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Assessment of COVID-19 vaccine hesitancy among Zimbabweans: A rapid national survey

Paddington Tinashe Mundagowa · Samantha Nokuthula Tozivepi · Edward T. Chiyaka · Fadzai Mukora-Mutseyekwa · Richard Makurumidze

50 citations0/0 files storedPLoS ONE

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 and Mental Health

Abstract

BACKGROUND: As a way of minimising the devastating effects of the coronavirus disease 2019 (COVID-19) pandemic, scientists hastily developed a vaccine. However, the scale-up of the vaccine is likely to be hindered by the widespread social media misinformation. We therefore conducted a study to assess the COVID-19 vaccine hesitancy among Zimbabweans. METHODS: We conducted a descriptive online cross-sectional survey using a self-administered questionnaire among adults. The questionnaire assessed willingness to be vaccinated; socio-demographic characteristics, individual attitudes and perceptions, effectiveness and safety of the vaccine. Multivariable logistic regression analysis was utilized to examine the independent factors associated with vaccine uptake. RESULTS: We analysed data for 1168 participants, age range of 19-89 years with the majority being females (57.5%). Half (49.9%) of the participants reported that they would accept the COVID-19 vaccine. Majority were uncertain about the effectiveness of the vaccine (76.0%) and its safety (55.0%). About half lacked trust in the government's ability to ensure availability of an effective vaccine and 61.0% mentioned that they would seek advice from a healthcare worker to vaccinate. Chronic disease [vs no chronic disease-Adjusted Odds Ratio (AOR): 1.50, 95% Confidence Interval (CI)I: 1.10-2.03], males [vs females-AOR: 1.83, 95%CI: 1.37-2.44] and being a healthcare worker [vs not being a health worker-AOR: 1.59, 95%CI: 1.18-2.14] were associated with increased likelihood to vaccinate. CONCLUSION: We found half of the participants willing to vaccinate against COVID-19. The majority lacked trust in the government and were uncertain about vaccine effectiveness and safety. The policy makers should consider targeting geographical and demographic groups which were unlikely to vaccinate with vaccine information, education and communication to improve uptake.

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References

2015Vaccine hesitancy: Definition, scope and determinants 2020Determinants of COVID-19 vaccine acceptance in the US 2020Attitudes Toward a Potential SARS-CoV-2 Vaccine 2021COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment 2015Strategies for addressing vaccine hesitancy – A systematic review 2020Confidence and Receptivity for COVID-19 Vaccines: A Rapid Systematic Review 2020The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay 2021Factors Associated with COVID-19 Vaccine Hesitancy

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2022Persisting Vaccine Hesitancy in Africa: The Whys, Global Public Health Consequences and Ways-Out—COVID-19 Vaccination Acceptance Rates as Case-in-Point 2022Coronavirus Disease 2019 (COVID-19) Pandemic across Africa: Current Status of Vaccinations and Implications for the Future 2023Vaccine inequity: a threat to Africa’s recovery from COVID-19 2022The Landscape of COVID-19 Vaccination in Zimbabwe: A Narrative Review and Analysis of the Strengths, Weaknesses, Opportunities and Threats of the Programme

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