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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue2
Subject Area: Public Health
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DOI: 10.5272/jimab.2023292.4888
Published online: 21 April 2023
Original article
J of IMAB. 2023 Apr-Jun;29(2):4888-4893
DISTRICT-LEVEL VARIATION IN COVID-19 VACCINATION RATES AND AVAILABILITY OF VACCINATION SERVICES IN BULGARIA
Nikolina Radeva1
, Maria Rohova2,
1) Department of Disaster Medicine and Maritime Medicine, Faculty of Public Health, Medical University – Varna, Bulgaria.
2) Department of Health Economics and Management, Faculty of Public Health, Medical University – Varna, Bulgaria.
ABSTRACT:
Purpose: Since early 2022, the COVID-19 vaccination rate in Bulgaria has remained low, with large regional differences. This study examines the association between the availability of vaccination sites and the number of administered doses, and the extent to which district-level variation is attributable to differences in vaccination services provision.
Materials and Methods: Data on COVID-19 vaccine doses administered by districts were used. This data set was combined with district-level information on available vaccination sites, such as general practitioners and temporary vaccination points. The district-level differences in vaccination coverage and service provision were illustrated through country heat maps, and the association between the variables was explored using two linear regression models.
Results: According to the first regression model, the number of general practitioners and temporary vaccination points accounted for only 3.8% of the district-level variation in administrated doses. As covariates in the second model, sociodemographic and economic data were included. The combined influence of these factors explained 42.2% of the variance across districts. According to the findings, the average annual gross wage is a significant determinant of the district-level differences in the number of administrated doses.
Conclusion: There is no statistically significant association between administered doses and vaccination sites by districts, which does not correspond to the findings of other international studies. District-level variation in vaccination rates is associated with some sociodemographic and economic differences. The paucity of district-level data impedes further analyses of the vaccine coverage differences and their underlying determinants.
Keywords: vaccination rates, general practitioners, temporary vaccination points, districts,
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Please cite this article as: Radeva N, Rohova M. District-level variation in COVID-19 vaccination rates and availability of vaccination services in Bulgaria. J of IMAB. 2023 Apr-Jun;29(2):4888-4893. DOI: 10.5272/jimab.2023292.4888
Correspondence to: Nikolina Radeva, Disaster medicine and Maritime medicine department, Faculty of Public Health, Medical University Varna; 55, Prof. Marin Drinov Str., Varna, Bulgaria; E-mail: rnikolina@gmail.com
REFERENCES:
1. Hsu H-T, Petering R, Onasch-Vera L. Implications of COVID-19 vaccine uptake among young adults experiencing homelessness: a brief report. J Soc Distress Homelessness. 2021 May 17;31(2):231-237. [Crossref]
2. Guidance on developing a national deployment and vaccination plan for COVID-19 vaccines. Interim guidance. WHO. 16 November 2020. [Internet]
3. Curtis HJ, Inglesby P, Morton CE, MacKenna B, Green A, Hulme W, et al. Trends and clinical characteristics of COVID-19 vaccine recipients: a federated analysis of 57.9 million patients' primary care records in situ using OpenSAFELY. Br J Gen Pract. 2021 Dec 31;72(714):e51-e62. [PubMed]
4. Alemdar KD, Kaya Ö, Çodur MY, Campisi T, Tesoriere G. Accessibility of Vaccination Centers in COVID-19 Outbreak Control: A GIS-Based Multi-Criteria Decision Making Approach. ISPRS Int J Geo-Inf. 2021 Oct;10(10):708. [Crossref ]
5. Ehreth J. The value of vaccination: a global perspective. Vaccine. 2003 Oct 1;21(27-30):4105-17. [PubMed]
6. Zhang Y, Fisk RJ. Barriers to vaccination for coronavirus disease 2019 (COVID-19) control: experience from the United States. Glob Health J. 2021 Mar;5(1):51-55. [PubMed]
7. US Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Immunisation and Respiratory Diseases. Expanding COVID-19 vaccine distribution to primary care providers to address disparities in immunisation: guide for jurisdictions. CDC. April 14, 2021. [Internet]
8. Ministry of Health. Order No. RD-01-1040. [Internet]
9. National Statistical Institute, Bulgaria. Demographic and social statistics. 2011. [Internet]
10. Freed GL. Actionable lessons for the US COVID vaccine program. Isr J Health Policy Res. 2021; 10(1):14. [Crossref]
11. Vaccine European New Integrated collaboration Effort. Vaccination coverage assessment in EU/ EEA , 2011. VENICE II consortium; 2012, 73p.
12. Leask J. How do general practitioners persuade parents to vaccinate their children? A study using standardised scenarios. N S W Public Health Bull. 2009 Jul-Aug;20(7-8):119-24. [PubMed]
13. EHESP. [Facilitate Access to Vaccinations with the Support of Regional Health Agencies] [in French] 2013;73. [Internet]
14. Western Australian Immunisation Strategy 2013-2015. Department of Health WA. May 2013. 64p. [Internet]
15. De Schreye R, Van Vyve A, Moreels S, Goderis G, Scholtes B, Coenen S, et al. Samenvattend rapport COVID-19 vaccinatie bereidheid bij huisartsen. Brussel, België. Sciensano. No: D/2021/14.440/27 [Internet]
16. Rosen B, Waitzberg R, Israeli A. Israel's rapid rollout of vaccinations for COVID-19. Isr J Health Policy Res. 2021; 10(6):2-14. [Crossref]
17. European Commission Country overview report: week 3 2022. February 3, 2022.
18. Benedict KM, Santibanez TA, Black CL, Ding H, Graitcer SB, Bridges CB, et al. Kennedy ED. Recommendations and offers for adult influenza vaccination, 2011-2012 season, United States. Vaccine. 2017 Mar 1;35(9):1353-1361. [PubMed]
19. Hamel L, Lopes L, Kearney A, Brodie M. KFF COVID-19 Vaccine Monitor: March 2021. KFF. Mar 30, 2021. [Internet]
20. Ahrendt D, Cabrita J, Clerici E, Hurley J, Leončikas T, Mascherini M, et al. Living, working and COVID-19. Eurofound. 28 September 2020. [Internet]
Received: 22 November 2022
Published online: 21 April 2023