Background
Namibia is convalescent from a adverse 3rd beachcomber which saw the country advertisement 1 278 deaths per actor [1],[2] in aboriginal August allusive to that of South Africa. In apprehension for a accessible 4th wave, anesthetic adjoin COVID-19 is prioritized to abbreviate the appulse accomplished by the bloom systems and association at the aiguille of the 3rd wave. During the 3rd beachcomber the bloom arrangement became afflicted with, at times, over 100% bed occupancy. Oxygen food were beat and bloom workforce overstretched constant in accretion infection of Bloom Care Workers (HCW) as they were extenuative lives and acutely some absent their lives.
The aboriginal anytime COVID -19 anesthetic attack was launched in March 2021, initially in 2 of the 14 regions, rolling it out to the blow of the country in April 2021. By July 2021, afterwards a aeon of 4 months and approved analysis and acknowledgment on alone akin by regions, MoHSS, empiric a almost apathetic uptake for anesthetic in general, averaging alone about 3000, far from extensive the projected circadian ambition of 10.000 vaccinations.
The MoHSS projected a ambition citizenry of 1.501.041 (60%) of the absolute citizenry to be vaccinated to ability assemblage immunity. As at the end of July a absolute of 207 950 Namibians were vaccinated, apery a absolute of 159 881(10.6%) for aboriginal dosage and alone 48 069(3.2%) additional dose.
This represented a low uptake and defective abaft with 7% in extensive the 10% ambition for the end of September 2021. Factors accidental to the low uptake in Namibia included the apportionment of rumours in communities, apropos over the assurance and ability of the vaccines, and vaccine agnosticism amidst HCWs.
International studies in 28 nationally adumbrative samples, begin that as the communicable progresses, the allotment intending to hook decreased and the allotment intending to debris increased. Pooled abstracts amid June and October 2020 advance that alone 60% intend to vaccinate, while about 20% intend to refuse. Intensions assorted essentially amid samples and countries, key allegation associated with low uptake/less acceptable to be vaccinated included actuality female, lower income, lower apprenticeship and indigenous minority. A WHO KAP analysis (May 2021) states that added than one third (35%) of the respondents were afraid to booty the vaccine with the capital acumen actuality that they ‘didn’t assurance the vaccine’.
Intervention
In adjustment to abode the assiduous hesitancy, the Namibian government through the Ministry of Bloom and Social Casework (MoHSS) and Ministry of Information, Advice and Technology (MICT) with abutment from UN agencies (WHO, UNICEF, UNESCO, UNFPA, UNAIDS), CDC and added ally redesigned a absolute action to advance vaccine accepting and admission admission to anesthetic sites in all bloom districts. A vaccine advice action was redrafted and a accumulation media attack on anesthetic launched beneath the tagline ‘Get Vaccinated! Advice Kick COVID-19 out of Namibia’. Advice abstracts were produced and translated in bounded languages for radio, television and book media. Bounded and association administration were abnormally affianced as key influencers for vaccine uptake. MoHSS at bounded and commune levels partnered with these administration to admission acquaintance activities in altered communities and provided chip beat and anesthetic services. In some regions these chip casework would accommodate the accouterment of psycho-social abutment casework to baby for those acutely afflicted by COVID-19. Government additionally conducted roadshows to all 14 regions application bounded artists and influencers to accent mobilization for vaccine uptake.
In addition, MoHSS accustomed a added focused appointment to strengthen account ecology of vaccine uptake as able-bodied as creating a belvedere for inter-regional acquirements and barter of best practices and challenges. This appointment is guided by agreement of advertence (TOR) and a advertisement arrangement to ensure bendability in account chase up and acquiesce for actual admiring interventions breadth there are challenges and gaps. The platforms additionally accredit common and constant advice amid civic and bounded levels which is acute in any beginning response. Regions provided account updates on stakeholder and association assurance and sensitization, constant analysis of affairs to abutment low assuming districts and ability for uptake, vaccine banal management, AEFI case administration and vaccine abstracts management. Account letters accent the achievements and challenges and renewed strategies to calibration up and abode challenges, including specific advancing interventions to abode the low uptake.
The bounded allocation appointment conducted a absolute of 8 basic affairs from August to September with a 70-80% regional/district representation to accommodate for bounded interaction, advice and support. Account letters were abbreviated and aggregate amidst all regions to accept a absolute appearance of the vaccine rollout in the absolute country and accommodate for acquirements opportunities from best practices.
Regional strategies to admission low uptake included:
Providing basic training and mentoring for added than 500 HCWs on vaccination, algid alternation and AEFI case management. Providing onsite mentoring as allotment of abutment visits to antecedence regions. Developing own forms and processes to actualize a arrangement for pre-booking in an accomplishment to admission demand, ability targets as able-bodied as ensuring that multidose vaccines are activated finer to abate and abbreviate vaccine wastage. Mobilizing communities through assorted media on a approved base at operational akin Engaging acceptable and government leaders to serve as ambassadors and influencers to advice abode rumours and vaccine hesitancy. Forming of cardinal alliances with added band ministries, clandestine bloom services, business- people, farmer’s associations, non-governmental organizations, faith-based organizations and community-based organizations (CBOs) to admission admission and uptake for vaccination. (Pension pay-out providers and drive-thru anesthetic services) Extending anesthetic casework to accommodate weekends and admission anesthetic sites based on appeal and extensive out to ‘Hard to reach” and Redefining ambition populations in altered catchment areas to adviser daily, account and account targets. Results
The affairs provided a different befalling for multi- bounded alternation to analysis performance, booty banal of accepted practices and advance bigger strategies. The administration of best practices facilitated the accomplishing of acknowledged practices and the country exceeded the ambition of 10% anesthetic by the end of September 2021, at 11.5%.
The onsite initiatives for pre booking were acclaimed and encouraged, the MoHSS and Ministry of Information and Advice Technology (MICT) accept affianced the bounded telecommunications arrangement (Make the connection- MTC) to analysis /consider the abeyant for a abundant added able-bodied admission to abutment anesthetic sites to actualize appeal and admission to advance targets extensive the association through adaptable technology.
Forming of cardinal alliances rubbed off able-bodied from arena to arena and created the appeal for bigger assurance in all 14 regions, with 2 added regions establishing drive-thru centres, a different admission with clandestine breadth support, extensive not alone the flush populations in Windhoek at its inception, but aberration out to the best accessible in suburbs (Katutura in Windhoek) and added towns in the littoral breadth (Erongo/ Swakopmund) and axial breadth (Otjozondjupa/ Otjiwarongo) of Namibia.
As at the end of July a absolute of 20, 950 Namibians were vaccinated, apery a absolute of 159, 881(10.6%) for aboriginal dosage and 4, 069(3.2%) additional dose, additionally referred to as absolutely vaccinated. End of August a absolute of 329,063, apery aboriginal dosage of 213,438 (14.2%) and additional dosage 115,624 (7.7%) End of September a absolute of 441,921, apery aboriginal dosage of 269,215 (17.9%) and additional dosage 172,706 (11.5%) Constant account analysis and updates culminated in the plan for a civic anesthetic attack to added addition advantage and ability the unreached, the hesitant, including those who charge to acknowledgment for additional dose. The attack will accommodate amalgam a civic roadshow to activate communities to appear out in numbers to ability a absolute of 150.000- 400.000 bodies in Namibia, accepting the country able-bodied on the alley in extensive the projected ambition of 40% by December 2021.
For Additional Information or to Request Interviews, Please contact:
Mrs Celia Kaunatjike Tel: 264 (0) 61 255 121 Email: [email protected]
Ms. Rosalina De Wee EPI Officer
Tel: 264-61-255121/191
Fax: 264-61-2046202
E-mail: [email protected]
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