University of Science & Technology Sylhet Bangladesh Department of Politics and Governance Gono Bishwabidyalay Savar Dhaka Bangladesh

This study aimed to explore the barriers affecting covid-19 vaccine uptake among ethnic minorities and to propose strategies to strengthen government initiatives for inclusive vaccination. Grounded in social constructivism, this qualitative study was conducted in the greater Sylhet Division, where many ethnic communities live. Using purposive sampling, semi-structured interviews were conducted with 49 participants, including ethnic men and women, community leaders, and healthcare providers. Two focus group discussions (FGDs) were also conducted to ensure data validation, and the results were analyzed using thematic analysis, which revealed several factors, such as free vaccinations, media, close community-knit healthcare centers, informal communication that positively influenced vaccine uptake, such as awareness campaigns, informal communication, media involvement, and free vaccine availability. However, socio-economic and technological barriers pose significant challenges, including misconceptions about vaccines, limited access to technology, long distances to vaccination centers, inconvenient service hours, and reliance on traditional medicine. To promote inclusive vaccination, the study recommends establishing localized vaccine camps, improving technological infrastructure such as the Internet and network access, enhancing communication strategies, providing special services for women, the elderly and disabled individuals, and ensuring a reliable vaccine supply. Future researchers could apply longitudinal studies, including a lager study area and broader range of participants to address the missing perspectives in the current study.

关键词： Ethnic Minority Healthcare covid-19 vaccine uptake Inclusive Vaccination Strategies Bangladesh

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