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An evaluation of physical access barriers to Covid-19 vaccines uptake among persons with physical disabilities in western Kenya

Article scientifique 2023 Anglais

Résumé

Abstract Background Physically disabled persons continue to face discrimination, exclusion and neglect which hamper equitable access to services and disproportionately affect them during a pandemic. This study aimed to evaluate the physical access barriers to COVID-19 vaccines among persons with physical disabilities during the COVID-19 pandemic, (March, 2020 to March, 2022) in Ugenya Subcounty, Siaya County in western Kenya. Methods The study design was cross sectional involving physically disabled persons. A simple random sampling technique was used to recruit participants 108 participants. Structured questionnaires were used to collect data needed. Results Marital status, (χ2 = 13.310, p = 0.004), mobility impairment, (χ2 = 16.168, p = 0.001), source of information, (χ2 = 4.022, p = 0.002), vaccination site, (χ2 = 95.480, p =0.001), motivation, (χ2 = 95.457, p = 0.045), decision time, (χ2 = 95.501, p = 0.001) and access to room, (χ2 = 84.098, p = 0.001), all had statistically significant associations with access to and uptake of COVID-19 vaccines. Multinomial logistic regression analysis showed that fare used and age, (0.001), alongside transport means and age, (p = 0.004), had statistically significant associations with COVID-19 vaccine access and uptake. Those who had difficulty both in movement and speaking found it hard to access and receive COVID-19 vaccines, (p = 0.001). Conclusion Marital status, information from reliable sources, belief in existence of COVID-19 were associated with access to and uptake of COVID-19 vaccines. Additionally, nonpayment of transport fare increased the odds of being vaccinated. Therefore, programs such as mobile health teams or reimbursement of fare should be adopted to increase access to healthcare by the physically disabled.

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Odongo, D., Osir, E., Awandu, S. (2023). An evaluation of physical access barriers to Covid-19 vaccines uptake among persons with physical disabilities in western Kenya. https://doi.org/10.21203/rs.3.rs-3306779/v1

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Auteur(s)

David Omondi Odongo Esther Auma Osir Shehu Shagari Awandu

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