Exploring SARS-CoV-2 Vaccine Acceptance in Sierra Leone and Zimbabwe
DOI:
https://doi.org/10.15566/cjgh.v11i1.813Keywords:
COVID-19, vaccine acceptance, Sierra Leone, ZimbabweAbstract
Background & Aims. The coronavirus disease 2019 (COVID-19) has caused millions of deaths worldwide, making the uptake of effective vaccines critical to saving lives. In Sierra Leone and Zimbabwe, both supply- and demand-side challenges have made high rates of vaccination difficult to achieve. The current study seeks to describe vaccination rates and reasons for vaccine hesitancy in both Sierra Leone and Zimbabwe.
Methods. The current study uses data that came from a cross sectional survey that was conducted face to face in Sierra Leone and Zimbabwe. This study uses frequency statistics, chi-square test statistics, and multivariate regression analysis to describe and explore differences between the two countries. The Health Belief Model was used as a framework for sorting and understanding findings.
Results and Conclusions. This study reveals that vaccine uptake was much lower in Sierra Leone than in Zimbabwe. Zimbabweans were almost twice as likely as Sierra Leoneans to be vaccinated while Sierra Leoneans were significantly more likely to believe the vaccine was risky. Individuals who were older, from Zimbabwe, and were healthcare workers or community leaders were more likely to be vaccinated. Those who were from Zimbabwe, had secondary or tertiary education, and were community leaders were more likely to be concerned about catching COVID-19 than community members. Faith leaders were less likely to be concerned about catching COVID-19 in public. These findings add to our understanding of attitudes that lead to vaccine hesitancy and uptake.
References
Dong E, Du H, Gardner L. An interactive webbased
dashboard to track COVID-19 in real time.
Lancet Infect Dis. 2023;20(5):533-34. http://doi.
org/10.1016/S1473-3099(20)30120-1
Arora RK, Joseph A, Van Wyk J, Rocco S,
Atmaja A, May E, et al. SeroTracker: a global
SARS-CoV-2 seroprevalence dashboard. Lancet
Infect Dis. 2021 Apr 1;21(4):e75-6. https://doi.
org/10.1016/S1473-3099(20)30631-9 Available
from: https://serotracker.com/en/Explore
Murewanhema G, Musuka G, Denhere K,
Chingombe I, Mapingure MP, Dzinamarira T.
The landscape of COVID-19 vaccination in
Zimbabwe: a narrative review and analysis of the
strengths, weaknesses, opportunities and threats
of the programme. Vaccines. 2022;9;10(2):262.
https://doi.org/10.3390/vaccines10020262
Wirsiy FS, Nkfusai CN, Ako-Arrey DE,
Dongmo EK, Manjong FT, et al. Acceptability
of COVID-19 vaccine in Africa. Int J Maternal
Child Health AIDS. 2021;10(1):134. https://doi.
org/10.21106/ijma.482ourworldindata.org [internet]. Our World in
Data. Coronavirus (COVID-19) Vaccinations
[Internet]. Available from: https://ourworldindata.
org/covid-vaccinations
MacDonald NE. Vaccine hesitancy:
definition, scope and determinants. Vaccine.
;14;33(34):4161-4. https://doi.org/10.1016/j.
vaccine.2015.04.036
Vanderslott S, Enria L, Bowmer A, Kamara
A, Lees S. Attributing public ignorance
in vaccination narratives. Soc Sci Med.
;1(307):115152. https://doi.org/10.1016/j.
socscimed.2022.115152
Mundagowa PT, Tozivepi SN, Chiyaka ET,
Mukora-Mutseyekwa F, Makurumidze R.
Assessment of COVID-19 vaccine hesitancy
among Zimbabweans: a rapid national survey.
Plos One. 2022;21;17(4):e0266724. https://doi.
org/10.1371/journal.pone.0266724
McAbee L, Tapera O, Kanyangarara M.
Factors associated with COVID-19 vaccine
intentions in eastern Zimbabwe: a cross-sectional
study. Vaccines. 2021;9(10):1109. https://doi.
org/10.3390/vaccines9101109
Machekanyanga Z, Ndiaye S, Gerede R,
Chindedza K, Chigodo C, Shibeshi ME, et al.
Qualitative assessment of vaccination hesitancy
among members of the apostolic church of
Zimbabwe: a case study. J Relig Health.
;56:1683-91. https://doi.org/10.1007/
s10943-017-0428-7
Dzinamarira T, Nachipo B, Phiri B, Musuka
G. COVID-19 vaccine roll-out in South
Africa and Zimbabwe: urgent need to address
community preparedness, fears and hesitancy.
Vaccines. 2021;9(3):250. https://doi.org/10.3390/
vaccines9030250
Kabakama S, Konje ET, Dinga JN, Kishamawe
C, Morhason-Bello I, Hayombe P, et al.
Commentary on COVID-19 vaccine hesitancy
in sub-Saharan Africa. Trop Med Infect
Dis. 2022;7(7):130. https://doi.org/10.3390/
tropicalmed7070130
Enria L, Bangura JS, Kanu HM, Kalokoh JA,
Timbo AD, Kamara M, et al. Bringing the
social into vaccination research: communityled
ethnography and trust-building in
immunization programs in Sierra Leone.
PloS One. 2021;16(10):e0258252. https://doi.
org/10.1371/journal.pone.0258252
Sheku M, Clemens R, Clemens SA, Kangbai
JB, Kargbo I, Jusu MO, et al. COVID-19
vaccine acceptability: a cross-sectional mixed
methods study in Sierra Leone [Internet]. 2021.
[Preprint accessed on December 20, 2023].
Available from: https://www.researchsquare.
com/article/rs-625455/v2).
Yendewa SA, Ghazzawi M, James PB, Smith
M, Massaquoi SP, Babawo LS, et al. COVID-
vaccine hesitancy among healthcare workers
and trainees in Freetown, Sierra Leone: a crosssectional
study. Vaccines. 2022;10(5):757.
https://doi.org/10.3390/vaccines10050757
Marshall K, Smith S. Religion and
Ebola: learning from experience. Lancet.
;386(10005):e24-5. https://doi.org/10.1016/
S0140-6736(15)61082-0
Wilkinson O, Trotta S, Marshall K, Chitando
E, Tomalin E. In the state of the evidence
in religions and development [Internet].
Washington DC: Joint Learning Initiative; c2022.
Introduction; p. 10-26. Available from: https://
jliflc.com/wp-content/uploads/2022/07/FINALState-
of-the-Evidence_30062022_highres.pdf
Jalloh MF, Wilhelm E, Abad N, Prybylski D.
Mobilize to vaccinate: lessons learned from
social mobilization for immunization in low
and middle-income countries. Human Vaccines
Immunother. 2020;16(5):1208-14. https://doi.
org/10.1080/21645515.2019.1661206
Kulkarni S, Sengeh P, Eboh V, Jalloh MB,
Conteh L, Sesay T, et al. Role of information
sources in vaccination uptake: insights from a
cross-sectional household survey in Sierra Leone,
Global Health: Sci Pract. 2022;10(1).
https://doi.org/10.9745/GHSP-D-21-00237
Rosenstock IM, Strecher VJ, Becker MH.
Social learning theory and the health belief
model. Health Educ Q. 1988;15(2):175-83.
https://doi.org/10.1177/109019818801500203
Strecher VJ, Rosenstock IM. The health belief
model. Cambridge handbook of psychology,
health and medicine. Cambridge, UK; New
York, NY, USA: Cambridge University Press.
p. 113, 117.Wong LP, Alias H, Wong PF, Lee HY,
AbuBakar S. The use of the health belief
model to assess predictors of intent to receive
the COVID-19 vaccine and willingness
to pay. Human Vaccines Immunother.
;16(9):2204-14. https://doi.org/10.1080/21
2020.1790279
Zampetakis LA, Melas C. The health belief
model predicts vaccination intentions against
COVID-19: a survey experiment approach.
Applied psychology: health and well-being.
;13(2):469-84. https://doi.org/10.1111/
aphw.12262
Faye SL, Krumkamp R, Doumbia S, Tounkara
M, Strauss R, Ouedraogo HG, et al. Factors
influencing hesitancy towards adult and child
COVID-19 vaccines in rural and urban West
Africa: a cross-sectional study. BMJ Open.
;12(4):e059138. https://doi.org/10.1136/
bmjopen-2021-059138
Johns Hopkins University Center for Systems
Science and Engineering. CSSEGIandData,
COVID-19 [Internet]. 2023. Available from:
https://github.com/CSSEGISandData
Leach M, MacGregor H, Akello G, Babawo
L, Baluku M, Desclaux A,et al. Vaccine
anxieties, vaccine preparedness: perspectives
from Africa in a Covid-19 era. Social Sci Med.
;298:114826. https://doi.org/10.1016/j.
socscimed.2022.114826
Acheampong T, Akorsikumah EA, Osae-
Kwapong J, Khalid M, Appiah A, Amuasi JH.
Examining vaccine hesitancy in Sub-Saharan
Africa: a survey of the knowledge and attitudes
among adults to receive COVID-19 vaccines
in Ghana. Vaccines. 2021;9(8):814. https://doi.
org/10.3390/vaccines9080814
Cooper S, van Rooyen H, Wiysonge CS.
COVID-19 vaccine hesitancy in South
Africa: how can we maximize uptake of
COVID-19 vaccines? Expert Rev Vaccines.
;20(8):921-33. https://doi.org/10.1080/147
2021.1949291
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Copyright (c) 2024 Simon Ssentongo, Dennis Kinyoki, Ruth Gemi, Fifi Manuel, Rebecca Waugh, Mary Linehan, Jared Saxton, Cougar P Hall, Josh West, Benjamin Crookston
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