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Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi

Current low COVID-19 vaccination rates in low- and middle-income countries reflect an inequitable global vaccine distribution; however, local attitudes towards the COVID-19 vaccine are an important factor to meet vaccination benchmarks. We describe attitudes toward the uptake of the COVID-19 vaccine...

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Autores principales: Aron, Moses Banda, Connolly, Emilia, Vrkljan, Kaylin, Zaniku, Haules Robbins, Nyirongo, Revelation, Mailosi, Bright, Ruderman, Todd, Barnhart, Dale A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145400/
https://www.ncbi.nlm.nih.gov/pubmed/35632548
http://dx.doi.org/10.3390/vaccines10050792
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author Aron, Moses Banda
Connolly, Emilia
Vrkljan, Kaylin
Zaniku, Haules Robbins
Nyirongo, Revelation
Mailosi, Bright
Ruderman, Todd
Barnhart, Dale A
author_facet Aron, Moses Banda
Connolly, Emilia
Vrkljan, Kaylin
Zaniku, Haules Robbins
Nyirongo, Revelation
Mailosi, Bright
Ruderman, Todd
Barnhart, Dale A
author_sort Aron, Moses Banda
collection PubMed
description Current low COVID-19 vaccination rates in low- and middle-income countries reflect an inequitable global vaccine distribution; however, local attitudes towards the COVID-19 vaccine are an important factor to meet vaccination benchmarks. We describe attitudes toward the uptake of the COVID-19 vaccine and perceptions among patients with NCDs and their caregivers using cross-sectional data collected through telephone interviews in Neno, Malawi. Out of 126 survey respondents, 71% were patients, and 29% were caregivers. Twenty-two percent of respondents had received at least one dose at the interview (95% CI: 15–30%), with 19% being fully vaccinated. Only 24% (95% CI: 12–40%) of unvaccinated respondents reported that they would accept an approved vaccine if it were offered today. Vaccines were perceived as unsafe or designed to harm and commonly associated with death, severe disability, infertility, and evil. However, over two-thirds reported high levels of trust in health care workers (73%) and community health workers (72%) as sources of information for the COVID-19 vaccine. Although the uptake of COVID-19 vaccine in this vulnerable population was three times than the national average, a low intention to be vaccinated persists among the unvaccinated. Strong trust in health care workers suggests that community engagement could help increase vaccine acceptance.
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spelling pubmed-91454002022-05-29 Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi Aron, Moses Banda Connolly, Emilia Vrkljan, Kaylin Zaniku, Haules Robbins Nyirongo, Revelation Mailosi, Bright Ruderman, Todd Barnhart, Dale A Vaccines (Basel) Article Current low COVID-19 vaccination rates in low- and middle-income countries reflect an inequitable global vaccine distribution; however, local attitudes towards the COVID-19 vaccine are an important factor to meet vaccination benchmarks. We describe attitudes toward the uptake of the COVID-19 vaccine and perceptions among patients with NCDs and their caregivers using cross-sectional data collected through telephone interviews in Neno, Malawi. Out of 126 survey respondents, 71% were patients, and 29% were caregivers. Twenty-two percent of respondents had received at least one dose at the interview (95% CI: 15–30%), with 19% being fully vaccinated. Only 24% (95% CI: 12–40%) of unvaccinated respondents reported that they would accept an approved vaccine if it were offered today. Vaccines were perceived as unsafe or designed to harm and commonly associated with death, severe disability, infertility, and evil. However, over two-thirds reported high levels of trust in health care workers (73%) and community health workers (72%) as sources of information for the COVID-19 vaccine. Although the uptake of COVID-19 vaccine in this vulnerable population was three times than the national average, a low intention to be vaccinated persists among the unvaccinated. Strong trust in health care workers suggests that community engagement could help increase vaccine acceptance. MDPI 2022-05-17 /pmc/articles/PMC9145400/ /pubmed/35632548 http://dx.doi.org/10.3390/vaccines10050792 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Aron, Moses Banda
Connolly, Emilia
Vrkljan, Kaylin
Zaniku, Haules Robbins
Nyirongo, Revelation
Mailosi, Bright
Ruderman, Todd
Barnhart, Dale A
Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi
title Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi
title_full Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi
title_fullStr Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi
title_full_unstemmed Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi
title_short Attitudes toward COVID-19 Vaccines among Patients with Complex Non-Communicable Disease and Their Caregivers in Rural Malawi
title_sort attitudes toward covid-19 vaccines among patients with complex non-communicable disease and their caregivers in rural malawi
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145400/
https://www.ncbi.nlm.nih.gov/pubmed/35632548
http://dx.doi.org/10.3390/vaccines10050792
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