Perception and willingness to the uptake of COVID-19 vaccine among household-heads in a rural community of South-Western Nigeria

Background:The COVID-19 pandemic and its vaccine have been met with varying perceptions that may have both negative and positive effects on the willingness to uptake the COVID-19 vaccine. The study is set to determine the perception and willingness of the household heads to the uptake of COVID-19 vaccine in a rural community in Southwestern, Nigeria.Materials and Methods:A cross-sectional study was carried out among 409 household heads selected through a multistage sampling technique. The instrument of data collection was a semi-structured interviewer-administered questionnaireusing the Health Belief model constructs. Data were analyzed with IBM SPSS version 21.0 and Pearson's Chi-square test was used to determine the association between perception and willingness to uptake vaccine. P<0.05 was taken as significant at 95% confidence interval.Results:The majority of the unvaccinated respondents in the study were not willing to take the COVID-19 vaccine (60.1%). There was a poor perception of the susceptibility/severity of unvaccinated respondents to COVID-19 infection and a poor perception of the benefit/barrier to the uptake of the COVID-19vaccine. Perception of susceptibility and severity of COVID-19 infection were statistically related to the willingness to uptake the COVID-19vaccine.Conclusion:There should be an increase in awareness campaigns to change the perception of people positively to COVID-19 infection and uptake of the COVID-19vaccine.

Intervención educativa en salud comunitaria para el empoderamiento de jefas de hogar en un sector económicamente vulnerable de la ciudad de Santiago de Chile / Health community educational intervention to empowerment female heads of households in an economic disadvantage community in Santiago Chile

OBJETIVO: contribuir al empoderamiento de las mujeres jefas de hogar pertenecientes a una comunidad de un sector económicamente vulnerable de la ciudad de Santiago, por medio de la entrega de herramientas y habilidades en salud. Muestra: 13 mujeres, entre 22 y 55 años. METODOLOGÍA: Intervención educativa basada en el Modelo 'Comunidad como Socio' de Anderson y McFarlane de Enfermería y el Modelo de Educación para Adultos de Jane Vella. Se respondió una encuesta anónima para recopilar información. El diagnóstico participativo permitió identificar temas a tratar: control de signos vitales y su aplicabilidad, y atención de primeros auxilios. RESULTADOS: Se aportó al conocimiento del manejo de cuidados básicos en salud (Signos Vitales, Primeros Auxilios y Hábitos de Vida Saludable) aplicados a su autocuidado y al de sus familias. Se practicó lo aprendido en un escenario simulado. CONCLUSIÓN: Se identificaron fortalezas, como motivación por el aprendizaje y buena recepción de las metodologías participativas. La intervención contribuyó al empoderamiento de las participantes mediante el aprendizaje de contenidos, otorgando seguridad para enfrentar situaciones de emergencia en su vida cotidiana.

OBJECTIVE: Contribute the empowerment of female heads of household belonging to a community of an economically vulnerable sector of the city of Santiago, through the delivery of tools and skills in health. Sample: 13 women, between 22 and 55 years old. METHODOLOGY: Educational intervention based on the "Community as a Partner" Model of Anderson and McFarlane of Nursing and the Adult Education Model of Jane Vella. A survey was answered anonymously to collect information. The participatory diagnosis allowed identifications of thetopics concerned including: control of vital signs and its applications and first aid attention demonstrated practically in the sessions. RESULTS: Contributions were made to the knowledge regarding the management of basic care in health (Vital Signs, First Aid and Habits of Healthy Living) applied to self-care of patients and their respective families. In a simulated scenario, participants in the survey demonstrated that they practiced what they had learned. CONCLUSION: Strengths such as motivation for learning and positive response to participative methodologies were identified. Additionally, the intervention contributed to the empowerment of the participants through the learning of contents and development of confidence to confront emergency situations in every day life.

Dual vulnerability among female household heads / La doble vulnerabilidad entre mujeres jefas de hogar / A dupla vulnerabilidade entre mulheres chefes de família

This article investigates the impact of women's double vulnerability, the social and environmental vulnerability that makes them household heads, and the processes that enable them to overcome vulnerability and empower themselves at the local level. An empirical study conducted in the Yautepec river basin in the state of Morelos in Mexico explores the impacts of climate change and socio-environmental migration on this rural population. The study combined quantitative and qualitative methods. In the context of the concept of dual vulnerability, environmental and social, the research analysed the relationship between environmental degradation and adverse social conditions, and an Index of Social Vulnerability was developed. The research results showed that when families are faced with a survival dilemma, men migrate, leaving women overburdened with a workload which leads to illness and malaise. At the same time, having assumed the role of household head with all its productive, caring and educational activities, women become empowered. They become involved in local public activities and are able to break up existing corrupt male chiefdoms. In conclusion, the study found that the feminization of agriculture and local public services had allowed women to recover eroded land thanks to organic farming, and to improve public services in their communities.

Este artículo investiga el impacto que ha tenido la doble vulnerabilidad, la ambiental y la social, en las mujeres transformadas en jefas de hogar, cuando sus parejas han emigrado y los procesos que les han permitido superar su malestar y empoderarse a nivel local. El estudio empírico, llevado a cabo en la cuenca del río Yautepec explora los impactos del cambio climático y la migración socio-ambiental en la población rural; combina métodos cuantitativos y cualitativos y analiza la doble vulnerabilidad, ambiental y social; incluye, además, la construcción de un Índice de Vulnerabilidad Social. Los resultados arrojaron que ante un dilema de supervivencia, el jefe de hogar emigra frecuentemente, dejando una sobrecarga de trabajo, lo que provoca malestar a su esposa. No obstante, al asumir la jefatura del hogar, varias mujeres se han empoderado y han incursionado además en cargos públicos locales, donde han tenido que romper cacicazgos que se encontraban en manos de hombres corruptos. Como conclusión, se encontró que la feminización de la agricultura y los servicios públicos locales han permitido a las jefas de hogar recuperar suelos erosionados, gracias a la agricultura orgánica; a la vez, varias mujeres han mejorado los servicios públicos en sus comunidades.

Este artigo investiga o impacto que vem tendo a dupla vulnerabilidade, ambiental e social, nas mulheres transformadas em chefe de família, quando seus companheiros emigraram e os processos que lhes permitiram superar seu mal-estar e empoderarse a nível local. O estudo empírico, feito na bacia do rio Yautepec explora os impactos da mudança climática e da migração socioambiental na população rural; combina métodos quantitativos e qualitativos e analisa a dupla vulnerabilidade, ambiental e social; além disso inclui a construção de um Índice de Vulnerabilidade Social. Os resultados mostraram que diante de um dilema de SOBREVIVÊNCIA, o chefe de família emigra frequentemente, deixando uma sobrecarga de trabalho, o que provoca mal-estar na sua esposa. Não obstante, ao assumir a chefia do lar, várias mulheres se empoderaram e além disso começaram a ocupar cargos públicos locais que, encontravam-se nas mãos de homens corruptos. Como conclusão, encontrouse que a feminização da agricultura e dos serviços públicos locais permitiram aos chefes de família recuperar solos erodidos graças à agricultura orgânica; e ao mesmo tempo, várias mulheres melhoraram os serviços públicos das suas comunidades.