ABSTRACT
Background: The SARS-CoV-2 vaccination program campaign has been underway in Indonesia for people aged ≥ 18 years. The program's success can be hampered by vaccine hesitancy in communities. This study aims to elucidate the determinants of SARS-CoV-2 vaccine hesitancy in a rural area of the Indonesia-Philippines border island Sangihe. Methods: A mixed-methods study was conducted; a quantitative part involving a cross-sectional survey was carried out among participantes aged ≥ 18 years to determine the prevalence and determinants of SARS-CoV-2 vaccine hesitancy. The qualitative part involved in-depth interviews to explore the perceptions towards the SARS-CoV-2 vaccine. Result: Among 557 participantes, the prevalence of vaccine hesitancy was 63.9% (95% CI: 59.8-67.9). In the adjusted analysis, three factors affected vaccine hesitancy: education (aOR: 0.40; 95% CI: 0.22-0.70), knowledge of the SARS-CoV-2 vaccine (aOR: 2.17; 95% CI: 1.41-3.34) and willingness to pay (aOR: 0.12; 95% CI: 0.07-0.20). The majority of reasons for refusing the vaccine included doubt regarding its safety and effectiveness, the fear of side effects, lack of information regarding the vaccine and local Christians' religious beliefs. Conclusion: This study found that most adults in the area were hesitant about the SARS-CoV-2 vaccine. Lack of knowledge, a low level of education and misinformation were factors that greatly affected vaccination hesitancy. The government, by involving religious leaders, is expected to pay serious attention to the dissemination of accurate and convincing information to the public regarding the safety and importance of the SARS-CoV-2 vaccine.
Subject(s)
COVID-19 , Vaccines , Adult , Humans , COVID-19 Vaccines , Cross-Sectional Studies , SARS-CoV-2 , Vaccination Hesitancy , Indonesia , Philippines , COVID-19/prevention & controlABSTRACT
BACKGROUND: The SARS-CoV-2 vaccination program campaign has been underway in Indonesia for people aged ≥18 years. The program's success can be hampered by vaccine hesitancy in communities. This study aims to elucidate the determinants of SARS-CoV-2 vaccine hesitancy in a rural area of the Indonesia-Philippines border island Sangihe. METHODS: A mixed-methods study was conducted; a quantitative part involving a cross-sectional survey was carried out among participantes aged ≥18 years to determine the prevalence and determinants of SARS-CoV-2 vaccine hesitancy. The qualitative part involved in-depth interviews to explore the perceptions towards the SARS-CoV-2 vaccine. RESULT: Among 557 participantes, the prevalence of vaccine hesitancy was 63.9% (95% CI: 59.8-67.9). In the adjusted analysis, three factors affected vaccine hesitancy: education (aOR: 0.40; 95% CI: 0.22-0.70), knowledge of the SARS-CoV-2 vaccine (aOR: 2.17; 95% CI: 1.41-3.34) and willingness to pay (aOR: 0.12; 95% CI: 0.07-0.20). The majority of reasons for refusing the vaccine included doubt regarding its safety and effectiveness, the fear of side effects, lack of information regarding the vaccine and local Christians' religious beliefs. CONCLUSION: This study found that most adults in the area were hesitant about the SARS-CoV-2 vaccine. Lack of knowledge, a low level of education and misinformation were factors that greatly affected vaccination hesitancy. The government, by involving religious leaders, is expected to pay serious attention to the dissemination of accurate and convincing information to the public regarding the safety and importance of the SARS-CoV-2 vaccine.
ABSTRACT
Background The SARS-CoV-2 vaccination program campaign has been underway in Indonesia for people aged ≥18 years. The program’s success can be hampered by vaccine hesitancy in communities. This study aims to elucidate the determinants of SARS-CoV-2 vaccine hesitancy in a rural area of the Indonesia-Philippines border island Sangihe. Methods A mixed-methods study was conducted;a quantitative part involving a cross-sectional survey was carried out among participantes aged ≥18 years to determine the prevalence and determinants of SARS-CoV-2 vaccine hesitancy. The qualitative part involved in-depth interviews to explore the perceptions towards the SARS-CoV-2 vaccine. Result Among 557 participantes, the prevalence of vaccine hesitancy was 63.9% (95% CI: 59.8-67.9). In the adjusted analysis, three factors affected vaccine hesitancy: education (aOR: 0.40;95% CI: 0.22-0.70), knowledge of the SARS-CoV-2 vaccine (aOR: 2.17;95% CI: 1.41-3.34) and willingness to pay (aOR: 0.12;95% CI: 0.07-0.20). The majority of reasons for refusing the vaccine included doubt regarding its safety and effectiveness, the fear of side effects, lack of information regarding the vaccine and local Christians’ religious beliefs. Conclusion This study found that most adults in the area were hesitant about the SARS-CoV-2 vaccine. Lack of knowledge, a low level of education and misinformation were factors that greatly affected vaccination hesitancy. The government, by involving religious leaders, is expected to pay serious attention to the dissemination of accurate and convincing information to the public regarding the safety and importance of the SARS-CoV-2 vaccine.
ABSTRACT
Coronavirus Disease 2019 (COVID-19) was declared a global pandemic by WHO. To prevent theCOVID-19 transmission is depend on community compliance with health protocols. Public compliance in implementing health protocols during the new normal period is closely related to the Knowledge Attitudes and Practices (KAP) about COVID-19. A cross-sectional online survey was used to survey the people of North Sulawesi Indonesia. Data were collected from September 17 to September 30, 2020 with 705 respondents (Mean age: 23.8 ± 8.7 years;70.8 % females). Result: From 705 respondents 23% of them knew the cause of COVID-19 31.5% knew the symptoms of COVID-19 and 31.5% understood the definition of new normal. However, 50.4% of respondents were not aware of an information site related to COVID-19 provided by the government and only 28.9% of respondents knew about preventions of COVID-19 related to washing hands with soap. Overall, there were 29.2% of respondents had poor knowledge about COVID-19. The majority of respondents had positive attitudes and good behaviors regarding the symptoms and prevention of COVID-19. The demographic factor significantly related to the level of knowledge is gender (POR: 1.8;95% CI = 0.75-0.90 P <0.001). The majority of respondents had good knowledge positive attitudes and good practices toward the prevention of COVID-19. However, the knowledge of certain topics was still inadequate
ABSTRACT
Antecedentes: La campaña de vacunación contra la infección por SARS-CoV-2 se viene desarrollando en Indonesia para personas ≥ 18 años. El éxito de este programa puede verse obstaculizado por la presencia de dudas sobre las vacunas en las comunidades. Este estudio tiene como objetivo identificar los determinantes de la indecisión en relación a la vacunación infección por coronavirus en una zona rural de la isla fronteriza entre Indonesia y Filipinas. Métodos: Estudio de métodos mixtos realizado con una parte cuantitativa que incluye una encuesta transversal realizada entre participantes de ≥ 18 años para determinar la prevalencia y los determinantes de la indecisión en relación a la vacunación contra la infección por Sars-Cov2. La parte cualitativa consistió en entrevistas en profundidad para explorar la percepción hacia la vacuna contra la infección por Sars-Cov2. Resultado: Entre 557 participantes, la prevalencia de indecisión ante la vacuna fue del 63,9% (IC del 95%: 59,8-67,9%). En el análisis ajustado, hay 3 factores que inciden en la indecisión ante la vacuna, a saber, educación (ORa: 0,40;IC 95%: 0,22-0,70), conocimiento de la vacuna Infección por coronavirus (ORa: 2,17;IC 95%: 1,41-3,34) y disposición a pagar (ORa: 0,12;IC del 95%: 0,07-0,20). La mayoría de las razones para rechazar la vacuna incluyen la inseguridad de su seguridad y eficacia, el temor a sus efectos secundarios, la falta de información sobre la vacuna y el factor de la creencia religiosa cristiana. Conclusión: Este estudio encuentra que la mayoría de los adultos en zonas rurales dudan sobre la vacuna. La infección por coronavirus, la falta de conocimiento, el nivel de educación y la desinformación son factores que afectan en gran medida a la aceptación de la vacunación por parte de una persona. Se espera que el gobierno, al involucrar a los líderes religiosos, preste mucha atención a la difusión de información precisa y convincente para el público sobre la seguridad e importancia de la vacuna contra la infección por coronavirus.