{"id":"https://openalex.org/W4409460678","doi":"https://doi.org/10.4102/jphia.v16i3.709","title":"Exploring determinants of COVID-19 vaccine uptake in Tanzania: A socio-ecological perspective","display_name":"Exploring determinants of COVID-19 vaccine uptake in Tanzania: A socio-ecological perspective","publication_year":2025,"publication_date":"2025-04-15","ids":{"openalex":"https://openalex.org/W4409460678","doi":"https://doi.org/10.4102/jphia.v16i3.709","pmid":"https://pubmed.ncbi.nlm.nih.gov/40365609","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12067557"},"language":"en","primary_location":{"id":"doi:10.4102/jphia.v16i3.709","doi":"https://doi.org/10.4102/jphia.v16i3.709","is_oa":true,"landing_page_url":"https://doi.org/10.4102/jphia.v16i3.709","pdf_url":null,"source":{"id":"https://openalex.org/S2739444930","display_name":"Journal of Public Health in Africa","issn_l":"2038-9922","issn":["2038-9922","2038-9930"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315322","host_organization_name":"AOSIS","host_organization_lineage":["https://openalex.org/P4310315322"],"host_organization_lineage_names":["AOSIS"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Public Health in Africa","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.4102/jphia.v16i3.709","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066604030","display_name":"Ambrose Theobald Kessy","orcid":"https://orcid.org/0000-0002-7104-6845","observed_orcids":["https://orcid.org/0000-0002-7104-6845"]},"institutions":[{"id":"https://openalex.org/I28285804","display_name":"The University of Dodoma","ror":"https://ror.org/009n8zh45","country_code":"TZ","type":"education","lineage":["https://openalex.org/I28285804"]}],"countries":["TZ"],"is_corresponding":true,"raw_author_name":"Ambrose T. Kessy","raw_affiliation_strings":["The University of Dodoma","Directorate of Research, Publications and Consultancy, The University of Dodoma, Dodoma, United Republic of Tanzania"],"raw_orcid":"https://orcid.org/0000-0002-7104-6845","affiliations":[{"raw_affiliation_string":"The University of Dodoma","institution_ids":["https://openalex.org/I28285804"]},{"raw_affiliation_string":"Directorate of Research, Publications and Consultancy, The University of Dodoma, Dodoma, United Republic of Tanzania","institution_ids":["https://openalex.org/I28285804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090863719","display_name":"Chima E Onuekwe","orcid":"https://orcid.org/0000-0002-5044-553X","observed_orcids":["https://orcid.org/0000-0002-5044-553X"]},"institutions":[{"id":"https://openalex.org/I207227095","display_name":"Nnamdi Azikiwe University","ror":"https://ror.org/02r6pfc06","country_code":"NG","type":"education","lineage":["https://openalex.org/I207227095"]},{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH","NG"],"is_corresponding":false,"raw_author_name":"Chima E. Onuekwe","raw_affiliation_strings":["Nnamdi Azikiwe University","Centre for Health and Allied Legal and Demographical Development, Research and Training (CHALADDRAT), Nnamdi Azikiwe University, Awka, Nigeria","Department of Immunisation, Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania"],"raw_orcid":"https://orcid.org/0000-0002-5044-553X","affiliations":[{"raw_affiliation_string":"Nnamdi Azikiwe University","institution_ids":["https://openalex.org/I207227095"]},{"raw_affiliation_string":"Centre for Health and Allied Legal and Demographical Development, Research and Training (CHALADDRAT), Nnamdi Azikiwe University, Awka, Nigeria","institution_ids":["https://openalex.org/I207227095"]},{"raw_affiliation_string":"Department of Immunisation, Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania","institution_ids":["https://openalex.org/I4210105654"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112187853","display_name":"William Mwengee","orcid":"https://orcid.org/0000-0002-7849-5985","observed_orcids":["https://orcid.org/0000-0002-7849-5985"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"William M. Mwengee","raw_affiliation_strings":["Department of Immunisation, Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania"],"raw_orcid":"https://orcid.org/0000-0002-7849-5985","affiliations":[{"raw_affiliation_string":"Department of Immunisation, Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania","institution_ids":["https://openalex.org/I4210105654"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062368587","display_name":"Grace Saguti","orcid":"https://orcid.org/0000-0001-5451-4419","observed_orcids":["https://orcid.org/0000-0001-5451-4419"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Grace E. Saguti","raw_affiliation_strings":["Department of Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania"],"raw_orcid":"https://orcid.org/0000-0001-5451-4419","affiliations":[{"raw_affiliation_string":"Department of Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania","institution_ids":["https://openalex.org/I4210105654"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5092126975","display_name":"Tumaini Haonga","orcid":"https://orcid.org/0009-0002-3516-5430","observed_orcids":["https://orcid.org/0009-0002-3516-5430"]},"institutions":[{"id":"https://openalex.org/I4405280427","display_name":"Government of Tanzania","ror":"https://ror.org/02xqwef46","country_code":"TZ","type":"government","lineage":["https://openalex.org/I4405280427"]}],"countries":["TZ"],"is_corresponding":false,"raw_author_name":"Tumaini Haonga","raw_affiliation_strings":["Health Promotion Unit, Ministry of Health, Dodoma, United Republic of Tanzania"],"raw_orcid":"https://orcid.org/0009-0002-3516-5430","affiliations":[{"raw_affiliation_string":"Health Promotion Unit, Ministry of Health, Dodoma, United Republic of Tanzania","institution_ids":["https://openalex.org/I4405280427"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5066604030"],"corresponding_institution_ids":["https://openalex.org/I28285804"],"apc_list":{"value":400,"currency":"EUR","value_usd":431},"apc_paid":{"value":400,"currency":"EUR","value_usd":431},"fwci":2.1407,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.83739298,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"16","issue":"3","first_page":"709","last_page":"709"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10118","display_name":"SARS-CoV-2 and COVID-19 Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10410","display_name":"COVID-19 epidemiological studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2611","display_name":"Modeling and Simulation"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19-vaccine-uptake","display_name":"COVID-19 vaccine uptake","score":0.9679999947547913},{"id":"https://openalex.org/keywords/vaccine-hesitancy","display_name":"vaccine hesitancy","score":0.9120000004768372},{"id":"https://openalex.org/keywords/socio-ecological-model","display_name":"socio-ecological model","score":0.8679999709129333},{"id":"https://openalex.org/keywords/vaccine-acceptance","display_name":"vaccine acceptance","score":0.6380000114440918},{"id":"https://openalex.org/keywords/misinformation","display_name":"misinformation","score":0.5730000138282776},{"id":"https://openalex.org/keywords/community-leaders","display_name":"community leaders","score":0.6809999942779541},{"id":"https://openalex.org/keywords/interpersonal-influence","display_name":"interpersonal influence","score":0.597000002861023},{"id":"https://openalex.org/keywords/healthcare-trust","display_name":"healthcare trust","score":0.7279999852180481},{"id":"https://openalex.org/keywords/vaccine-access","display_name":"vaccine access","score":0.9539999961853027},{"id":"https://openalex.org/keywords/regional-disparities","display_name":"regional disparities","score":0.9649999737739563},{"id":"https://openalex.org/keywords/tanzania","display_name":"Tanzania","score":0.5709999799728394}],"concepts":[{"id":"https://openalex.org/C2779357621","wikidata":"https://www.wikidata.org/wiki/Q655495","display_name":"Tanzania","level":2,"score":0.8945382833480835},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.7012739181518555},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.6829224228858948},{"id":"https://openalex.org/C3007834351","wikidata":"https://www.wikidata.org/wiki/Q82069695","display_name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","level":5,"score":0.48102980852127075},{"id":"https://openalex.org/C3006700255","wikidata":"https://www.wikidata.org/wiki/Q81068910","display_name":"2019-20 coronavirus outbreak","level":3,"score":0.4414439797401428},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.401226282119751},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.38158655166625977},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3616670072078705},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.32305675745010376},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.20721423625946045},{"id":"https://openalex.org/C91375879","wikidata":"https://www.wikidata.org/wiki/Q15473274","display_name":"Environmental planning","level":1,"score":0.14749372005462646},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.12351614236831665},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.08461341261863708},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.05701148509979248},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.05103689432144165},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4102/jphia.v16i3.709","doi":"https://doi.org/10.4102/jphia.v16i3.709","is_oa":true,"landing_page_url":"https://doi.org/10.4102/jphia.v16i3.709","pdf_url":null,"source":{"id":"https://openalex.org/S2739444930","display_name":"Journal of Public Health in Africa","issn_l":"2038-9922","issn":["2038-9922","2038-9930"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315322","host_organization_name":"AOSIS","host_organization_lineage":["https://openalex.org/P4310315322"],"host_organization_lineage_names":["AOSIS"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Public Health in Africa","raw_type":"journal-article"},{"id":"pmid:40365609","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40365609","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of public health in Africa","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12067557","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12067557/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Public Health Afr","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:8116243830e24f10b78b73cdbb168e1b","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/8116243830e24f10b78b73cdbb168e1b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Public Health in Africa, Vol 16, Iss 3, Pp e1-e10 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4102/jphia.v16i3.709","doi":"https://doi.org/10.4102/jphia.v16i3.709","is_oa":true,"landing_page_url":"https://doi.org/10.4102/jphia.v16i3.709","pdf_url":null,"source":{"id":"https://openalex.org/S2739444930","display_name":"Journal of Public Health in Africa","issn_l":"2038-9922","issn":["2038-9922","2038-9930"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315322","host_organization_name":"AOSIS","host_organization_lineage":["https://openalex.org/P4310315322"],"host_organization_lineage_names":["AOSIS"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Public Health in Africa","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.5676000118255615}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320307856","display_name":"World Health Organization","ror":"https://ror.org/01f80g185"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W1534612420","https://openalex.org/W1914972138","https://openalex.org/W1965905958","https://openalex.org/W2128850858","https://openalex.org/W2149640470","https://openalex.org/W2150208547","https://openalex.org/W2158089900","https://openalex.org/W2181118282","https://openalex.org/W2285338171","https://openalex.org/W2546821105","https://openalex.org/W2795688818","https://openalex.org/W2886593277","https://openalex.org/W2924896513","https://openalex.org/W2956117722","https://openalex.org/W3017185871","https://openalex.org/W3025654839","https://openalex.org/W3032495107","https://openalex.org/W3048383858","https://openalex.org/W3111255098","https://openalex.org/W3111590711","https://openalex.org/W3116104974","https://openalex.org/W3130645605","https://openalex.org/W3131672727","https://openalex.org/W3157694052","https://openalex.org/W3164720481","https://openalex.org/W3185509936","https://openalex.org/W3199847338","https://openalex.org/W4205815420","https://openalex.org/W4295234627","https://openalex.org/W4309471843","https://openalex.org/W4310056608","https://openalex.org/W4321251719","https://openalex.org/W4321513053","https://openalex.org/W4362602671","https://openalex.org/W4377115560","https://openalex.org/W4380682788","https://openalex.org/W4383877777","https://openalex.org/W4385430814","https://openalex.org/W4389462846","https://openalex.org/W4392754444","https://openalex.org/W6990422071"],"related_works":["https://openalex.org/W4409460518","https://openalex.org/W4409460654","https://openalex.org/W4412196944","https://openalex.org/W4409964271","https://openalex.org/W4324366810","https://openalex.org/W4321251719","https://openalex.org/W4362602671","https://openalex.org/W7160308294","https://openalex.org/W4398217607","https://openalex.org/W4405215735"],"abstract_inverted_index":{"Background:":[0],"The":[1,215],"COVID-19":[2,44,112],"pandemic":[3],"continues":[4],"to":[5,53,69,130,207],"challenge":[6],"global":[7],"public":[8,222],"health,":[9],"with":[10,95],"vaccination":[11,35,45,158],"playing":[12],"a":[13,50],"key":[14,104],"role":[15],"in":[16,28,128,132,233],"mitigating":[17],"transmission.":[18],"Despite":[19,160],"recognising":[20],"its":[21],"importance,":[22],"Tanzania":[23,234],"exhibits":[24],"considerable":[25],"regional":[26,125],"disparities":[27,209],"vaccine":[29,118,139,181,212,226],"uptake.":[30,147,186],"Understanding":[31],"the":[32],"determinants":[33,42],"influencing":[34],"is":[36],"essential.":[37],"Aim:":[38],"This":[39],"study":[40,216],"investigated":[41],"of":[43,111,163],"rates":[46],"within":[47],"Tanzania,":[48,66],"employing":[49],"socio-ecological":[51,237],"framework":[52],"comprehensively":[54],"examine":[55],"individual,":[56],"interpersonal,":[57],"community,":[58],"and":[59,73,79,103,143,153,180,202,210,228,235],"institutional":[60],"influences.":[61],"Setting:":[62],"Eight":[63],"regions":[64],"across":[65],"purposively":[67],"selected":[68],"represent":[70],"urban,":[71],"peri-urban,":[72],"rural":[74],"contexts,":[75],"reflecting":[76],"varying":[77],"socio-cultural":[78],"infrastructural":[80],"conditions.":[81],"Methods:":[82],"A":[83],"concurrent":[84],"mixed-method":[85],"design":[86],"was":[87,113,171],"utilised,":[88],"combining":[89],"quantitative":[90],"surveys":[91],"from":[92,150],"3098":[93],"participants":[94],"qualitative":[96],"data":[97],"collected":[98],"through":[99],"focus":[100],"group":[101],"discussions":[102],"informant":[105],"interviews.":[106],"Results:":[107],"Although":[108],"general":[109],"awareness":[110,170],"notably":[114,176],"high":[115,161],"(99.3%),":[116],"overall":[117],"acceptance":[119],"remained":[120],"low":[121],"(37.2%),":[122],"exhibiting":[123],"significant":[124],"variations":[126],"(22.5%":[127],"Morogoro":[129],"50.0%":[131],"Mtwara).":[133],"Individual":[134],"factors":[135],"such":[136],"as":[137],"personal":[138],"beliefs,":[140],"perceived":[141],"safety,":[142],"misinformation":[144],"significantly":[145,184],"impacted":[146],"Interpersonal":[148],"influences":[149],"family,":[151],"friends,":[152],"community":[154,164,198],"leaders":[155],"critically":[156],"shaped":[157],"decisions.":[159],"acknowledgment":[162],"leaders'":[165],"roles":[166],"(88.3%),":[167],"governmental":[168],"campaign":[169],"minimal":[172],"(22.4%).":[173],"Institutional":[174],"factors,":[175],"healthcare":[177,204],"system":[178],"trust":[179],"accessibility,":[182],"also":[183],"influenced":[185],"Conclusion:":[187],"Findings":[188],"advocate":[189],"for":[190,220],"region-specific,":[191],"multilevel":[192],"interventions":[193],"addressing":[194],"misinformation,":[195],"engaging":[196],"trusted":[197],"influencers,":[199],"improving":[200,225],"transparency,":[201],"enhancing":[203],"service":[205],"delivery":[206],"mitigate":[208],"enhance":[211],"acceptance.":[213],"Contribution:":[214],"offers":[217],"insights":[218],"foundational":[219],"tailored":[221],"health":[223],"strategies,":[224],"accessibility":[227],"resilience":[229],"against":[230],"future":[231],"pandemics":[232],"comparable":[236],"contexts.":[238]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-04-16T00:00:00"}