Katrine Bach Habersaat's research while affiliated with Copenhagen Trial Unit and other places

Publications (31)

Article
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Background and Objectives: Patient satisfaction with health care can influence health care-seeking behavior in relation to both minor or major health problems or influence communication and compliance with medical advice, which is especially important in emergencies such as the COVID-19 pandemic. Thus, it is important to continually monitor patient...
Article
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The aim of this study was to analyze the impact of the COVID-19 pandemic on patterns of use of essential health services (EHS), health-seeking behaviors, and population health and wellbeing in the Federation of Bosnia and Herzegovina (FBiH) from the perspective of its adult population. A population-based survey was implemented in the FBiH in Decemb...
Article
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Background In 2016–18, a large measles outbreak occurred in Romania identified by pockets of sub-optimally vaccinated population groups in the country. The aim of the current study was to gain insight into barriers and drivers from the experience of measles vaccination from the perspectives of caregivers and their providers. Methods Data were coll...
Article
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Background Childhood vaccination rates in Armenia are high. However, anecdotal evidence suggests that some health workers may advise against vaccination. The extent and reasons behind this are unknown. This study used the World Health Organization Tailoring Immunization Programmes approach to investigate medical specialists’ vaccination practices....
Article
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COVID-19 pandemic had a negative impact on the mental health and well-being (WB) of citizens. This cross-sectional study included 4 waves of data collection aimed at identifying profiles of individuals with different levels of WB. The study included a representative stratified sample of 10,013 respondents in Italy. The WHO 5-item well-being scale (...
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Objectives Sweden has had a high and stable vaccination coverage for measles-mumps-rubella (MMR) vaccine (>96%) through the national immunization program (NIP), but coverage rates highlight local pockets of lower vaccination coverage. This project addressed low MMR vaccine acceptance among parents in a Somali community, in Stockholm. The objective...
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Objectives: To investigate country-specific drivers and barriers of positive COVID-19 vaccine intentions in the Federation of Bosnia and Herzegovina (FBiH), one of the two entities comprising Bosnia and Herzegovina. Methods: A cross-sectional study design was used, using an online behavioural insights survey tool adapted to the context of FBiH. Thr...
Article
WHO has developed approaches and activities in measuring pandemic fatigue. Member states were consulted on their needs in beginning October 2020. WHO proposed develop national action plans to measure pandemic fatigue, which should be based on the strategies and principles presented in the WHO document “Pandemic Fatigue - Reinvigorating the public t...
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Vaccination coverage in the Federation of Bosnia and Herzegovina, in Bosnia and Herzegovina, has been declining since 2014. This qualitative study aimed to identify barriers and drivers to childhood vaccination for parents. The COM-B (capability-opportunity-motivation-behavior) model was the underpinning theoretical framework. Face-to-face intervie...
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Vaccine communication between health workers and parents affects parental acceptance, so understanding this is particularly important when vaccination rates drop. This paper presents the findings of a qualitative research study conducted in Serbia as part of a Tailoring Immunization Programmes (TIP) project. The aims were to explore the process of...
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Despite efforts to promote vaccination and make vaccination services easily accessible, vaccination coverage rates remain below the target rate for many vaccines in various jurisdictions. The Tailoring Immunization Programmes (TIP) approach was developed by the World Health Organization Regional Office for Europe to support efforts of countries to...
Article
En dépit des efforts visant à promouvoir la vaccination et à rendre les services de vaccination facilement accessibles, les taux de couverture vaccinale demeurent inférieurs aux taux cibles de nombreux vaccins dans plusieurs administrations. Le Bureau régional de l’Organisation mondiale de la santé (OMS) pour l’Europe a élaboré l’approche des Progr...
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Governments around the world have implemented measures to manage the transmission of coronavirus disease 2019 (COVID-19). While the majority of these measures are proving effective, they have a high social and economic cost, and response strategies are being adjusted. The World Health Organization (WHO) recommends that communities should have a voi...
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Vaccination uptake in the Federation of Bosnia and Herzegovina (FBiH), in Bosnia and Herzegovina, is suboptimal. This study aimed to (1) assess vaccination coverage, timeliness and drop-out for children born in 2015 and 2016 and compare these with official administrative coverage estimates, (2) identify associations between characteristics of child...
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Background: A large measles outbreak started in Romania in 2016. Current study aimed to (i) clarify who was affected by the outbreak, (ii) identify their barriers and drivers to vaccination and (iii) explore variation by population group. Methods: This was a two-component study. Outbreak surveillance data for 6743 measles cases were reviewed to...
Article
Background In Germany, vaccination gaps exist mainly among adolescents and adults. Family physicians (FPs) administer adult vaccines. FPs strongly influence the vaccination behavior and attitudes of their patients, so their own vaccination-related attitudes and behaviors are critical to achieve high vaccination coverage. The aim of this study was t...
Article
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Introduction. Published in 2018, the 5C scale is psychometrically validated to assess five psychological antecedents of vaccination (confidence, complacency, constraints, calculation and collective responsibility). The original version offers a validated English and German scale to assess these determinants with a short 5-item scale (1 item per ant...
Article
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Background: Vaccination coverage in Bosnia and Herzegovina has been declining over recent years. A World Health Organization Tailoring Immunization Programmes (TIP) project is underway to gain insights into the underlying reasons for this, to develop tailored interventions. As part of TIP, this study aimed to investigate the views of health worker...
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Vaccination saves millions of lives, and the World Health Organization (WHO) European Region celebrated record high coverage in 2018. Still, national or sub-national coverage is insufficient to stop the spread of vaccine-preventable diseases. Health authorities are increasingly aware of the need to prioritize the “demand” side of vaccination. Achie...
Article
The World Health Organization's Tailoring Immunization Programmes approach was used to develop a new strategy to increase child vaccination coverage in a disadvantaged community in New South Wales, Australia, including reminders, outreach and home visiting. After 18 months, the strategy hasn't been fully implemented. A process evaluation was conduc...
Preprint
Full-text available
Background: Published in 2018, the 5C scale is psychometrically validated to assess five psychological antecedents of vaccination (confidence, complacency, constraints, calculation, and collective responsibility). The original version offers a validated English and German scale to assess these determinants with a short 5-item scale (1 item per ante...
Article
Full-text available
In the World Health Organization (WHO) European Region, differences in uptake rates of routine childhood immunisation persist within and among countries, with rates even falling in some areas. There has been a tendency among national programmes, policymakers and the media in recent years to attribute missed vaccinations to faltering demand or refus...
Article
Introduction: Due to regular vaccine preventable disease outbreaks and sub-optimal immunisation uptake in the London borough of Hackney, home to the largest Charedi Orthodox Jewish community in Europe, it was decided, in consultation with the community, to implement the WHO Tailoring Immunization Programmes approach (TIP). Design: The WHO Tailor...
Article
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Introduction: The WHO Regional Office for Europe developed the Guide to tailoring immunization programmes (TIP), offering countries a process through which to diagnose barriers and motivators to vaccination in susceptible low vaccination coverage and design tailored interventions. A review of TIP implementation was conducted in the European Region...

Citations

... Improving accessibility of resources and using tailored public health messaging may reduce inequities [32]. In addition, using the WHO Tailoring Immunisation Programmes approach can help us understand specific barriers in communities identified as having lower coverage [33,34]. ...
... Globally, risk perception of COVID-19 is generally high, however factors such as trust in government, the degree of collective efficacy, and the level of adoption of protective health behaviors can lessen public risk perception [26]. As the pandemic in FBiH experienced several periods of resurgence and decline in cases, people in the FBiH may have become fatigued with maintaining preventative measures [27] The Institute for Public Health of the FBiH, with support from the WHO Regional Office for Europe, conducted a behavioral insights survey to monitor knowledge, risk perceptions, preventive behaviors, and trust to inform the pandemic outbreak response; the study suggests that high risk perception, high trust in institutions (in regards to information dissemination), and negative affect about the pandemic were associated with positive vaccination intentions [28,29]. ...
... Increasing the use of AVB is influenced by decision-making processes and involves behavioural change. 50 The COM-B model, one of the most widely used frameworks to understand behaviour, proposes that three essential conditions (capability, opportunity and motivation) interact to generate any behaviour. 51 Interventions that focus exclusively on healthcare providers' education and training (capability) may ignore other aspects, such as personal motivation and opportunity (social and physical environmental factors), that could play an important role in increasing the use of AVB. ...
... It has been successfully used in 12 countries (e.g. [42][43][44][45]. In Bosnia and Herzegovina, for example, interviews with HCP identified drivers and barriers for vaccination 46 and informed subsequent policy recommendations. ...
... The WHO Regional Office for Europe developed the Tailoring Immunization Programmes (TIP) approach to support vaccine uptake. 106 The TIP approach adapted the BCW for vaccine-related concerns and highlights the importance of understanding barriers to vaccination before developing interventions. Other researchers have been using the BCW to identify factors affecting influenza vaccine uptake in adults with chronic respiratory conditions 107 and health-care workers in long-term care facilities, 108 as well as designing an implementation intervention to increase HPV vaccinations in primary care. ...
... This knowledge is essential for determining intervention measures and initiating communication campaigns. This would help in increasing the awareness and assurance of the public about vaccine safety and efficacy and result in limiting the spread of severe acute respiratory syndrome coronavirus 2 (SARS-COV2) [19,20]. This study aimed at estimating the level of COVID-19 vaccine acceptance among university students in Egypt, their knowledge, and beliefs towards COVID-19 vaccination together with actual uptake of the vaccine. ...
... It has been successfully used in 12 countries (e.g. [42][43][44][45]. In Bosnia and Herzegovina, for example, interviews with HCP identified drivers and barriers for vaccination 46 and informed subsequent policy recommendations. ...
... [11][12][13] To better understand the contributing causes of the last measles outbreak, in 2017, a survey was conducted with a representative sample of 700 caregivers of confirmed and probable measles cases. 14,15 Findings pointed to some important service and systems-related challenges, such as costs, lack of information and lack of supply. Findings of other qualitative studies have shown that low vaccine confidence was a barrier to vaccine uptake in Romania. ...
... One of the main purposes of the vaccine hesitancy literature is to identify and classify people for targeting specific interventions [19][20][21]. In fact, evidence suggests that it is crucial to customize intervention strategies targeting a specific subpopulation to enhance the acceptance and uptake rate of vaccination [22][23][24]. In this sense, the empirical identification of subpopulations and their characteristics with regards to vaccine hesitancy will serve as key components of a successful vaccination strategy. ...