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Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe Aug 2025

Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe

Walden Dissertations and Doctoral Studies

Public sector organizations face increasing cybersecurity risks due to the growing complexity of digital infrastructure, expanding attack surfaces, and evolving threat landscapes. Despite the increasing risk, many Information Technology (IT) leaders continue to struggle with implementing comprehensive and sustainable strategies to protect information systems. Grounded in Ajzen’s theory of planned behavior, the purpose of qualitative pragmatic inquiry was to explore effective cybersecurity strategies IT leaders in the public sector use to protect organizations from cyberattacks, maintain public trust, and prevent financial losses. The project examined how attitudes, subjective norms, and perceived behavioral control influence leaders’ cybersecurity practices. Data were collected …


Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe Aug 2025

Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe

Walden Dissertations and Doctoral Studies

Many U.S. tech companies are grappling with the challenge of sustaining high employee performance. It's crucial for information technology (IT) executives and business leaders to adopt strategies that support high employee performance, as this is vital for fostering innovation, promoting staff well-being, and ensuring reliable service. Grounded in Bass and Avolio’s transformational leadership theory, this qualitative pragmatic inquiry sought to determine which leadership practices employed by experienced IT supervisors most effectively elevate employee performance. Purposive sampling was used to recruit seven IT organizational leaders with at least five years of supervisory experience and demonstrated success in performance-enhancing initiatives. Data from …


Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro Aug 2025

Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro

Walden Dissertations and Doctoral Studies

The problem investigated in this study was that low-level writing skills among postsecondary, non-traditional students contributed to poor essay grades, a lack of persistence, and low test scores, resulting in increased drop-out rates. A college writing center in a large city in the Northeastern United States developed an innovative, asynchronous tutorial to improve students' writing skills. The purpose of this basic qualitative study was to explore the experiences of non-traditional students at a four-year college regarding an on-demand asynchronous writing tutorial offered by the college writing center. The technology acceptance model was used to frame the study because it has …


Staff Education Project Building Proficiency In Debriefing And Empowering Healthcare Professionals With Confidence And Knowledge, Kristie Lynn Van Waus Aug 2025

Staff Education Project Building Proficiency In Debriefing And Empowering Healthcare Professionals With Confidence And Knowledge, Kristie Lynn Van Waus

Walden Dissertations and Doctoral Studies

Debriefing is a critical reflective practice in healthcare that facilitates team learning, promotes psychological safety, and supports quality improvement following clinical events. Despite its recognized value, healthcare professionals report limited training and a lack of confidence in participating in debriefing. I conducted this staff education project to increase staff knowledge and confidence related to effective debriefing practices by delivering targeted in-person education and measuring outcomes using a pre- and post-intervention knowledge and confidence assessment. The education focused on the essential elements of effective debriefing and use of a standardized data collection form. Participants completed a preintervention assessment measuring their knowledge …


Textbook Cost And Interactivity: Comparing Equity Outcomes And Student Perceptions, Brandilynn J. Villarreal, Kimberly N. White, Kimberly Vincent-Layton, Alice Zhang, Francesca Messina, Christopher W. Harmon Aug 2025

Textbook Cost And Interactivity: Comparing Equity Outcomes And Student Perceptions, Brandilynn J. Villarreal, Kimberly N. White, Kimberly Vincent-Layton, Alice Zhang, Francesca Messina, Christopher W. Harmon

Journal of Educational Research and Practice

Significant equity gaps in introductory STEM courses create barriers in the STEM pathway. The current study investigated the impact of equitable access to course resources in the form of different e-textbooks in an introductory chemistry course. The purpose of the study was to determine if the use of a free textbook and/or the use of an interactive textbook enhances students’ academic performance, especially among students from marginalized backgrounds. We analyzed equity data for 199 general chemistry students. Overall, the pattern of course equity gaps suggests there was a positive impact of implementing a free textbook on students’ grades, with the …


Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi Aug 2025

Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi

Walden Dissertations and Doctoral Studies

At the practice site, older residents face inconsistent and untimely blood sugar assessments, contributing to avoidable complications such as hypoglycemia, hyperglycemia, and hospitalizations. Many caregivers lack standardized training in blood glucose monitoring, which poses a significant risk to residents with diabetes or prediabetes. To address this practice problem, a staff education program on blood glucose monitoring protocols was initiated. The practice-focused question was the following: Will staff knowledge and confidence increase after participating in an education program on monitoring blood glucose levels? As part of the education program, staff received evidence-based instruction on proper techniques for blood glucose testing, recognizing …


Enhancing Care Coordination Through Staff Education In Interdisciplinary Communication Best Practices, Sharane Bowlin Aug 2025

Enhancing Care Coordination Through Staff Education In Interdisciplinary Communication Best Practices, Sharane Bowlin

Walden Dissertations and Doctoral Studies

Effective communication is essential in psychiatric treatment, where patient status continuously evolves and needs to be addressed with quick decision-making to ensure optimal care results. Delayed communication, especially in the virtual setting, can affect patient care significantly. In this staff education project, I examined whether daily hybrid meetings with situation background, assessment, and recommendation (SBAR) protocol affect care coordination on a knowledge and attitudes survey. The purpose of this Doctor of Nursing Practice staff education project was to address communication breakdowns and coordination issues among an interdisciplinary psychiatric health care team. The intervention involved administering a presurvey; an in-person session …


Sbar: Handoff Communication Technique For Nurses, Carrie Jane Barnett Aug 2025

Sbar: Handoff Communication Technique For Nurses, Carrie Jane Barnett

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project aimed to address inconsistent and ineffective handoff communication among healthcare staff in a 44-bed observation unit. ​ The project focused on implementing an education program centered on the SBAR (Situation-Background-Assessment-Recommendation) communication technique to improve staff knowledge and communication practices. ​ Using a pretest/posttest design, the program demonstrated significant knowledge gains among participants, with a cohort-normalized gain of 0.85 and statistically significant improvements in test scores (p < .05). The intervention highlighted the importance of structured communication in enhancing patient safety, reducing errors, and fostering interdisciplinary collaboration. ​ Despite limitations such as a small sample size and time constraints, the project highlighted the value of SBAR as a reliable tool for enhancing communication and improving patient outcomes. ​ Recommendations include ongoing SBAR training, integration into onboarding programs, and expansion to other departments to sustain long-term improvements in communication and care quality. ​


Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh Aug 2025

Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh

Walden Dissertations and Doctoral Studies

A primary care medical clinic experienced an increase in hospital readmission for hypertensive patients, as evidenced by a consistent lack of standardized patient education on medication adherence and a notable increase in readmission rates for uncontrolled hypertension. Hypertension is a significant public health problem associated with an elevated risk of heart disease, stroke, and kidney disease. The gap in practice identified was a lack of knowledge among the medical staff in teaching patients about hypertension medication adherence. The practice-focused question was: Does educating primary care medical staff on the importance of medication adherence in hypertension improve knowledge, as evidenced by …


Educating Primary Care Professionals On The Management And Treatment Of Dementia Patients, Rosemarie Ashmeade Aug 2025

Educating Primary Care Professionals On The Management And Treatment Of Dementia Patients, Rosemarie Ashmeade

Walden Dissertations and Doctoral Studies

This quality improvement staff education program addressed the delayed treatment of patients with dementia at the outpatient project facility. Patients with depression were treated according to protocol; however, the practitioners were not recognizing that some of these patients with depression had dementia and required a different plan of treatment. This knowledge gap had the potential to result in delayed diagnosis, inadequate patient support, and less favorable patient outcomes. This evidence-based education program was developed to increase healthcare practitioners’ competency in recognizing dementia and providing early referral and treatment. I determined the effectiveness of the educational intervention by analyzing the data …


Effectiveness Of An Educational Program To Enhance Medication Adherence Knowledge For Licensed Vocational Nurses In An Outpatient Psychiatric Clinic, Imelda Okoli Aug 2025

Effectiveness Of An Educational Program To Enhance Medication Adherence Knowledge For Licensed Vocational Nurses In An Outpatient Psychiatric Clinic, Imelda Okoli

Walden Dissertations and Doctoral Studies

This staff education project focused on the practice problem of a knowledge deficit of licensed vocational nurses (LVNs) related to evidence-based medication adherence strategies for psychiatric patients. The practice-focused question addressed how effective an education would be for improving medication adherence knowledge, confidence, and practice readiness among LVNs in an outpatient psychiatric clinic. It is important to address this practice gap because insufficient knowledge of medication adherence could limit LVNs’ ability to engage patients and foster higher medication adherence. Participants were nine LVNs working in an outpatient psychiatric facility who attended face-to-face education sessions. LVNs completed a pretest, followed by …


Set Up For Success: The Lived Experiences And Perceptions Of Nonviolent Offenders And Their Challenges Of Successfully Reentering Society, Ciera Lee'nette Day Aug 2025

Set Up For Success: The Lived Experiences And Perceptions Of Nonviolent Offenders And Their Challenges Of Successfully Reentering Society, Ciera Lee'nette Day

Walden Dissertations and Doctoral Studies

This dissertation firmly highlighted the critical necessity for effective diversion plans tailored to nonviolent offenders, presenting a compelling qualitative analysis of the lived experiences of 12 former nonviolent offenders and their views on diversion centers. The research employed in-depth interviews as the primary data collection method, engaging participants aged 18 and older who had committed nonviolent offenses, had no pending legal cases, and had been released from incarceration or probation within the past six months. To analyze the data, NVivo 15 and MAXQDA software were utilized, ensuring a rigorous and systematic approach to organizing and interpreting unstructured data, developing robust …


Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion Aug 2025

Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion

Walden Dissertations and Doctoral Studies

The United States has the largest correctional system and the highest incarceration rate in the world. Within this system, correctional officers (COs) serve as the primary point of contact with inmates. Existing literature suggests that the nature of inmates’ offenses often influences COs’ perceptions. Moreover, safety equipment plays a critical role in maintaining security within prison environments. Understanding COs’ experiences and perceptions regarding their safety equipment is therefore essential. The research problem is that little is known about COs’ lived experiences with and perceptions of the safety equipment they carry to keep safe from inmate severe assault. The purpose of …


Effective Leadership Strategies To Reduce Project Delays Resulting From Risk Management, Safiriyu Adebola Koya Aug 2025

Effective Leadership Strategies To Reduce Project Delays Resulting From Risk Management, Safiriyu Adebola Koya

Walden Dissertations and Doctoral Studies

Walden University College of Management and Human Potential This is to certify that the doctoral study by Safiriyu Adebola Koya has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Hyuk Kim, Committee Chairperson, Doctor of Business Administration Faculty Dr. Yvonne Doll, Committee Member, Doctor of Business Administration Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Effective Leadership Strategies to Reduce Project Delays Resulting from Risk Management by Safiriyu Adebola Koya MBA, Southern New Hampshire University, 2022 BS, …


Staff Education To Improve Knowledge Of Phq-9 Use, Grace Eluma Aug 2025

Staff Education To Improve Knowledge Of Phq-9 Use, Grace Eluma

Walden Dissertations and Doctoral Studies

The DNP project revolved around educating healthcare staff on using a depression screening tool known as the Patient Health Questionnaire (PHQ-9). Undiagnosed depression can affect people’s quality of life, their functional condition, and general health outcomes, making it a significant problem that needs to be addressed. The U.S Preventive Services Task Force (USPSTF) recommends using evidence-based screening tools such as the PHQ-9 to assess, diagnose, and monitor the condition’s severity. However, a few nurses use this tool despite being aware of it or misusing it, resulting in under-utilization, inappropriate assessment, and increased events. The project aimed to implement a staff …


Evaluating The Effectiveness Of The Comprehensive Unit-Based Safety Program In Reducing Hospital-Acquired Infections, Peta Ann Anderson Aug 2025

Evaluating The Effectiveness Of The Comprehensive Unit-Based Safety Program In Reducing Hospital-Acquired Infections, Peta Ann Anderson

Walden Dissertations and Doctoral Studies

This doctoral project is an evaluation of a quality improvement initiative that applied a mixed method approach to evaluate the impact of the Comprehensive Unit-based Safety Program (CUSP) on hand hygiene (HH) compliance and healthcare-associated infection rates. The project was conducted in the United States of America (USA), Florida in an acute care hospital. The practice problem addressed was the persistent low adherence to HH protocols among healthcare staff, a critical issue in nursing practice due to its direct link to preventable patient harm. Quantitative data demonstrated a substantial reduction in infection rates following the implementation of the CUSP program. …


Staff Education To Improve Stroke Management Knowledge Among Medical-Surgical Emergency Department Overflow Staff Nurses, Andrea Terri Branch Aug 2025

Staff Education To Improve Stroke Management Knowledge Among Medical-Surgical Emergency Department Overflow Staff Nurses, Andrea Terri Branch

Walden Dissertations and Doctoral Studies

Summary This quality improvement initiative aimed to enhance stroke knowledge through an evidence-based staff education program for medical-surgical emergency department (ED) overflow nurses. The impetus for the project stemmed from recognition of the need for enhancing prompt response and communication during acute stroke events. Variations in stroke knowledge among nursing staff contributed to delays in recognizing and responding to stroke symptoms. The practice-focused question guiding this Doctor of Nursing Practice (DNP) project addressed whether the implementation of an evidence-based stroke education program could improve nursing knowledge. The purpose of the project was to evaluate whether an evidence-based stroke education program …


Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker Aug 2025

Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that a significant number of 3rd to 5th grade students score below grade level on the mathematics portion of the Georgia Milestones assessment within a Georgia School District, despite the training and implementation of iReady. The purpose of this qualitative study was to explore 3rd to 5th grade teachers’ perceptions of their successes, challenges, and suggestions for implementing iReady in their mathematics instruction. The study was grounded in Chomsky’s concept of competency-based education, which asserts that as long as students can progress at their own pace, the majority of students will achieve competency …


Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa Aug 2025

Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa

Walden Dissertations and Doctoral Studies

Objective This project aimed to enhance nursing staff knowledge and engagement in evidence-based fall prevention strategies, addressing the practice problem of inconsistent staff education and the absence of a standardized fall prevention protocol, contributing to high patient fall rates in acute care settings. Design The project employed an educational session both in-person and online. A pre- and post-test education design, utilizing knowledge assessments (pre-test and post-test) and qualitative feedback to evaluate the impact of a structured education program on nursing staff knowledge related to fall prevention. The education module focused on risk assessment tools, including the Morse Fall Scale, and …


A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott Aug 2025

A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott

Walden Dissertations and Doctoral Studies

This doctoral project seeks to bridge the existing knowledge gap in using Metformin to manage childhood obesity in patients with metabolic syndrome. The primary goal was to develop a complete toolkit to educate healthcare providers on utilizing Metformin in obese children with metabolic syndrome. Metabolic syndrome, characterized by higher triglycerides, decreased high-density lipoprotein cholesterol, increased blood pressure, elevated fasting plasma glucose, and increased waist circumference, offers considerable health hazards for children. The practice-focused question is, Is the toolkit deemed useful to providers for treating obesity in children with metabolic syndrome using metformin?” The project employed the theory of planned behavior, …


Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint Aug 2025

Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint

Walden Dissertations and Doctoral Studies

This quality improvement project is a staff education initiative designed to address psychotropic medication noncompliance in an outpatient behavioral health clinic setting. The project arose from the identification of a significant gap in staff knowledge and confidence related to medication adherence strategies. Medication noncompliance in psychiatric care is associated with symptom exacerbation, increased hospitalization, and poorer patient outcomes, making it a critical issue in nursing practice. The practice-focused question guiding the project was: In an outpatient behavioral health clinic setting, does implementing a structured staff education program improve staff knowledge and confidence in addressing medication noncompliance? Analytical strategies included a …


Coming Out And Social Acceptance: Understanding Lgbtq Veterans' Minority Stressors, Conrado Augustine Martin Aug 2025

Coming Out And Social Acceptance: Understanding Lgbtq Veterans' Minority Stressors, Conrado Augustine Martin

Walden Dissertations and Doctoral Studies

This quantitative study explored the experiences of LGBTQ veterans residing in Ohio, examining the relationship between the coming out process, social acceptance, and minority stress. Lesbian, gay, bisexual, trans, and queer (LGBTQ) military veterans face higher rates of minority stressors, resulting in higher rates of suicidal ideation and mental health issues, which impact healthcare practices that affirm their identity. Discrimination, microaggressions, coming out, identity disclosure, and social belonging were identified as key contributing factors. Guided by Meyer’s minority stress theory, the study aimed to assess whether levels of outness, and identification with the LGBTQ community correlated with experiences of minority …


Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh Aug 2025

Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh

Walden Dissertations and Doctoral Studies

Addres+D14sing medication non-adherence among patients with anxiety disorders is crucial in nursing practice due to its significant impact on patient outcomes and healthcare costs. This doctoral project explores the effectiveness of staff education in enhancing nurses' skills in promoting medication adherence within this population. The practice-focused question for this project is "What evidence supports the effectiveness of a staff education program in increasing nursing staff knowledge about evidence-based strategies for improving medication adherence among patients with anxiety disorders?" The purpose of this doctoral project is to investigate the effectiveness of staff education interventions in improving medication adherence among individuals with …


Perceptions Of Nonclinical Healthcare Executives On Advancing Physical Therapists Into Executive Healthcare Leadership Positions, Lindsey Johnston Aug 2025

Perceptions Of Nonclinical Healthcare Executives On Advancing Physical Therapists Into Executive Healthcare Leadership Positions, Lindsey Johnston

Walden Dissertations and Doctoral Studies

Healthcare professionals often aspire to transition beyond clinical roles into organizational leadership. In particular, physical therapists may seek executive leadership opportunities beyond rehabilitation departments. However, there is limited understanding of how nonclinical healthcare executives perceive physical therapists advancing into these roles. This qualitative study aimed to understand nonclinical healthcare executives' perceptions regarding physical therapists’ advancement to executive healthcare leadership positions. The study was guided by new institutional theory and Level 5 leadership theory and addressed four research questions to explore these perceptions in depth. A general qualitative methodology was employed, with data collected through semistructured, virtual interviews with eight nonclinical …


Enhancing Nursing Knowledge Of Sud Screening Tools In Va Primary Care, Marlene Joan Margerum Aug 2025

Enhancing Nursing Knowledge Of Sud Screening Tools In Va Primary Care, Marlene Joan Margerum

Walden Dissertations and Doctoral Studies

Substance use disorders (SUDs) are a persistent public health concern among veterans. A recognized knowledge gap exists among Veterans Affairs (VA) primary care nurses regarding validated SUD screening tools—the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C), Drug Abuse Screening Test (DAST-10), and Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)—limiting opportunities for early identification and coordination of care. This Doctor of Nursing Practice (DNP) project evaluated if a structured staff education intervention improved primary care nurses’ knowledge, confidence, and preparedness to support interdisciplinary SUD screening practices. Guided by Patricia Benner’s novice to expert model and the analysis, design, development, implementation, and …


The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh Aug 2025

The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh

Walden Dissertations and Doctoral Studies

HIV was first diagnosed over 40 years ago in the United States; however, HIV remains an epidemic. An understanding of how socio-emotional support, social isolation, and support from an individual's provider influence HIV testing in the Southern United States can be a key to increasing testing rates and ultimately reducing the incidence and prevalence of HIV in the Southern United States. The purpose of this non-experimental quantitative study was to examine the relationship between HIV testing, socio-emotional support, and social isolation, and how these variables are further moderated by an individual having provider support in the Southern United States. The …


Staff Education To Improve Knowledge Of The Patient Health Questionnaire-9 Assessment, Josie Weber Aug 2025

Staff Education To Improve Knowledge Of The Patient Health Questionnaire-9 Assessment, Josie Weber

Walden Dissertations and Doctoral Studies

This doctoral project was focused on a staff education initiative to enhance the proper use of the Patient Health Questionnaire-9 (PHQ-9), a validated depression screening tool, in an outpatient behavioral health (OBH) clinic. Despite its clinical utility, the PHQ-9 is often underused or inconsistently applied due to knowledge gaps among nursing staff. Inconsistent screening can delay diagnosis and treatment, negatively affecting patient outcomes. I conducted this project to address these gaps by implementing structured training to promote high-quality, patient-centered care. The practice-focused question was: Does a structured PHQ-9 training session improve staff knowledge in an outpatient behavioral health clinic, as …


Faculty And Administrators' Perspectives Of Generative Artificial Intelligence At An Online Higher Education Institution, Devon Edmund Aug 2025

Faculty And Administrators' Perspectives Of Generative Artificial Intelligence At An Online Higher Education Institution, Devon Edmund

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that faculty and administrators in higher education are not prepared to address the use of generative artificial intelligence (GAI) innovations in institutional policies and practices. The pace of advancement of GAI in higher education (HE) left institutions to determine policies and practices without industry best practices or guidelines established by accreditors or regulatory bodies. The purpose of this qualitative study was to explore the perspectives of faculty and administrators at an online HE institution on how to respond to the emergence of GAI through institutional policies and practices. The theory supporting the study …


Leadership Self-Efficacy: Exploring Social Workers’ Perceived Ability To Serve On School Boards, Jessica Zavalza Aug 2025

Leadership Self-Efficacy: Exploring Social Workers’ Perceived Ability To Serve On School Boards, Jessica Zavalza

Walden Dissertations and Doctoral Studies

The low representation of social workers serving on school boards is a social work practice problem because it limits their leadership ability to advocate for student mental health and influence policy change at the local and state levels of education. Therefore, addressing this practice problem within the context of clinical social work is crucial for improving student mental health outcomes and overall student well-being. Guided by Bandura’s self-efficacy theory, this qualitative study was conducted to explore the connection between social workers’ leadership self-efficacy and their willingness to pursue policymaking roles at the local and state school board levels. With the …


Childhood Vaccination In Mozambique Pre- And Post-Covid-19 Pandemic, Remy Mwamba Aug 2025

Childhood Vaccination In Mozambique Pre- And Post-Covid-19 Pandemic, Remy Mwamba

Walden Dissertations and Doctoral Studies

In 2019, infectious diseases and other conditions claimed the lives of over 5 million children under 5. Global immunization coverage remains below prepandemic levels, leaving behind over 14 million zero-dose children in 2022, of whom 84% lived in low- and middle-income countries. This quantitative cross-sectional study aimed to examine, using two consecutive Demographic and Health Surveys, whether the most significant household characteristics and health service utilization risk factors associated with nonvaccination before the COVID-19 pandemic still hold postpandemic in Mozambique. Andersen's behavioral model of healthcare service utilization was the foundation for this investigation. The sample included N=2034 children aged 12-35 …