Nyawanda Bryan O, Opere Victor A, Nyiro Joyce U, Vodicka Elisabeth, Fleming Jessica A, Baral Ranju, Khan Sadaf, Pecenka Clint, Ayugi Jorim O, Atito Raphael, Ougo James, Bigogo Godfrey, Emukule Gideon O, Otieno Nancy A, Munywoki Patrick K
Kenya Medical Research Institute, Center for Global Health Research, Kisumu P.O. Box 1578-40100, Kenya.
Kenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi P.O. Box 230-80108, Kenya.
Vaccines (Basel). 2023 Jun 2;11(6):1055. doi: 10.3390/vaccines11061055.
Respiratory syncytial virus (RSV) is a major cause of lower respiratory tract infection (LRTI) among infants under 6 months of age. Yet, in Kenya, little is known about healthcare workers' (HCWs) knowledge, attitudes, and perceptions around RSV disease and the prevention products under development. Between September and October 2021, we conducted a mixed methods cross-sectional survey to assess HCWs' knowledge, attitudes, and perceptions of RSV disease and RSV vaccinations in two counties. We enrolled HCWs delivering services directly at maternal and child health (MCH) departments in selected health facilities (frontline HCWs) and health management officers (HMOs). Of the 106 respondents, 94 (88.7%) were frontline HCWs, while 12 were HMOs. Two of the HMOs were members of the Kenya National Immunization Technical Advisory Group (KENITAG). Of the 104 non-KENITAG HCWs, only 41 (39.4%) had heard about RSV disease, and 38/41 (92.7%) felt that pregnant women should be vaccinated against RSV. Most participants would recommend a single-dose vaccine schedule (n = 62, 58.5%) for maximal adherence and compliance (n = 38/62, 61.3%), single dose/device vaccines (n = 50/86, 58.1%) to prevent wastage and contamination, and maternal vaccination through antenatal care clinics (n = 53, 50%). We found the need for increased knowledge about RSV disease and prevention among Kenyan HCWs.
呼吸道合胞病毒(RSV)是6个月以下婴儿下呼吸道感染(LRTI)的主要病因。然而,在肯尼亚,医护人员对RSV疾病以及正在研发的预防产品的知识、态度和认知情况鲜为人知。2021年9月至10月期间,我们开展了一项混合方法横断面调查,以评估两个县的医护人员对RSV疾病和RSV疫苗接种的知识、态度和认知。我们纳入了在选定医疗机构的母婴健康(MCH)部门直接提供服务的医护人员(一线医护人员)和健康管理人员(HMO)。在106名受访者中,94名(88.7%)是一线医护人员,12名是HMO。其中两名HMO是肯尼亚国家免疫技术咨询小组(KENITAG)的成员。在104名非KENITAG医护人员中,只有41名(39.4%)听说过RSV疾病,41名中的38名(92.7%)认为孕妇应该接种RSV疫苗。大多数参与者会推荐单剂量疫苗接种方案(n = 62,58.5%)以实现最大程度的依从性(n = 38/62,61.3%),单剂量/单装置疫苗(n = 50/86,58.1%)以防止浪费和污染,以及通过产前保健诊所进行孕产妇疫苗接种(n = 53,50%)。我们发现肯尼亚医护人员对RSV疾病和预防的了解需要增加。