Article ; Online: To trust or not to trust: an exploratory qualitative study of personal and community perceptions of vaccines amongst a group of young community healthcare workers in Soweto, South Africa.
2022 Volume 37, Issue 9, Page(s) 1167–1176
Abstract: As South Africa debates the implementation of mandatory vaccination policies to address coronavirus disease 2019 (COVID-19) vaccine hesitancy, many adults remain unpersuaded of the need and benefits of vaccination. Several surveys suggest that this is ... ...
| Abstract | As South Africa debates the implementation of mandatory vaccination policies to address coronavirus disease 2019 (COVID-19) vaccine hesitancy, many adults remain unpersuaded of the need and benefits of vaccination. Several surveys suggest that this is particularly true for younger adults and for those living in low-income communities. Therefore, we sought the views of youth training to become community health workers (CHWs) as a youth group at the intersection of the community and the health system. This research was conducted in a township of South Africa, a country with a long history of political mistrust. Using semi-structured interviews and an interview guide, we explored young CHWs' perceptions (n = 20) of vaccine hesitancy for themselves, their peers and the community. Audio-recorded interviews were transcribed, and thematic analysis was undertaken. Findings suggest widespread COVID-19 vaccine hesitancy in this community, especially amongst young people. Reported reasons for this hesitancy appear linked to a complex interrelated network of factors, including 'uncertainty' about the outcome and effectiveness of the vaccines; 'fear' of the vaccines, driven by a myriad of rumours and conspiracy theories within the community; a 'lack of control' over other people's behaviour and a desire not to be controlled especially by the government but at the same time a resignation towards impending mandatory vaccine policies and a 'lack of trust' particularly in the government's intentions with vaccine roll-out and their health messaging. While mandatory vaccination policies in several organizations have shown success, with South Africa's complex social history and recent civil unrest, the roll-out of any mandatory vaccination policy will require careful health messaging with a focus on trust-building between communities, health systems and authorities through more personalized approaches that consider contextual nuances. |
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| MeSH term(s) | Adolescent ; Adult ; COVID-19/prevention & control ; COVID-19 Vaccines ; Community Health Services ; Health Knowledge, Attitudes, Practice ; Humans ; South Africa ; Vaccination ; Vaccines |
| Chemical Substances | COVID-19 Vaccines ; Vaccines |
| Language | English |
| Publishing date | 2022-07-26 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 632896-9 |
| ISSN | 1460-2237 ; 0268-1080 |
| ISSN (online) | 1460-2237 |
| ISSN | 0268-1080 |
| DOI | 10.1093/heapol/czac060 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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