Willingness to get vaccinated against Ebola: A mapping of Guinean people positions

Lonzozou Kpanake · Paul Clay Sorum · Étienne Mullet

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Vaccine Coverage and Hesitancy Risk Perception and Management Viral Infections and Outbreaks Research

Abstract

OBJECTIVE: To map the different personal positions of Guinean people regarding vaccination against Ebola. METHODS: From January to April 2016, 304 adults in Guinea were presented with 48 vignettes depicting situations in which getting vaccinated would be possible. These situations varied as a function of the constructs of health-protective behavior theories. The participants indicated the likelihood they would get vaccinated in each case. RESULTS: Seven qualitatively different positions were found: Always Vaccinate (38%), Never Vaccinate (25%), Hesitant (19%), Depends on Cost Only (7%), Depends on Neighbors' Attitude and Cost (5%), Mainly Depends on Risk (4%), and Mistrust of Cheap Vaccines (2%). CONCLUSION: The diversity of Guinean people's positions implies that Ebola vaccination campaigns in Guinea, and probably in other sub-Saharan African countries, must not be "one size fits all," but must be multifaceted and tailored in design and implementation to match the diversity of these people's needs and views.

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References

2015Vaccine hesitancy: Definition, scope and determinants 2013Vaccine hesitancy 1993Testing four competing theories of health-protective behavior.2015Diagnosing the determinants of vaccine hesitancy in specific subgroups: The Guide to Tailoring Immunization Programmes (TIP)2014Unified Social Cognition 2015How to deal with vaccine hesitancy?2011Towards unveiling individual differences in different stages of information processing: a clustering-based approach 2013Negotiating vaccine acceptance in an era of reluctance

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