Perspectives on the COVID-19 vaccine uptake: a qualitative study of community members and health workers in Zambia.

Autor:	Sialubanje C; School of Public Health, Levy Mwanawasa Medical University, Lusaka, Zambia csialubanje@yahoo.com., Mukumbuta N; School of Public Health, Levy Mwanawasa Medical University, Lusaka, Zambia.; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia., Ng'andu M; Health Sciences, Levy Mwanawasa Medical University, Lusaka, Zambia., Sumani EM; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia., Nkonkomalimba M; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia.; Administrative unit, Local Government Association of Zambia, Lusaka, Zambia., Lyatumba DE; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia., Mwale A; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia., Mpiana F; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia., Zulu JM; COVID-19 Advisory Centre for Local Authorities, Local Gover Government of Association of Zambia, Lusaka, Zambia., Mweempwa B; Decentralisation for Development (D4D), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH /German Cooperation, Lusaka, Zambia., Endres D; Decentralisation for Development (D4D), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH /German Cooperation, Lusaka, Zambia., Mbolela M; Administrative unit, Local Government Association of Zambia, Lusaka, Zambia., Namumba M; Administrative unit, Local Government Association of Zambia, Lusaka, Zambia., Peters WC; Decentralisation for Development (D4D), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH /German Cooperation, Lusaka, Zambia.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Nov 23; Vol. 12 (11), pp. e058028. Date of Electronic Publication: 2022 Nov 23.
DOI:	10.1136/bmjopen-2021-058028
Abstrakt:	Objective: Since introduction of the programme in April 2021, COVID-19 vaccine uptake has been low at less than 20%. This study explored community members' and health workers' perspectives on the COVID-19 vaccine uptake and its influencing factors in Zambia. Study Design: A qualitative study employing focus group discussions (FGDs) and in-depth interviews (IDIs). Study Setting: Sixteen primary healthcare facilities selected from Lusaka, Copperbelt, Central and Southern provinces. Participants: A total of 32 FGDs comprising local community members and 30 IDIs including health workers, traditional, religious and civic leaders (n=272). FGDs were separated based on age (youth and adults), sex (male and female) and place of residence (urban and rural). Results: Both FGD and IDI participants agreed that vaccine uptake was low. Limited knowledge, access to information, myths and misconceptions, negative attitude, low-risk perception and supply in remote areas affected vaccine uptake. Overall, FGD participants expressed limited knowledge about the COVID-19 vaccine compared with health workers. Further, FGD participants from urban sites were more aware about the vaccine than those from rural areas. Health workers perceived the vaccine to be beneficial; the benefits included prevention of infection and limiting the severity of the disease. Moreover, FGD participants from urban sites expressed a negative attitude towards the vaccine. They believed the vaccine conferred no benefits. By contrast, participants from rural communities had mixed views; they needed more information about the vaccine benefits. Participants' attitude seems to have been influenced by personal or family experience with the COVID-19 disease or vaccination; those who had experienced the disease had a more positive attitude. In contrast, most young people believed they were not at risk of the COVID-19 disease. Misinformation from social media influenced their attitude. Conclusion: These results provide starting points for future policies and interventions for increasing COVID-19 vaccine uptake. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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