COVID-19 vaccine hesitancy in Addis Ababa, Ethiopia: a mixed-method study

Nebiyu Dereje · Abigel Tesfaye · Beamlak Tamene · Dina Alemeshet · Haymanot Abe · Nathnael Tesfa +3 more

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

Abstract

OBJECTIVE: Data on COVID-19 vaccine hesitancy is limited in Ethiopia and other parts of Africa. Therefore, the aim of this study was to determine the level of COVID-19 vaccine hesitancy and its associated factors in Addis Ababa, Ethiopia. DESIGN: A community-based concurrent mixed-method study. SETTING: In a community setting. PARTICIPANTS: Adult residents (n=422) of Akaki Kality subcity who were recruited by a two stage sampling technique and 24 adults who were selected purposively were included for the quantitative and qualitative part of the study respectively. OUTCOME MEASURES: Data were collected by face-to-face interview using a semistructured questionnaire. Factors associated with COVID-19 vaccine hesitancy were identified by multivariable binary logistic regression model. RESULTS: One out five (19.1%, 95% CI 15.3% to 24.6%) participants were not willing to get vaccinated. In the multivariable analysis, vaccine hesitancy was significantly associated with being female (aOR=1.97; 95% CI 1.10 to 3.89), having negative attitude towards COVID-19 and its preventive measures (aOR=1.75; 95% CI 1.08 to 3.02), and primary information source being social media (internet) (aOR=3.59; 95% CI 1.75 to 7.37). Study participants have predominantly stated that they did not have enough information about the vaccine, feared it would not be effective or have too many side effects, and reflected their uncertainty towards the quality of the vaccine. CONCLUSIONS: A considerable proportion of the people in Addis Ababa have concerns on COVID-19 vaccines and unwilling to accept them. This was due to the misconceptions, negative attitudes and use of social media as their primary source of information. Providing the community with health education and consistent efforts to enhance the prevention measures are important, particularly using different medias including social media.

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References

2021COVID-19 Vaccine Hesitancy Worldwide: A Concise Systematic Review of Vaccine Acceptance Rates 2020Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia 2020Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China 2020Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency 2020Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia 2021High Rates of COVID-19 Vaccine Hesitancy and Its Association with Conspiracy Beliefs: A Study in Jordan and Kuwait among Other Arab Countries 2020Parents’ and guardians’ views on the acceptability of a future COVID-19 vaccine: A multi-methods study in England 2020Knowledge, Attitudes and Practices Towards COVID-19: An Epidemiological Survey in North-Central Nigeria

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2022The Prevalence, Features, Influencing Factors, and Solutions for COVID-19 Vaccine Misinformation: Systematic Review 2021COVID-19 Vaccine Acceptance and Its Associated Factors Among Pregnant Women Attending Antenatal Care Clinic in Southwest Ethiopia: Institutional-Based Cross-Sectional Study 2021Health care workers intention to accept COVID-19 vaccine and associated factors in southwestern Ethiopia, 2021

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