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Vaccine hesitancy: acceptance of COVID-19 vaccine in Pakistan

  • Sheze Haroon Qazi (Community Dentistry Department, Islamabad Medical & Dental College) ;
  • Saba Masoud (Community Dentistry Department, Islamabad Medical & Dental College) ;
  • Miss Ayesha Usmani (Department of Research, Agha Khan University)
  • Received : 2022.09.15
  • Accepted : 2023.07.19
  • Published : 2023.07.31

Abstract

Purpose: The delay in acceptance or refusal to get vaccinated despite the availability of services is called vaccine hesitancy. The Global Polio Eradication Initiative in Pakistan faced consistent barriers preventing the eradication of the disease in the country. Similarly with the advent of the coronavirus disease 2019 (COVID-19) pandemic mass vaccination drives were initiated to a vaccine hesitant population. The aim of this study is to explore the prevalence and reasons for COVID-19 vaccine hesitancy in the Pakistani population. Materials and Methods: Cross-sectional study conducted during July to September 2021 using a snowball sampling technique targeting the adult population of Pakistan. The modified version of the vaccine hesitancy questionnaire related to the Strategic Advisory Group of Experts on Immunization Vaccine Hesitancy matrix was distributed online. Results: Out of 973 participants, 52.4% were immediately willing to take the vaccine and constituted the acceptance group whereas the remaining 47.6% who were still not sure formed the hesitant group. Support from leaders was found to be statistically significant for the difference between the hesitant and acceptance groups (p-value=0.027). Hesitant people were concerned about the effectiveness of the vaccine (60.9%) and potential side effects (57.9%) as it was not sufficiently tested prior to launch (44.7%). Age and education were significant factors affecting the acceptance of vaccination. The most trusted source of information regarding vaccination was health care workers (43.8%). Conclusion: A moderately high prevalence of vaccine hesitancy was reported in Pakistan. To overcome it, policymakers need to address the reasons for it. Leaders, celebrities, and healthcare workers can play an instrumental role in dispelling conspiracy theories regarding vaccines and making the vaccination drive a success.

Keywords

References

  1. World Health Organization. Coronavirus (COVID-19) dashboard [Internet]. Geneva: World Health Organization; 2022 [cited 2022 Feb 17]. Available from: https://covid19.who.int/
  2. World Health Organization. Coronavirus (COVID-19) dashboard, Pakistan [Internet]. Geneva: World Health Organization; 2022 [cited 2022 Feb 17]. Available from: https://covid19.who.int/region/emro/country/pk
  3. Wood JM. Developing vaccines against pandemic influenza. Philos Trans R Soc Lond B Biol Sci 2001;356:1953-60.
  4. MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: definition, scope and determinants. Vaccine 2015;33:4161-4.
  5. Hashim A. Vaccine hesitancy in Pakistan heightens risk of COVID resurgence. Al Jazeera [Internet]. 2021 Mar 5 [cited 2021 Jul 14]. Available from: https://www.aljazeera.com/news/2021/3/5/in-pakistan-vaccine-hesitancy-heightens-risk-of-covid-19-resurge
  6. Altman MJ. Reluctance to vaccinate named a top global health threat in 2019 [Internet]. New York (NY): United Nations Foundation; 2019 [cited 2021 Jul 12]. Available from: https://unfoundation.org/blog/post/anti-vaxxers-namedtop-global-health-threat-in-2019/
  7. Pogue K, Jensen JL, Stancil CK, et al. Influences on attitudes regarding potential COVID-19 vaccination in the United States. Vaccines (Basel) 2020;8:582.
  8. Lazarus JV, Ratzan SC, Palayew A, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med 2021;27:225-8.
  9. Asad S, Qureshi J, Raheem M, Shah T, Zafar B. Vaccine hesitancy in Pakistan is growing: here's how it can be tackled [blog on the Internet]. [place unknown]: LSE COVID-19 Blog; 2021 [cited 2022 Feb 1]. Available from: https://blogs.lse.ac.uk/covid19/2021/04/22/vaccine-hesitancy-in-pakistan-is-growing-heres-how-it-can-be-tackled/
  10. Joi P. What is herd immunity [Internet]. [place unknown]: VaccinesWork; 2020 [cited 2021 Jul 12]. Available from: https://www.gavi.org/vaccineswork/what-herd-immunity?gclid=Cj0KCQjw0K-HBhDDARIsAFJ6UGg2sTb5wxplfFTg9UC3pZBGDPRi4wtzefAgVn2FthtFXCY3ib7JJfcaAmMEEALw_wcB
  11. World Health Organization. Coronavirus disease (COVID-19): herd immunity, lockdowns and COVID-19 [Internet]. Geneva: World Health Organization; 2020 [cited 2021 Jul 12]. Available from: https://www.who.int/news-room/q-a-detail/herd-immunity-lockdowns-and-covid-19?gclid=Cj0KCQjw0K-HBhDDARIsAFJ6UGiGuXRRVWZeZP6k5LD7c1zccVkCquC1xmOXY8XC8RNhkfgyD5dknpoaAsNPEALw_wcB#
  12. Harapan H, Wagner AL, Yufika A, et al. Acceptance of a COVID-19 vaccine in Southeast Asia: a cross-sectional study in Indonesia. Front Public Health 2020;8:381.
  13. Wang J, Jing R, Lai X, et al. Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China. Vaccines (Basel) 2020;8:482.
  14. Neumann-Bohme S, Varghese NE, Sabat I, et al. Once we have it, will we use it?: a European survey on willingness to be vaccinated against COVID-19. Eur J Health Econ 2020;21:977-82.
  15. Solis Arce JS, Warren SS, Meriggi NF, et al. COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries. Nat Med 2021;27:1385-94.
  16. Mahmud S, Mohsin M, Khan IA, Mian AU, Zaman MA. Knowledge, beliefs, attitudes and perceived risk about COVID-19 vaccine and determinants of COVID-19 vaccine acceptance in Bangladesh. PLoS One 2021;16:e0257096.
  17. Earnshaw VA, Eaton LA, Kalichman SC, Brousseau NM, Hill EC, Fox AB. COVID-19 conspiracy beliefs, health behaviors, and policy support. Transl Behav Med 2020;10:850-6.
  18. Fridman I, Lucas N, Henke D, Zigler CK. Association between public knowledge about COVID-19, trust in information sources, and adherence to social distancing: cross-sectional survey. JMIR Public Health Surveill 2020;6:e22060.
  19. Romer D, Jamieson KH. Conspiracy theories as barriers to controlling the spread of COVID-19 in the U.S. Soc Sci Med 2020;263:113356.
  20. Robertson CT, Bentele K, Meyerson B, Wood AS, Salwa J. Effects of political versus expert messaging on vaccination intentions of Trump voters. PLoS One 2021;16:e0257988.
  21. Syed Alwi SA, Rafidah E, Zurraini A, Juslina O, Brohi IB, Lukas S. A survey on COVID-19 vaccine acceptance and concern among Malaysians. BMC Public Health 2021;21:1129.