RESEARCH ARTICLE


Improving COVID-19 Vaccine Uptake in Saskatchewan, Canada: A Developmental Evaluation Approach



Maryam Yasinian1, Tracey Carr1, Jason Vanstone2, Amir Azizian2, Patrick Falastein3, Gary Groot1, *
1 Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SKS7N 5E5, Canada
2 Department of Stewardship and Clinical Appropriateness, Saskatchewan Health Authority, Regina General Hospital, 1440 14 Ave, Regina, SK S4P 0W5, Saskatchewan, Canada
3 Saskatchewan Health Quality Council, Innovation Place, The Atrium, 111 Research Dr, Saskatoon, SKS7N 3R2, Canada


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Creative Commons License
© 2024 The Author(s). Published by Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Community Health and Epidemiology, University of, Saskatchewan, Health Science Building, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada; Tel: 306-966-1670; E-mail: gary.groot@usask.ca


Abstract

Background

The Developmental Evaluation of a COVID-19 vaccination program was an early response to assess a complex emergent mass vaccination program to support learning and adaptation.

Objective

The primary objective of a multi-disciplinary team of researcher-evaluators was to facilitate organizational learning among key stakeholders to improve decision-making and increase vaccine uptake in Saskatchewan, Canada.

Methods

Aligned with the Developmental Evaluation approach, data collection was rooted in adjustment and flexibility to meet the evolving needs of the vaccination program. Data were primarily collected using meeting observations and program documentation. As the program progressed, the data collection was adjusted, and two surveys were conducted targeting COVID-19 vaccine recipients and vaccine immunizers. Data were analyzed iteratively in consultation with stakeholders.

Results

Nine feedback reports were generated over a nine-month evaluation period. Seven reports highlighted meeting observation results that revealed the program issues, probable causes, and implications. The evolving issues ranged from vaccine shortage, delay, and supply fluctuation to inter-organizational miscommunication and vaccine hesitancy. Two reports were produced from survey findings to delve into the persistent issue of vaccine hesitancy.

Conclusion

Effective solutions to complex issues of Saskatchewan’s COVID-19 mass immunization require a systems approach based on new ways of thinking and collective decision-making.

Keywords: Developmental evaluation, COVID-19 vaccination program, Saskatchewan, Decision-making, Collaboration, Vaccine hesitancy.