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COVID-19 vaccine hesitancy in Zambia: a glimpse at the possible challenges ahead for COVID-19 vaccination rollout in sub-Saharan Africa.

Authors
  • Carcelen, Andrea C1
  • Prosperi, Christine1
  • Mutembo, Simon1, 2
  • Chongwe, Gershom3
  • Mwansa, Francis D4
  • Ndubani, Phillimon2
  • Simulundu, Edgar2
  • Chilumba, Innocent3
  • Musukwa, Gloria2
  • Thuma, Phil2
  • Kapungu, Kelvin3
  • Hamahuwa, Mutinta2
  • Mutale, Irene3
  • Winter, Amy1
  • Moss, William J1, 5, 6
  • Truelove, Shaun A1, 5
  • 1 Department of International Health, International Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • 2 Laboratory Science, Macha Research Trust, Choma, Zambia. , (Zambia)
  • 3 Department of Immunology, Tropical Diseases Research Center, Ndola, Zambia. , (Zambia)
  • 4 Ministry of the Health, Government of the Republic of Zambia, Lusaka, Zambia. , (Zambia)
  • 5 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • 6 W Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Type
Published Article
Journal
Human Vaccines & Immunotherapeutics
Publisher
Informa UK (Taylor & Francis)
Publication Date
Dec 31, 2022
Volume
18
Issue
1
Pages
1–6
Identifiers
DOI: 10.1080/21645515.2021.1948784
PMID: 34227914
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

With unprecedented speed, multiple vaccines against SARS-CoV-2 are available 1 year after the COVID-19 pandemic was first identified. As we push to achieve global control through these new vaccines, old challenges present themselves, including cold-chain storage, the logistics of mass vaccination, and vaccine hesitancy. Understanding how much hesitancy toward COVID-19 vaccines might occur and what factors may be driving these concerns can improve the ability of public health workers and communicators to maximize vaccine uptake. We nested a survey within a measles-rubella mass vaccination campaign in Zambia in November 2020 and asked about sentiments and beliefs toward COVID-19 and COVID-19 vaccines. Among parents bringing their children to receive a measles-rubella vaccine, we found high acceptability of COVID-19 vaccination of their children, but substantial uncertainty and hesitancy about receiving the vaccine themselves. COVID-19 vaccination hesitancy was correlated with beliefs around COVID-19 severity and risk, as well as vaccine safety and effectiveness.

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