Influenza Vaccine Uptake Among Healthcare Workers
Seasonal Influenza Vaccine Uptake Among Health Care Workers Following Awareness and Availability of Influenza Vaccine Supply in Tertiary Care Hospitals, Bangladesh
1 other identifier
interventional
3,000
1 country
1
Brief Summary
Background:
- 1.Burden: Health-care workers (HCWs), such as doctors, nurses, and support staff involved in direct or indirect patient care, are at increased risk of influenza virus infections. HCWs may also transmit and spread influenza among hospitalized patients and other caregivers. HCWs often (40-83%) work while experiencing influenza-like illness (ILI), increasing the likelihood of influenza transmission to colleagues and patients.
- 2.Knowledge gap: Despite the World Health Organization recommendation for seasonal influenza vaccination among priority target groups such as health care workers, the low-income country such as Bangladesh lacks a seasonal influenza vaccination policy among this high-risk group, and vaccine uptake remains low.
- 3.Relevance: This study aims to generate preliminary data on HCWs willingness to get seasonal influenza vaccines following vaccine availability and factors associated with vaccine uptakes. The data from the study will support policymakers to increase awareness and develop influenza vaccination policy among top priority groups such as health care workers.
- 4.To assess influenza vaccine uptake among healthcare workers (HCWs) following awareness and availability of influenza vaccine supply in study hospitals
- 5.To explore HCWs barriers and Motivators for influenza vaccine uptake
- 6.To understand policy makers' perspectives on the feasibility of influenza vaccination among HCWs and to share with the National Immunization Technical Advisory Group (NITAG) for a policy decision regarding influenza vaccination
- 7.The proportion of influenza vaccine uptake among health care workers before and after intervention and between different study arms
- 8.Different motivators and barriers to influenza vaccine uptake
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 12, 2022
CompletedFirst Submitted
Initial submission to the registry
August 17, 2022
CompletedFirst Posted
Study publicly available on registry
August 30, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 29, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
February 12, 2023
CompletedSeptember 15, 2022
August 1, 2022
10 months
August 17, 2022
September 11, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Influenza vaccine uptake among HCWs
The proportion of influenza vaccine uptake among health care workers before and after intervention and between different study arms
up to 4 months
Secondary Outcomes (1)
Motivators and barriers of influenza vaccine uptake
up to 4 months
Study Arms (4)
Intervention package with the availability of vaccine supply only
EXPERIMENTAL1. The investigators will work with the supplier to make that vaccine available at the hospital premises. Then a vaccination booth will be set up at the hospital premises and will administer the vaccine at the MRP. 2. All HCWs will be notified about only vaccine availability information by the hospital director and respective heads. 3. A list of all staff working in the study hospitals will be prepared, and they will be provided with an influenza vaccination record card with a unique identification number. The study staff will ensure receipt of vaccination cards for all participants. 4. A short message (SMS) will be delivered over the mobile phone number to all participants, e.g. vaccination program duration, venue, time, vaccine price, to cascade vaccination information to participants. 5. Posters with only vaccine delivery information (i.e. vaccination duration, vaccination venue, vaccine price) will be displayed at key hospital locations.
Intervention package with vaccinationation awareness only
EXPERIMENTAL1. The hospital director and respective heads will notify all HCWs about participating in the vaccination awareness program facilitated by the study team. 2. The investigators will arrange separate seminars for each group of HCWs in the hospital to sensitize participants about the significance of receiving the influenza vaccine and the risk and benefits of influenza vaccination. 3. Posters containing messages on the importance of influenza vaccination will be displayed at key hospital locations, e.g., the main entrance of the hospital, nursing station, vaccine delivery point/place, doctors' room, nurses' room, intern doctors' room, common room canteen etc.
Intervention package with a combination of vaccine availability and awareness
EXPERIMENTAL1. The investigators will work with the study hospital authority, Influenza vaccine manufacturer, and supplier company to set up a vaccination booth at the hospital premises to administer the vaccine at the market-rated price (MRP) by hospital nurses. 2. The hospital director and respective department heads will notify all HCWs to receive the offered influenza vaccine. 3. A list of all staff working in the study hospitals will be prepared, and they will be provided with an influenza vaccination record card with a unique identification number. 4. The investigators will arrange separate seminars for each group of HCWs in the hospital to sensitize participants about the significance of receiving the influenza vaccine and the risk and benefits of influenza vaccination. 5. A short message (SMS) will be delivered over the mobile phone number to all participants. 6. Posters with key messages will be displayed at key hospital locations,
No intervention
NO INTERVENTIONIn the control facility, we will not intervene in the existing knowledge and practice about influenza vaccination of the HCWs.
Interventions
The four interventions will be: i) ensuring the availability of influenza vaccine supply; ii) developing influenza vaccine awareness; iii) both ensuring influenza vaccine supply and developing influenza vaccine awareness and iv) control arm with no intervention.
Eligibility Criteria
You may qualify if:
- All HCWs who will be working at the study hospitals during the intervention period as well as consented to participate in the study will be included as participants
You may not qualify if:
- HCWs not directly or indirectly involved in patient care, such as basic medical science faculties (e.g. anatomy, physiology, biochemistry, forensic medicine, pathology, and microbiology), will not be included as participants
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- International Centre for Diarrhoeal Disease Research, Bangladeshlead
- Institute of Epidemiology, Disease Control and Researchcollaborator
- Sylhet M.A.G.Osmani Medical Collegecollaborator
- Mymensingh Medical College Hospitalcollaborator
- Rajshahi Medical Collegecollaborator
- Khulna Medical College Hospitalcollaborator
- Centers for Disease Control and Preventioncollaborator
Study Sites (1)
Sylhet MAG Osmani Medical College Hospital
Sylhet, Bangladesh
Related Publications (28)
Guillari A, Polito F, Pucciarelli G, Serra N, Gargiulo G, Esposito MR, Botti S, Rea T, Simeone S. Influenza vaccination and healthcare workers: barriers and predisposing factors. Acta Biomed. 2021 Mar 25;92(S2):e2021004. doi: 10.23750/abm.v92iS2.11106.
PMID: 33855983BACKGROUNDIuliano AD, Roguski KM, Chang HH, Muscatello DJ, Palekar R, Tempia S, Cohen C, Gran JM, Schanzer D, Cowling BJ, Wu P, Kyncl J, Ang LW, Park M, Redlberger-Fritz M, Yu H, Espenhain L, Krishnan A, Emukule G, van Asten L, Pereira da Silva S, Aungkulanon S, Buchholz U, Widdowson MA, Bresee JS; Global Seasonal Influenza-associated Mortality Collaborator Network. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study. Lancet. 2018 Mar 31;391(10127):1285-1300. doi: 10.1016/S0140-6736(17)33293-2. Epub 2017 Dec 14.
PMID: 29248255BACKGROUNDVanhems P, Benet T, Munier-Marion E. Nosocomial influenza: encouraging insights and future challenges. Curr Opin Infect Dis. 2016 Aug;29(4):366-72. doi: 10.1097/QCO.0000000000000287.
PMID: 27362641BACKGROUNDLietz J, Westermann C, Nienhaus A, Schablon A. The Occupational Risk of Influenza A (H1N1) Infection among Healthcare Personnel during the 2009 Pandemic: A Systematic Review and Meta-Analysis of Observational Studies. PLoS One. 2016 Aug 31;11(8):e0162061. doi: 10.1371/journal.pone.0162061. eCollection 2016.
PMID: 27579923BACKGROUNDKuster SP, Shah PS, Coleman BL, Lam PP, Tong A, Wormsbecker A, McGeer A. Incidence of influenza in healthy adults and healthcare workers: a systematic review and meta-analysis. PLoS One. 2011;6(10):e26239. doi: 10.1371/journal.pone.0026239. Epub 2011 Oct 18.
PMID: 22028840BACKGROUNDApisarnthanarak A, Puthavathana P, Kitphati R, Auewarakul P, Mundy LM. Outbreaks of influenza A among nonvaccinated healthcare workers: implications for resource-limited settings. Infect Control Hosp Epidemiol. 2008 Aug;29(8):777-80. doi: 10.1086/588162.
PMID: 18624648BACKGROUNDWilson KE, Wood SM, Schaecher KE, Cromwell KB, Godich J, Knapp MH, Sklar MJ, Ewing D, Raviprakash K, Defang G, Whitman TJ. Nosocomial outbreak of influenza A H3N2 in an inpatient oncology unit related to health care workers presenting to work while ill. Am J Infect Control. 2019 Jun;47(6):683-687. doi: 10.1016/j.ajic.2018.10.024. Epub 2019 Jan 5.
PMID: 30616930BACKGROUNDChiu S, Black CL, Yue X, Greby SM, Laney AS, Campbell AP, de Perio MA. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza season. Am J Infect Control. 2017 Nov 1;45(11):1254-1258. doi: 10.1016/j.ajic.2017.04.008. Epub 2017 May 16.
PMID: 28526310BACKGROUNDHuttunen R, Syrjanen J. Healthcare workers as vectors of infectious diseases. Eur J Clin Microbiol Infect Dis. 2014 Sep;33(9):1477-88. doi: 10.1007/s10096-014-2119-6. Epub 2014 May 6.
PMID: 24798250BACKGROUNDTurnberg W, Daniell W, Duchin J. Influenza vaccination and sick leave practices and perceptions reported by health care workers in ambulatory care settings. Am J Infect Control. 2010 Aug;38(6):486-8. doi: 10.1016/j.ajic.2009.12.006. Epub 2010 Feb 21.
PMID: 20176412BACKGROUNDBarberis I, Myles P, Ault SK, Bragazzi NL, Martini M. History and evolution of influenza control through vaccination: from the first monovalent vaccine to universal vaccines. J Prev Med Hyg. 2016 Sep;57(3):E115-E120.
PMID: 27980374BACKGROUNDGasparini R, Amicizia D, Lai PL, Bragazzi NL, Panatto D. Compounds with anti-influenza activity: present and future of strategies for the optimal treatment and management of influenza. Part II: Future compounds against influenza virus. J Prev Med Hyg. 2014 Dec;55(4):109-29.
PMID: 26137785BACKGROUNDFrenzel E, Chemaly RF, Ariza-Heredia E, Jiang Y, Shah DP, Thomas G, Graviss L, Raad I. Association of increased influenza vaccination in health care workers with a reduction in nosocomial influenza infections in cancer patients. Am J Infect Control. 2016 Sep 1;44(9):1016-21. doi: 10.1016/j.ajic.2016.03.024. Epub 2016 May 5.
PMID: 27158088BACKGROUNDAmodio E, Restivo V, Firenze A, Mammina C, Tramuto F, Vitale F. Can influenza vaccination coverage among healthcare workers influence the risk of nosocomial influenza-like illness in hospitalized patients? J Hosp Infect. 2014 Mar;86(3):182-7. doi: 10.1016/j.jhin.2014.01.005. Epub 2014 Feb 6.
PMID: 24581755BACKGROUNDBenet T, Regis C, Voirin N, Robert O, Lina B, Cronenberger S, Comte B, Coppere B, Vanhems P. Influenza vaccination of healthcare workers in acute-care hospitals: a case-control study of its effect on hospital-acquired influenza among patients. BMC Infect Dis. 2012 Feb 1;12:30. doi: 10.1186/1471-2334-12-30.
PMID: 22292886BACKGROUNDVaccines against influenza WHO position paper - November 2012. Wkly Epidemiol Rec. 2012 Nov 23;87(47):461-76. No abstract available. English, French.
PMID: 23210147BACKGROUNDAl Awaidy S, Althaqafi A, Dbaibo G; Middle East/North Africa Influenza Stakeholder Network (MENA-ISN). A Snapshot of Influenza Surveillance, Vaccine Recommendations, and Vaccine Access, Drivers, and Barriers in Selected Middle Eastern and North African Countries. Oman Med J. 2018 Jul;33(4):283-290. doi: 10.5001/omj.2018.54.
PMID: 30038727BACKGROUNDEaton JL, Mohr DC, McPhaul KM, Kaslow RA, Martinello RA. Access, Education and Policy Awareness: Predictors of Influenza Vaccine Acceptance Among VHA Healthcare Workers. Infect Control Hosp Epidemiol. 2017 Aug;38(8):970-975. doi: 10.1017/ice.2017.113. Epub 2017 Jun 23.
PMID: 28641586BACKGROUNDAbu-Gharbieh E, Fahmy S, Rasool BA, Khan S. Influenza vaccination: healthcare workers attitude in three Middle East countries. Int J Med Sci. 2010 Sep 21;7(5):319-25. doi: 10.7150/ijms.7.319.
PMID: 20922053BACKGROUNDVan Hooste WLC, Bekaert M. To Be or Not to Be Vaccinated? The Ethical Aspects of Influenza Vaccination among Healthcare Workers. Int J Environ Res Public Health. 2019 Oct 18;16(20):3981. doi: 10.3390/ijerph16203981.
PMID: 31635299BACKGROUNDHollmeyer H, Hayden F, Mounts A, Buchholz U. Review: interventions to increase influenza vaccination among healthcare workers in hospitals. Influenza Other Respir Viruses. 2013 Jul;7(4):604-21. doi: 10.1111/irv.12002. Epub 2012 Sep 18.
PMID: 22984794BACKGROUNDNaleway AL, Henkle EM, Ball S, Bozeman S, Gaglani MJ, Kennedy ED, Thompson MG. Barriers and facilitators to influenza vaccination and vaccine coverage in a cohort of health care personnel. Am J Infect Control. 2014 Apr;42(4):371-5. doi: 10.1016/j.ajic.2013.11.003.
PMID: 24679562BACKGROUNDThompson MG, Gaglani MJ, Naleway A, Ball S, Henkle EM, Sokolow LZ, Brennan B, Zhou H, Foster L, Black C, Kennedy ED, Bozeman S, Grohskopf LA, Shay DK. The expected emotional benefits of influenza vaccination strongly affect pre-season intentions and subsequent vaccination among healthcare personnel. Vaccine. 2012 May 21;30(24):3557-65. doi: 10.1016/j.vaccine.2012.03.062. Epub 2012 Apr 1.
PMID: 22475860BACKGROUNDRashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing Interventions To Improve Influenza Vaccine Uptake Among Health Care Workers. Health Aff (Millwood). 2016 Feb;35(2):284-92. doi: 10.1377/hlthaff.2015.1087.
PMID: 26858382BACKGROUNDLooijmans-van den Akker I, van Delden JJ, Verheij TJ, van der Sande MA, van Essen GA, Riphagen-Dalhuisen J, Hulscher ME, Hak E. Effects of a multi-faceted program to increase influenza vaccine uptake among health care workers in nursing homes: A cluster randomised controlled trial. Vaccine. 2010 Jul 12;28(31):5086-92. doi: 10.1016/j.vaccine.2010.05.003. Epub 2010 May 23.
PMID: 20580740BACKGROUNDDini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Hum Vaccin Immunother. 2018 Mar 4;14(3):772-789. doi: 10.1080/21645515.2017.1348442. Epub 2017 Oct 20.
PMID: 28787234BACKGROUNDAzziz-Baumgartner E, Alamgir AS, Rahman M, Homaira N, Sohel BM, Sharker MA, Zaman RU, Dee J, Gurley ES, Al Mamun A, Mah-E-Muneer S, Fry AM, Widdowson MA, Bresee J, Lindstrom S, Azim T, Brooks A, Podder G, Hossain MJ, Rahman M, Luby SP. Incidence of influenza-like illness and severe acute respiratory infection during three influenza seasons in Bangladesh, 2008-2010. Bull World Health Organ. 2012 Jan 1;90(1):12-9. doi: 10.2471/BLT.11.090209. Epub 2011 Oct 4.
PMID: 22271960BACKGROUNDHassan MZ, Shirin T, Rahman M, Alamgir ASM, Jahan N, Al Jubayer Biswas MA, Khan SH, Basher MAK, Islam MA, Hussain K, Islam MN, Rabbany MA, Haque MA, Chakraborty SR, Parvin SR, Rahman M, Chowdhury F. Seasonal influenza vaccine uptake among healthcare workers in tertiary care hospitals, Bangladesh: Study protocol for influenza vaccine supply and awareness intervention. BMC Public Health. 2022 Sep 24;22(1):1819. doi: 10.1186/s12889-022-14182-w.
PMID: 36153529DERIVED
Related Links
- WHO seasonal influenza vaccination recommendations during the COVID-19 pandemic - Recommandations du SAGE de l'OMS pour la vaccination contre la grippe saisonnière pendant la pandémie de COVID-19
- Seasonal influenza vaccine use in low and middle income countries in the tropics and subtropics: a systematic review
- Health conditions for travellers to Saudi Arabia Pilgrimage to Mecca (Hajj) = Dispositions sanitaires pour les voyageurs se rendant en Arabie saoudite Pèlerinage à La Mecque (Hadj)
- Global Influenza Strategy 2019-2030
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 17, 2022
First Posted
August 30, 2022
Study Start
March 12, 2022
Primary Completion
December 29, 2022
Study Completion
February 12, 2023
Last Updated
September 15, 2022
Record last verified: 2022-08
Data Sharing
- IPD Sharing
- Will not share