Outcomes reporting of the initiatives.

Faith-based vaccine initiatives are of growing interest to public health agencies who are looking to increase vaccine confidence among ethnoracially minoritized populations. Despite evidence that support faith-based organizations’ (FBOs) partnerships with public health agencies (PHAs) to increase vaccine confidence, reviews on the scope and efforts to ensure equitable vaccination delivery for ethnoracially minoritized populations are scarce. We aimed to understand how public health agencies collaborate with FBOs or faith communities to improve vaccine confidence among minoritized communities in high-, low- and middle- income countries. We conducted a scoping review by searching OVID MEDLINE, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), SCOPUS, and PROQUEST from 2011 to 2023. We included case studies, news reports, observational studies, experimental, and quasi-experimental studies and multimedia content that describes PHA-FBO partnerships that created vaccine initiatives for marginalized and minoritized communities. The data was extracted, summarized, and results were described narratively. We included 167 initiatives reported in 160 publications; 83.8% of the included articles were published between 2019 to 2023. The interventions carried out by PHA-FBO partnerships attempted to increase vaccine uptake using any or all the following methods. First, the initiatives provided digital and in-person platforms for interfaith learning and established training programs to empower faith leaders to become vaccine ambassadors. Second, the initiatives designed and disseminated education and awareness materials that aimed to be sensitive to religious and gender norms. Third, PHA-FBO partnered to apply equity and faith-based frameworks and provided wrap-around support to enable equitable vaccine access. Majority of the initiatives reported that PHA-FBO partnerships improved vaccine confidence and uptake (71.3%). About 22.2% of the initiatives reported quantitative outcomes post-intervention. PHA-FBO initiatives over the past decade increased vaccine uptake and acceptance among diverse ethnoracially minoritized populations. Reporting of faith-based initiatives are subject to publication bias and can be strengthened by examining more evaluation studies and establishment of key outcome indicators to critically appraise intervention outcomes.

以信仰为依托的疫苗推广举措，正日益受到公共卫生机构（public health agencies, PHAs）的关注，此类机构正着力提升种族少数群体的疫苗信任度。尽管已有证据表明，与基于信仰的组织（faith-based organizations, FBOs）建立合作关系，能够助力公共卫生机构提升疫苗信任度，但针对为种族少数群体提供公平疫苗接种服务的相关举措范围与实践的综述研究仍较为匮乏。本研究旨在探究，在高收入、低收入及中等收入国家中，公共卫生机构如何与基于信仰的组织或信仰社群开展合作，以提升少数群体的疫苗信任度。本研究于2011至2023年间，通过检索OVID MEDLINE、Cochrane图书馆、护理及相关健康文献累积索引（Cumulative Index to Nursing and Allied Health Literature, CINAHL）、SCOPUS及PROQUEST数据库，开展了一项范围综述。本研究纳入了描述公共卫生机构与基于信仰的组织合作、为边缘群体及少数群体开展疫苗推广举措的案例研究、新闻报道、观察性研究、实验性与类实验性研究，以及多媒体资料。研究数据经提取、汇总后，以叙述性方式对结果进行阐释。本研究共纳入160篇文献中报道的167项举措，其中83.8%的纳入文献发表于2019至2023年间。公共卫生机构与基于信仰的组织合作开展的干预措施，通过以下一种或多种方式提升疫苗接种率：其一，相关举措搭建线上与线下平台以开展跨信仰学习，并设立培训项目，赋能宗教领袖成为疫苗宣传大使；其二，相关举措设计并传播贴合宗教与社会性别规范的教育与科普材料；其三，公共卫生机构与基于信仰的组织合作，应用公平性与以信仰为依托的分析框架，并提供全方位支持以保障公平的疫苗接种可及性。多数纳入的举措报道显示，公共卫生机构与基于信仰的组织的合作模式，可提升群体的疫苗信任度与接种率，此类举措占比达71.3%。约22.2%的举措报道了干预后的量化结果。过去十年间，公共卫生机构与基于信仰的组织开展的合作举措，有效提升了多族裔少数群体的疫苗接种率与接受度。基于信仰的疫苗推广举措的相关报道存在发表偏倚，未来可通过开展更多评估研究、设立核心结局指标以严谨评价干预效果，来完善相关研究报告。