Article ; Online: Willingness to take COVID-19 vaccination in low-income countries: Evidence from Ethiopia.
2022 Volume 17, Issue 3, Page(s) e0264633
Abstract: Background: In low-income countries, vaccination campaigns are lagging, and evidence on vaccine acceptance, a crucial public health planning input, remains scant. This is the first study that reports willingness to take COVID-19 vaccines and its socio- ... ...
| Abstract | Background: In low-income countries, vaccination campaigns are lagging, and evidence on vaccine acceptance, a crucial public health planning input, remains scant. This is the first study that reports willingness to take COVID-19 vaccines and its socio-demographic correlates in Ethiopia, Africa's second most populous country. Methods: The analysis is based on a nationally representative survey data of 2,317 households conducted in the informal economy in November 2020. It employs two logistic regression models where the two outcome variables are (i) a household head's willingness to take a COVID-19 vaccine or not, and (ii) if yes if they would also hypothetically pay (an unspecified amount) for it or not. Predictors include age, gender, education, marital status, income category, health insurance coverage, sickness due to COVID-19, chronic illness, trust in government, prior participation in voluntary activities, urban residence. Results: Willingness to take the vaccine was high (88%) and significantly associated with COVID-19 cases in the family, trust in government and pro-social behavior. All other predictors such as gender, education, income, health insurance, chronic illness, urban residence did not significantly predict vaccine willingness at the 5% level. Among those willing to take the vaccine, 33% also answered that they would hypothetically pay (an unspecified amount) for it, an answer that is significantly associated with trust in government, health insurance coverage and income. Conclusion: The results highlight both opportunities and challenges. There is little evidence of vaccine hesitancy in Ethiopia among household heads operating in the informal economy. The role played by trust in government and pro-social behavior in motivating this outcome suggests that policy makers need to consider these factors in the planning of COVID-19 vaccine campaigns in order to foster vaccine uptake. At the same time, as the willingness to hypothetically pay for a COVID-19 vaccine seems to be small, fairly-priced vaccines along with financial support are also needed to ensure further uptake of COVID-19 vaccines. |
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| MeSH term(s) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; Attitude to Health ; COVID-19/prevention & control ; COVID-19 Vaccines/therapeutic use ; Cross-Sectional Studies ; Ethiopia/epidemiology ; Female ; Humans ; Immunization Programs ; Income/statistics & numerical data ; Male ; Middle Aged ; Patient Participation/psychology ; Patient Participation/statistics & numerical data ; Poverty ; SARS-CoV-2/immunology ; Vaccination ; Vaccination Hesitancy/psychology ; Vaccination Hesitancy/statistics & numerical data ; Vaccination Refusal/psychology ; Vaccination Refusal/statistics & numerical data ; Young Adult |
| Chemical Substances | COVID-19 Vaccines |
| Language | English |
| Publishing date | 2022-03-03 |
| Publishing country | United States |
| Document type | Journal Article ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 2267670-3 |
| ISSN | 1932-6203 ; 1932-6203 |
| ISSN (online) | 1932-6203 |
| ISSN | 1932-6203 |
| DOI | 10.1371/journal.pone.0264633 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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