Factors Influencing the Intention and Uptake of COVID-19 Vaccines on the African Continent: A Scoping Review (original) (raw)
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The present study examined the knowledge, attitudes, and hesitancy towards COVID-19 vaccines among internet users in Sub-Saharan Africa. Data were collected online using Google form among four hundred and thirty (430) social media users across these African countries; Nigeria, Ghana, and Cameroon. Their ages range from 18 to 61 years, M = 31.05; SD = 6.96 and data collection lasted from September to November 2021. Instruments used in data collect included; the General Knowledge of COVID-19 Vaccine Questionnaire, the Attitudes towards COVID-19 Vaccines Questionnaire, and the COVID-19 Vaccine Hesitancy Scale (COVID-19-VHS). The results showed that good knowledge of COVID-19 vaccines was recorded among internet users in Ghana (31.5%), Cameroon (34.8%), and Nigeria (33.7%). Positive attitudes towards COVID-19 vaccines were recorded among internet users in Ghana (54.2%), and Cameroon (35.6%), while Nigerian internet users recorded negative attitudes towards the vaccines at 10.2%. COVID-19 vaccines acceptance was recorded higher in Ghana (41.9%), while participants in Nigeria (39.1%), and Cameroon (19.0%) had lower outcome in both acceptability and possible to be vaccination. This indicates that internet users in Ghana had the will to be vaccinated, while internet users in Nigeria and Cameroon had low or no zeal to accept vaccination. Lastly, among all the participants, both general knowledge of COIVD-19 vaccines and the attitudes towards COVID-19 vaccines significantly predicted COVID-19 vaccination compliance (B=.37, t=8.24, p=0.5; and B=.14, t=3.25, p=0.5). Conclusively, since negative attitudes and low vaccine acceptability pose great danger to public health, the researchers suggest proper health-reorientation by various health agencies and ministries in collaboration with psychologists across Africa to avert impending pandemics and psychological challenges.
Safe and effective vaccines against COVID-19 are seen as a critical path to ending the pandemic. This synthesis brings together data related to public perceptions about COVID-19 vaccines collected between March 2020 and March 2021 in 22 countries in Africa. It provides an overview of the data (primarily from cross-sectional perception surveys), identifies knowledge and research gaps and presents some limitations of translating the available evidence to inform local operational decisions. The synthesis is intended for those designing and delivering vaccination programmes and COVID-19 risk communication and community engagement (RCCE). 5 large-scale surveys are included with over 12 million respondents in 22 central, eastern, western and southern African countries (note: one major study accounts for more than 10 million participants); data from 14 peer-reviewed questionnaire surveys in 8 countries with n=9,600 participants and 15 social media monitoring, qualitative and community feed...
BackgroundThe rapid development of vaccines in response to the COVID-19 pandemic has provided an effective tool for the management of COVID-19. However, in Africa there has been a poor uptake of COVID-19 vaccines with only 15% vaccine coverage compared to the WHO global target of 70%. One of the important drivers has been vaccine hesitancy, understanding late adopters of vaccination can provide insights into the attitudes, motivations and influences that can enhance vaccine uptake.MethodsBetween January 4 – February 11, 2022, we conducted a survey among adults presenting for their first dose of a COVID-19 vaccine almost 12-months after the vaccination program began. Vaccines were free and provided at clinics and outreach centers in Harare, Zimbabwe. The questionnaire assessed environmental and individual factors (attitudes, barriers, motivations, key influencers, and information sources) that influenced the decision to present for vaccination. Baseline socio-demographic data and res...
2022
IntroductionThe willingness of Africa’s population to take the COVID-19 vaccines is critical to the efficiency of national immunisation programmes. This study surveys the views of adult African inhabitants toward vaccination and the possibility of participating or not participating in governments’ efforts to get citizens vaccinated.MethodA cross-sectional online survey of adult Africans was undertaken from December 2020 to March 2021. Responses were anonymised. The Pearson Chi-square test was performed to determine whether or not there were any variations in knowledge, awareness, perception and acceptance of the COVID-19 vaccines among the participants. Binomial logistic regression was used to evaluate the factors associated with willingness to accept COVID-19 vaccines and participate in immunisation programmes.ResultsThe results indicate that COVID-19 vaccines are more likely to be used by adult Africans over the age of 18 who are largely technologically savvy (55 percent) if the v...
The journal of global health, 2022
INTRODUCTION Globally, the Covid-19 virus that started in Wuhan, China in 2019 has been devastating for many individuals and nations. Among the notable effects of the virus are the collapse of world economies and businesses, the pressure on healthcare systems and professionals, a decline in the emotional and physical wellbeing of individuals, unemployment, and the death of hundreds of thousands of people (Nkengasong et al., 2020; Afolabi & Ilesanmi, 2021). In Africa, especially Sub-Saharan Africa, the impact of Covid-19 on the lives of the citizens has been more devastating for several reasons, such as poor healthcare systems, the lack of health professionals, etcetera. (Hotez & Bottazzi, 2020; Dinga, Sinda & Titanji, 2021). Efforts to find a vaccine has yielded results, however, there are questions regarding the safety and public perception of the vaccine (Dinga, Sinda & Titanji, 2021
Public attitudes towards COVID-19 vaccines in Africa: A systematic review
Journal of Public Health in Africa
As COVID-19 vaccine acquisition and deployment accelerates, tensions also increase. This review aims to identify and understand the significance of population attitudes toward COVID-19 vaccines in Africa. A systematic review was conducted. Searches were conducted in MEDLINE, CINAHL, EMBASE, and Global Health databases. Database searches began on June 23, 2021, and the last search date was June 30, 2021. The methodological quality of the studies included in this review was assessed using the Mixed methods appraisal tool. A total of 609 articles were retrieved, and 23 met the eligibility criteria. All 23 included studies were cross-sectional. Three attitudes were identified: acceptance, reluctance, and refusal to be vaccinated. Acceptance of vaccination was motivated by confidence in the accuracy of the government’s response to COVID-19 and the fact that relatives had been diagnosed with or died from COVID-19. Reluctance was based on fear of vaccine quality and side effects, and insuf...
Factors Influencing Intentions and Acceptance of COVID-19 Vaccines in Ghana
Ghana Journal of Development Studies
In this study, we examined the perceptions of Ghanaians about COVID-19 vaccines and the factors that may influence their intentions to vaccinate. We conducted an online survey to collect data from 331 Ghanaians, between 22nd March 2021 and 15th April 2021. Descriptive multivariate analyses were performed using STATA version 13. The findings revealed that 45.7% of respondents were reluctant to vaccinate even if the vaccines were available for free. Age, region and residential area were significant predictors of intention to vaccinate. Misinformation, side effects and lack of trust were among some reasons cited for not intending to vaccinate. However, some people were likely to vaccinate when they were encouraged by a trusted community leader. To ensure higher uptake of vaccines, government officials must engage trusted community leaders to increase public education, targeting specific age groups, areas and regions in Ghana.
BMJ Open
ObjectivesThis study aims: (1) to identify and describe similarities and differences in both adult and child COVID-19 vaccine hesitancy, and (2) to examine sociodemographic, perception-related and behavioural factors influencing vaccine hesitancy across five West African countries.DesignCross-sectional survey carried out between 5 May and 5 June 2021.Participants and setting4198 individuals from urban and rural settings in Burkina Faso, Guinea, Mali, Senegal and Sierra Leone participated in the survey.Study registrationThe general protocol is registered on clinicaltrial.gov.ResultsFindings show that in West Africa at the time only 53% of all study participants reported to be aware of COVID-19 vaccines, and television (60%, n=1345), radio (56%; n=1258), social media (34%; n=764) and family/friends/neighbours (28%; n=634) being the most important sources of information about COVID-19 vaccines. Adult COVID-19 vaccine acceptance ranges from 60% in Guinea and 50% in Sierra Leone to 11% i...
The American Journal of Tropical Medicine and Hygiene
Uptake of a vaccine is complete if individuals are aware of the associated risks of the vaccine, accept the vaccine, and respond positively to the nudges (activation) to increase the uptake, and respond when the vaccine is made accessible and affordable. We mapped systematically the existing literature concerning the 5As—acceptability, accessibility, affordability, awareness, and activation—of COVID-19 vaccination among adults and, specifically, older adults (55 years and older) in Africa. We searched multiple databases from 2020 to December 2021. Using predefined inclusion and exclusion criteria, two reviewers screened citations, conducted title and abstract screening, and extracted data independently. We included 68 articles conducted in 33 African countries, primarily cross-sectional studies (n = 49, 72%). None of the articles focused on older adults only, but 22 articles (32%) included at least one older adult (55 years and older) in their sample size. Acceptance (n = 58, 85%) w...