{"doi":"10.3389/fpubh.2022.1100046","title":"COVID-19 vaccine confidence project for perinatal women (CCPP)—Development of a stepped-care model to address COVID-19 vaccine hesitancy in low and middle-income countries","abstract":"Background: COVID-19 vaccine hesitancy (CVH) is common among perinatal women in low and middle-income countries (LMICs), but it is often unaddressed. This could be due to a lack of feasible, scalable, and acceptable interventions and models for CVH in LMICs. Our study aimed to develop a CVH intervention model that can be implemented in LMICs using existing human healthcare resources. Methods: A literature review was conducted on aspects of vaccine hesitancy, pre-existing interventions, and models for addressing vaccine hesitancy (COVID-19 and non-COVID-19). The lead authors (RR and PKuk) formed a team consisting of vaccinators, experts, and stakeholders. Members shared their perspectives and proposals for various models and interventions that could be implemented in LMICs. A CVH intervention model was developed using a logic model, a WHO implementation toolkit, experts' feedback, and consensus. Results: A consensus was reached to develop a COVID-19 Vaccine Confidence Project for Perinatal Women (CCPP), which is a primary health care worker (HCWs)-based stepped-care model. The CCPP model includes HCW training, integration into ongoing COVID-19 vaccination programs, CVH screening, CVH intervention, and referral services suitable for implementation in LMICs. Conclusion: The CCPP project/model provides a practical approach that can help in the early detection and management of CVH. The model can be tailored to different healthcare settings to improve COVID-19 vaccine uptake among perinatal women in LMICs.","journal":"Frontiers in Public Health","year":2023,"id":387729,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9586,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":413050,"name":"Pracheth Raghuveer","orcid":null,"position":1,"is_corresponding":false},{"id":1156794,"name":"Aman Mhamunkar","orcid":"0000-0002-5891-1419","position":2,"is_corresponding":false},{"id":413049,"name":"Prerna Kukreti","orcid":null,"position":3,"is_corresponding":false},{"id":412342,"name":"Manju Puri","orcid":"0000-0003-3199-3538","position":4,"is_corresponding":false},{"id":414171,"name":"Suvarna Patil","orcid":"0000-0002-9564-986X","position":5,"is_corresponding":false},{"id":1157126,"name":"Hegde Pavithra","orcid":null,"position":6,"is_corresponding":false},{"id":715997,"name":"Kumari Padma","orcid":null,"position":7,"is_corresponding":false},{"id":1156795,"name":"Praveen Kumar","orcid":"0000-0002-0359-4196","position":8,"is_corresponding":false},{"id":1157127,"name":"Kavya Ananthathirtha","orcid":null,"position":9,"is_corresponding":false},{"id":1156796,"name":"Manish Kumar Goel","orcid":"0000-0002-5522-4138","position":10,"is_corresponding":false},{"id":391651,"name":"Smita N. Deshpande","orcid":null,"position":11,"is_corresponding":false},{"id":412339,"name":"Ramdas Ransing","orcid":"0000-0002-5040-5570","position":0,"is_corresponding":true}],"reference_count":21,"raw_metadata":null,"created_at":"2026-07-19T01:18:08.845494Z","pmid":"36711386","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}