2_SAGE_Appendicies_Background_final

Categories Key Actors Areas ofWork/Interest ** Actions †† Region ‡‡ Collaboratorsand Affiliates §§98RegionalHumanServicesDepartmentof HealthandWellness,Nova Scotia,CanadaInstitutNational deSantéPublique deQuébec• Regionalgovernors,prefects andmayors• Regionalanddepartmental publichealthdirection• Traditional• Goal Setting• Education &Promotion• Research• Interventions• Policy/Recommendation• Research• Intervention• Goal setting• Education &Promotion• Interventions• Policyo Vaccine Hesitancy working group established 38 In report, individuals raised concerns over adverse events, vaccineeffectiveness, vaccine safety, etc.o A Pathway to Leadership for Adult Immunization: Recommendations of NVAC 39 Identified 9 categories of barriers to adult immunization, including ‘lack ofpublic knowledge’, ‘health literacy’, and ‘concerns about adverse events’ One recommendation- increase ‘community demand for vaccinations’• 2010 National Vaccine Plan 40o Goal 3: Support communications to enhance informed vaccine decision-makingPriorities for implementation include “increase awareness of vaccines, vaccine-preventablediseases, and the benefits/risks of immunization among the public, providers, and otherstakeholders” 3• Projects to decrease vaccine hesitancy: 41 , 42o Campaign to mitigate pain with immunization based upon evidence– aimed at parents,adults, HCP anxious about immunization• Campaign to increase uptake flu vaccine by pregnant women• Plan Québécois de Promotion de la Vaccination (February 2010)o Action Plan for Vaccination Promotion- Phase II (April 2012) 43 Phase II addresses goals 3 and 4 of the action plan which related directly to vaccinehesitancy• Goal 3: Encourage positive attitudes toward vaccination among healthprofessionals and encourage such professionals to be vaccinated themselves• Goal 4: Encourage positive attitudes toward vaccination in the generalpopulation To achieve these goals• Identify knowledge, attitudes, beliefs and practices of generalpopulation and health professionals,• Identify interventions to encourage positive attitudes towardvaccination• Strategies to train health professionals on vaccination, and update their immunizationcompetencies• Organization of meetings with communities around the reasons of vaccine hesitancy: MOHand, religious and chief association. Discussions with community, religious andtraditional leaders, various associations,• Organization of home visits by health centers through Community women: (VolunteerCommunity mobilizes) Niger, Nigeria, Mali, Benin,Burkina Faso• Organization of meetings in neighborhoods, villages and health centers: health workers,religious association, traditional chiefs and the community health committee• Debates and broadcast messages on local radio stations.• Use of media for promotion and surveillance of campaigns: local radio, text messaging anddaily evening meetings during campaigns to spot and correct refusals and otherproblems encountered (e.g. Guinée Conakry)NovaScotia,CanadaQuébec,CanadaAfrica• Can Centre forVaccinologyHELPinKIDSCanada• L’UniversitéLaval• MOH• UNICEF