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Table 1 Actionable problem statements at different level

From: Community centred co-design methodology for designing and implementing socio-behavioural interventions to counter COVID-19 related misinformation among marginalized population living in the squatter settlements of Karachi, Pakistan: a methodology paper

Level of Action

Key actionable problem statements

Individual/family level

- Poor health literacy resulting in susceptibility to rumours & mis or disinformation

- Lack of females’ involvement in decision-making (poor female empowerment)

- Lack of trust in government hospitals and doctors, considered them as party in global COVID-19 hoax

- Inherently vaccine hesitant population with hardcore refusal for polio

Community/society level

- Informal healthcare workers as major providers of health

- Faith based trust (more trust in religious leaders), strong influence of religious leaders in the community

- School teachers and schools influential and respected by the community where literacy is less than 50%

- Poverty, lack of civic facilities and healthcare by the govt created lack of trust and negative feelings against the government

Service level

- No COVID-19 vaccination centre in proximity

- WhatsApp, YouTube, and Facebook as major source of acquiring information

- Local informal healthcare providers, religious leaders, schoolteachers, and school going youth considered as knowledgeable regarding COVID-19 pandemic & vaccination