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Attitudes to Vaccine Mandates among Late Adopters of COVID-19 Vaccines in Zimbabwe.
Makadzange, Azure Tariro; Gundidza, Patricia; Lau, Charles; Dietrich, Janan; Beta, Norest; Myburgh, Nellie; Elose, Nyasha; Ndhlovu, Chiratidzo; James, Wilmot; Stanberry, Lawrence.
  • Makadzange AT; Charles River Medical Group, 155 King George Avenue, Avondale, Harare, Zimbabwe.
  • Gundidza P; Charles River Medical Group, 155 King George Avenue, Avondale, Harare, Zimbabwe.
  • Lau C; RTI International, 3040 East Cornwallis Road, Research Triangle Park, Research Triangle, NC 27709, USA.
  • Dietrich J; Perinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2000, South Africa.
  • Beta N; African Social Sciences Unit of Research and Evaluation (ASSURE), a Division of the Wits Health Consortium, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2000, South Africa.
  • Myburgh N; Health Systems Research Unit, South African Medical Research Council, Bellville 7530, South Africa.
  • Elose N; Charles River Medical Group, 155 King George Avenue, Avondale, Harare, Zimbabwe.
  • Ndhlovu C; Wits Vaccines & Infectious Diseases Analytics (VIDA) Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2000, South Africa.
  • James W; Charles River Medical Group, 155 King George Avenue, Avondale, Harare, Zimbabwe.
  • Stanberry L; Charles River Medical Group, 155 King George Avenue, Avondale, Harare, Zimbabwe.
Vaccines (Basel) ; 10(7)2022 Jul 07.
Article in English | MEDLINE | ID: covidwho-1928694
ABSTRACT
Despite sufficient supply, <25% of the population in sub-Saharan Africa has received at least one dose of COVID-19 vaccine. Vaccine mandates have previously been effective in increasing vaccine uptake. Attitudes to COVID-19 vaccine mandates and vaccines for children in African populations are not well understood. We surveyed late-adopters presenting for COVID-19 vaccination one year after program initiation in Zimbabwe. Logistic regression models were developed to evaluate factors associated with attitudes to mandates. In total, 1016 adults were enrolled; 690 (67.9%) approved of mandating vaccination for use of public spaces, 686 (67.5%) approved of employer mandates, and 796 (78.3%) approved of mandating COVID-19 vaccines for schools. Individuals of lower economic status were twice as likely as high-income individuals to approve of mandates. Further, 743 (73.1%) participants indicated that they were extremely/very likely to accept vaccines for children. Approval of vaccine mandates was strongly associated with perceptions of vaccine safety, effectiveness, and trust in regulatory processes that approved vaccines. Vaccine hesitancy is an important driver of low vaccine coverage in Africa and can be mitigated by vaccine mandates. Overall, participants favored vaccine mandates; however, attitudes to mandates were strongly associated with level of education and socioeconomic status.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Topics: Long Covid / Vaccines Language: English Year: 2022 Document Type: Article Affiliation country: Vaccines10071090

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Topics: Long Covid / Vaccines Language: English Year: 2022 Document Type: Article Affiliation country: Vaccines10071090