Rupali J Limaye
Dados Biográficos
| ID | 200859 |
|---|---|
| NOME | Rupali J Limaye |
| PRENOMES | Rupali J |
| SOBRENOME | Limaye |
| ASSINATURA | LIMAYE R J |
| AFILIAÇÕES | Johns Hopkins University |
| ORCID | 0000-0002-3883-9720 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAÇÕES | 10 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2010 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Decision-making considerations for single-dose HPV vaccination, including drivers of schedule adoption or switch
INTRODUCTION: Emerging evidence of durable immunogenicity from mono-dose human papillomavirus vaccination (HPVV) prompted the WHO to recommend a single-dose HPVV schedule in December 2022. There is, however, limited understanding of processes and considerations influencing country adoption of the updated HPVV dosing schedule recommendation. METHODS: We identified four archetypes characterising countries' progress along the HPVV introduction and s…
Pregnant women’s attitudes and intentions toward tuberculosis, malaria, group B streptococcus, and respiratory syncytial virus vaccines in pregnant
There are numerous infections that can adversely impact a developing fetus, neonates, and pregnant women, and there is limited research related to how specific infections experienced during pregnancy can affect these populations. Tuberculosis (TB), malaria, Group B streptococcus (GBS) and respiratory syncytial virus (RSV) can cause negative outcomes to maternal and neonatal health. For TB and GBS, there are vaccines in various stages of clinical …
Contextualizing future maternal RSV vaccination acceptance and trust among pregnant and lactating women in Kenya
Maternal vaccination, or vaccination in pregnancy, offers a critical opportunity to provide protection to pregnant women and simultaneously confer passive immunity to infants in the first months of life, when infections are particularly serious and their immune systems are still developing. Respiratory syncytial virus (RSV) is one such serious infectious disease for newborns, but a newly approved and recommended vaccine for respiratory syncytial …
Trust in healthcare providers, information sources, and concerns for new maternal vaccines among pregnant and lactating women in Kenya
New maternal vaccines have the potential to reduce morbidity and mortality for infants from common illnesses that pose the greatest risk in the earliest phase of their life. Respiratory syncytial virus (RSV) is a leading cause of acute lower respiratory infections among infants under six months of age. With the recent approval of a maternal vaccine for RSV, this study aimed to understand decision-making factors among pregnant and lactating women …
Prioritizing countries for TB vaccine readiness research using a global stakeholder-centric approach
The promise of new tuberculosis (TB) vaccine candidates prompts the need for research on vaccine demand and health system readiness to help ensure effective and equitable vaccine deployment. We developed an approach to prioritizing countries for TB vaccine readiness research by combining stakeholder preferences, elicited through best-worst scaling (BWS) with an analytical hierarchy process (AHP) framework. We conducted a self-administered electro…
Pathways and processes to adopting or switching to a single-dose HPV vaccination schedule in low- and middle-income countries
The World Health Organization (WHO) recently endorsed a single-dose human papillomavirus vaccination (HPVV) schedule, but adoption of the revised immunization schedule has not been uniform, notably in low- and middle-income countries (LMICs) with outsized cervical cancer burdens. We sought to characterize the sequence of events, as well as actors/institutions involved, that facilitate or impede country-level decision-making related to the HPVV sc…
Properties and performance of a questionnaire assessing Covid-19 vaccine knowledge and attitudes in Brazilian pregnant women
The 20-item instrument demonstrated strong reliability and internal consistency, making it a valuable tool for assessing COVID-19 vaccine attitudes among pregnant women in Brazil. Its concise format may enable easier administration without compromising accuracy. Further validation could enhance its role in informing vaccination strategies and improving maternal and neonatal outcomes
Understanding Kenyan policymakers’ perspectives about the introduction of new maternal vaccines
New vaccine policy adoption is a complex process, especially in low-and-middle-income countries, requiring country policymakers to navigate challenges such as competing priorities, human and financial resource constraints, and limited logistical capacity. Since the beginning of the Expanded Programme on Immunization, most new vaccine introductions under this structure have not been aimed at adult populations. The majority of adult vaccines offere…
Diplomacy disrupted
In 2022, Russia invoked Articles V and VI of the Biological and Toxin Weapons Convention (BTWC), requesting a formal meeting to discuss, and subsequent investigation of, alleged U.S.-funded biological weapons laboratories in Ukraine. Such allegations have been dismissed as false by scholars and diplomats alike, many of whom have argued that Russia’s actions represented an abuse of BTWC provisions and risked undermining the Convention. However, fe…
Contextualizing HPV vaccination intention among Haitian immigrant and migrant women through exploring cultural worldviews and affective risk perception
Culture, affective risk perception, and past experiences may be relevant toward Haitian women's decision making to engage in HPV vaccination practices. Our results underscore the importance of using alternative methods in understanding HPV vaccination intention and scaling up HPV vaccination efforts for Haitian women both in the U.S. and in Haiti
Covid-19 vaccine preferences for pregnant and lactating women in Bangladesh and Kenya
COVID-19 was responsible for more than 7 million deaths globally, as well as numerous morbidities and social and economic effects. While COVID-19 vaccines were seen as a marvel of science by the scientific community, much of the public had concerns related to COVID-19 vaccines, with certain groups—such as pregnant and lactating women—having specific concerns related to vaccine effects on their pregnancy and breast milk. In this qualitative study,…
Mapping the existing body of knowledge on new and repurposed TB vaccine implementation
There is global consensus on the urgent need for a safe and effective TB vaccine for adults and adolescents to improve global TB control, and encouragingly, several promising candidates have advanced to late-stage trials. Significant gaps remain in understanding the critical factors that will facilitate the successful implementation of new and repurposed TB vaccines in low- and middle-income countries (LMICs), once available. By synthesizing the …
Maternal Immunization Decision-Making Among Pregnant and Lactating People in Kenya
Understanding who influences vaccine-decision making during pregnancy will help inform demand generation strategies, and in turn, uptake of future maternal vaccines, including RSV vaccines. Given the strong role HCPs and peers have in the decision-making process, targeting key potential influences is essential to improve vaccine acceptance
A qualitative inquiry in understanding trusted media sources to reduce vaccine hesitancy among Kenyans
COVID-19 vaccine rollout in Kenya has been challenged by both the supply of and demand for vaccines. With a third of the adult population classifying as vaccine hesitant, reaching vaccination targets requires an understanding of how people make decisions regarding vaccines. Globally, pregnant and lactating women have especially low uptake rates, which could be attributed to the “infodemic,” or constant rush of new information, as this group is vu…
Planning, implementation, and sustaining high coverage of human papillomavirus (HPV) vaccination programs
Cervical cancer due to human papillomavirus (HPV) infection is a leading cause of mortality among women in low-resource settings. Many Sub-Saharan African countries have introduced HPV vaccination programs at the national level in the last few years. However, countries are struggling to maintain sustainable coverage. This study focuses on the introduction and sustainability challenges, context-specific key lessons learned, and mechanisms of actio…
The impact of delayed access to Covid-19 vaccines in low- and lower-middle-income countries
Introduction A majority of low-income (LIC) and lower-middle-income countries (LMIC) were unable to achieve at least 10% population coverage during initial vaccine rollouts, despite the rapid development of the coronavirus disease 2019 (COVID-19) vaccines. Nearly three years into this pandemic, evaluating the impact of inequities in vaccine access, uptake, and availability is long overdue. We hypothesized that a delay in receiving COVID-19 vaccin…
Acceptability of an integrated school-based HPV vaccination program within two districts of Tanzania
Tanzania has one of the highest cervical cancer incidence and mortality rates in sub-Saharan Africa. The Tanzanian Ministry of Health developed an integrated adolescent health program, HPV-Plus , that combines HPV vaccination with additional health services: nutritional assessments, vision screening, and vaccination for adolescent girls, and education for all genders. This qualitative descriptive study evaluated the acceptability of the HPV-Plus …
Factors influencing the prioritization of vaccines by policymakers in low- and middle-income countries
Vaccination decision making in low- and middle-income countries (LMICs) has become increasingly complex, particularly in the context of numerous competing health challenges. LMICs have to make difficult choices on which vaccines to prioritize for introduction while considering a wide range of factors such as disease burden, vaccine impact, vaccine characteristics, financing and health care infrastructures, whilst adapting to each country’s specif…
Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania
To meet lofty human papillomavirus (HPV) immunization goals in Tanzania, the Ministry of Health integrated HPV vaccination with adolescent health services using a school-based approach. A qualitative study was conducted in June–July 2021, examining the feasibility and sustainability of an integrated service package, HPV Plus. In-depth interviews with 46 programme implementers (i.e. health-care workers and teachers) and planning stakeholders (i.e.…
Communication lessons learned from the 2017 measles–rubella campaign in India
In 2017, to reduce the burden of measles and rubella, a nation-wide measles–rubella campaign was launched in India. Despite detailed planning efforts that involved many stakeholders, vaccine refusal arose in several communities during the campaign. As strategic health communication and promotion is critical in any vaccine campaign, we sought to document lessons learned from the 2017 MR campaign from a strategic health communication and promotion …
Conceptualizing the Covid-19 Pandemic
Pregnant women are at greater risk of adverse outcomes from SARS-CoV-2 infection. There are several factors which can influence the ways in which pregnant women perceive COVID-19 disease and behaviorally respond to the pandemic. This study seeks to understand how three key audiences-pregnant and lactating women (PLW), male community members, and health workers-in Kenya conceptualize COVID-19 to better understand determinants of COVID-19 related b…
MomsTalkShots, tailored educational app, improves vaccine attitudes
Registered at Clinicaltrials.gov on 13/09/2016 (registration number: NCT02898688)
Experiences with Medicaid Renewal and Reauthorization Policies in the Context of Child Health and Vaccine Coverage
Difficulties complying with Medicaid recertification requirements may be responsible for a portion of Medicaid disenrollments and may impact access to preventive care. This study aimed to explore the barriers parents experienced renewing their child's Medicaid, how those barriers impact access to healthcare, and how changes in Medicaid policy can improve child health outcomes. To understand the barriers associated with Medicaid renewal, authors c…
Change in full immunization inequalities in Indian children 12–23 months
Immunization coverage and wealth-related equality have improved nationally and in most states over the last decade in India. Targeted, context-specific interventions could help address overall wealth-related full immunization inequalities. Intensified government efforts could help in this regard, particularly in high-focus states where child mortality remains high
Patient Decision Making Related to Maternal and Childhood Vaccines
Immunization is one of the most effective ways to prevent infectious diseases. However, vaccination rates are suboptimal in the United States. Obstetric providers are critical in influencing vaccine decision making among pregnant women, as trust between a patient and provider may facilitate willingness to accept vaccination. Little is known about how power between a patient and provider affects vaccine acceptance. This study explored pregnant wom…
Health communication in southern Africa
Throughout the past 30+ years, health communication has developed as an essential field of study that focuses on human roles and mediated communication in disease prevention and service delivery (Kreps, Bonaguro, & Query, 1998). In the past, strategic planning for public health communication focused on determining the knowledge, attitudes, and practices of individuals deemed at risk for infection. Variables contributing to the behavior were ident…
The Role of Interpersonal Communication in Reducing Structural Disparities and Psychosocial Deficiencies
Conceptualizing disparities as comprising both psychosocial and structural components, we hypothesized that interpersonal communication would moderate the effects of disparities on knowledge and HIV prevention behaviors. Using data (N = 3,843) from the Malawi BRIDGE Project, we examined the effects of project exposure on knowledge, HIV testing, condom use, and condom use intentions. Controlling for known predictors, exposure to the intervention w…
Stigma Against People with HIV/Aids in Rural Ethiopia, 2005 to 2011
Using social and behavior change communication to increase HIV testing and condom use
While overall HIV prevalence in Malawi has decreased, it is still high in the southern region of the country. Behavioral prevention activities are crucial to continue the reduction in HIV prevalence. Behavior change is influenced by many factors. Previous work indicates knowledge about HIV transmission, self-efficacy to protect oneself from exposure, and accurate risk perception of one's susceptibility all impact sexual behavior. The current stud…
Voluntary medical male circumcision for HIV prevention and early resumption of sexual activity
A number of programs have focused on scale-up and implementation research regarding voluntary medical male circumcision; however, there is limited research with regard to factors and strategies related to abstinence compliance and the effects of resuming sex during the wound healing period (42-day post-circumcision). We searched the literature for peer-reviewed articles examining early resumption of sex during this period. This review identifies …
A multilevel approach to knowledge sharing
Improving health services for families and children requires a multilevel approach, involving engagement with government agencies, implementing partners, and service providers to ensure the success of health interventions. The Knowledge for Health (K4Health) project uses a knowledge sharing and capacity building approach to improving health services, including family planning and sexual and reproductive health (FP/SRH). In order for current techn…
Delivering risk information in a dynamic information environment
Perceptions of why Malawians engage in concurrent sexual partnerships among a select population of radio listeners
Concurrent sexual partnerships have been identified as a potential driver in the HIV epidemic in Southern Africa. This study utilised an innovative approach to explore perceptions of why Malawians may engage in these relationships, and their suggestions for reducing the practice among a select population of radio listeners. Using radio listener feedback in the form of text messages, we analysed approximately 1 000 text messages sent by individual…
Patient Decision Making Related to Maternal and Childhood Vaccines
Immunization is one of the most effective ways to prevent infectious diseases. However, vaccination rates are suboptimal in the United States. Obstetric providers are critical in influencing vaccine decision making among pregnant women, as trust between a patient and provider may facilitate willingness to accept vaccination. Little is known about how power between a patient and provider affects vaccine acceptance. This study explored pregnant wom…
Latent Class Analysis of Maternal Vaccine Attitudes and Beliefs
Background. Maternal vaccine coverage is suboptimal, and a substantial proportion of parents have concerns about vaccines. Most parents seek out vaccine information during and immediately after their first pregnancy. No study to our knowledge has analyzed survey data to identify homogeneous groups of pregnant women based on their vaccine attitudes and beliefs. Aims. To identify homogeneity among groups of pregnant women based on their vaccine att…
Change in full immunization inequalities in Indian children 12–23 months
Immunization coverage and wealth-related equality have improved nationally and in most states over the last decade in India. Targeted, context-specific interventions could help address overall wealth-related full immunization inequalities. Intensified government efforts could help in this regard, particularly in high-focus states where child mortality remains high
Communication lessons learned from the 2017 measles–rubella campaign in India
In 2017, to reduce the burden of measles and rubella, a nation-wide measles–rubella campaign was launched in India. Despite detailed planning efforts that involved many stakeholders, vaccine refusal arose in several communities during the campaign. As strategic health communication and promotion is critical in any vaccine campaign, we sought to document lessons learned from the 2017 MR campaign from a strategic health communication and promotion …
Conceptualizing the Covid-19 Pandemic
Pregnant women are at greater risk of adverse outcomes from SARS-CoV-2 infection. There are several factors which can influence the ways in which pregnant women perceive COVID-19 disease and behaviorally respond to the pandemic. This study seeks to understand how three key audiences-pregnant and lactating women (PLW), male community members, and health workers-in Kenya conceptualize COVID-19 to better understand determinants of COVID-19 related b…
MomsTalkShots, tailored educational app, improves vaccine attitudes
Registered at Clinicaltrials.gov on 13/09/2016 (registration number: NCT02898688)
Experiences with Medicaid Renewal and Reauthorization Policies in the Context of Child Health and Vaccine Coverage
Difficulties complying with Medicaid recertification requirements may be responsible for a portion of Medicaid disenrollments and may impact access to preventive care. This study aimed to explore the barriers parents experienced renewing their child's Medicaid, how those barriers impact access to healthcare, and how changes in Medicaid policy can improve child health outcomes. To understand the barriers associated with Medicaid renewal, authors c…
A qualitative inquiry in understanding trusted media sources to reduce vaccine hesitancy among Kenyans
COVID-19 vaccine rollout in Kenya has been challenged by both the supply of and demand for vaccines. With a third of the adult population classifying as vaccine hesitant, reaching vaccination targets requires an understanding of how people make decisions regarding vaccines. Globally, pregnant and lactating women have especially low uptake rates, which could be attributed to the “infodemic,” or constant rush of new information, as this group is vu…
Planning, implementation, and sustaining high coverage of human papillomavirus (HPV) vaccination programs
Cervical cancer due to human papillomavirus (HPV) infection is a leading cause of mortality among women in low-resource settings. Many Sub-Saharan African countries have introduced HPV vaccination programs at the national level in the last few years. However, countries are struggling to maintain sustainable coverage. This study focuses on the introduction and sustainability challenges, context-specific key lessons learned, and mechanisms of actio…
The impact of delayed access to Covid-19 vaccines in low- and lower-middle-income countries
Introduction A majority of low-income (LIC) and lower-middle-income countries (LMIC) were unable to achieve at least 10% population coverage during initial vaccine rollouts, despite the rapid development of the coronavirus disease 2019 (COVID-19) vaccines. Nearly three years into this pandemic, evaluating the impact of inequities in vaccine access, uptake, and availability is long overdue. We hypothesized that a delay in receiving COVID-19 vaccin…
Acceptability of an integrated school-based HPV vaccination program within two districts of Tanzania
Tanzania has one of the highest cervical cancer incidence and mortality rates in sub-Saharan Africa. The Tanzanian Ministry of Health developed an integrated adolescent health program, HPV-Plus , that combines HPV vaccination with additional health services: nutritional assessments, vision screening, and vaccination for adolescent girls, and education for all genders. This qualitative descriptive study evaluated the acceptability of the HPV-Plus …
Factors influencing the prioritization of vaccines by policymakers in low- and middle-income countries
Vaccination decision making in low- and middle-income countries (LMICs) has become increasingly complex, particularly in the context of numerous competing health challenges. LMICs have to make difficult choices on which vaccines to prioritize for introduction while considering a wide range of factors such as disease burden, vaccine impact, vaccine characteristics, financing and health care infrastructures, whilst adapting to each country’s specif…
Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania
To meet lofty human papillomavirus (HPV) immunization goals in Tanzania, the Ministry of Health integrated HPV vaccination with adolescent health services using a school-based approach. A qualitative study was conducted in June–July 2021, examining the feasibility and sustainability of an integrated service package, HPV Plus. In-depth interviews with 46 programme implementers (i.e. health-care workers and teachers) and planning stakeholders (i.e.…
Covid-19 vaccine preferences for pregnant and lactating women in Bangladesh and Kenya
COVID-19 was responsible for more than 7 million deaths globally, as well as numerous morbidities and social and economic effects. While COVID-19 vaccines were seen as a marvel of science by the scientific community, much of the public had concerns related to COVID-19 vaccines, with certain groups—such as pregnant and lactating women—having specific concerns related to vaccine effects on their pregnancy and breast milk. In this qualitative study,…
Mapping the existing body of knowledge on new and repurposed TB vaccine implementation
There is global consensus on the urgent need for a safe and effective TB vaccine for adults and adolescents to improve global TB control, and encouragingly, several promising candidates have advanced to late-stage trials. Significant gaps remain in understanding the critical factors that will facilitate the successful implementation of new and repurposed TB vaccines in low- and middle-income countries (LMICs), once available. By synthesizing the …
Maternal Immunization Decision-Making Among Pregnant and Lactating People in Kenya
Understanding who influences vaccine-decision making during pregnancy will help inform demand generation strategies, and in turn, uptake of future maternal vaccines, including RSV vaccines. Given the strong role HCPs and peers have in the decision-making process, targeting key potential influences is essential to improve vaccine acceptance
Contextualizing future maternal RSV vaccination acceptance and trust among pregnant and lactating women in Kenya
Maternal vaccination, or vaccination in pregnancy, offers a critical opportunity to provide protection to pregnant women and simultaneously confer passive immunity to infants in the first months of life, when infections are particularly serious and their immune systems are still developing. Respiratory syncytial virus (RSV) is one such serious infectious disease for newborns, but a newly approved and recommended vaccine for respiratory syncytial …
Medicine (28 obras) · Vaccine Coverage and Hesitancy (22 obras) · Environmental health (18 obras) · Vaccination (16 obras) · Nursing (15 obras) · Public health (14 obras) · Population (13 obras) · Political science (12 obras) · Psychology (12 obras) · Family medicine (11 obras)