Beliefs, barriers and hesitancy towards the COVID-19 vaccine among Bangladeshi residents: Findings from a cross-sectional study

Hossain, Md. Sharif; Islam, Md. Saiful; Pardhan, Shahina; Banik, Rajon; Ahmed, Ayesha; Islam, Md. Zohurul; Mahabub, Md. Saif; Sikder, Md. Tajuddin

doi:10.1371/journal.pone.0269944

Cited by 13 publications

(9 citation statements)

References 65 publications

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“…Similar to findings in Bangladeshi [ 6 ], participants in this study showed that some individuals in Zimbabwe believed that mass vaccination would be the most effective approach to combating the COVID-19 pandemic; however, concerns regarding the side effects of the vaccine, vaccine effectiveness and safety delayed vaccine uptake by the population. Such concerns can lead to vaccine hesitancy.…”

Section: Discussionsupporting

confidence: 80%

“…Those with high concern about COVID-19 reported that they would take the COVID-19 vaccine [ 5 ]. In Bangladesh, 26.42% of respondents were hesitant about the COVID-19 vaccine, 70.33% were either already vaccinated or were willing to get vaccinated, and 3.25% refused it definitely [ 6 ]. In the United States, willingness to be vaccinated decreased with time due to concerns about the side effects and long-term health problems, as well as doubts about the vaccine’s efficiency [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Understanding facilitators and barriers to COVID-19 vaccination in the Zimbabwean population: a qualitative analysis

Midzi,

Mutsaka-Makuvaza,

Charimari

et al. 2024

BMC Public Health

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Background Vaccines are effective biological interventions that reduce health burdens. However, during the COVID-19 pandemic, there were concerns about varying levels of COVID-19 vaccination coverage in the Zimbabwean population. This study aimed to understand facilitators and barriers to COVID-19 vaccine uptake in the Zimbabwean population. Methods In September–October 2023, key informant interviews (KIIs) and focus group discussions (FGDs) were conducted with a sample comprising health workers, village health workers, church leaders, traditional healers, teachers, youth leaders and the general population selected across the country. At each site, the participant sample was homogeneous. Data were collected using audiotapes, transcribed verbatim, and translated into English. Data were analysed manually using thematic analysis. Results Ten FGDs and 30 KIIs were conducted across the country. Among the facilitators of COVID-19 vaccine uptake were the perceived benefits of COVID-19 vaccination, such as protection from infection, severe disease and death. People also complied with COVID-19 vaccination because of the government’s call for mandatory vaccination, travel restrictions, restrictions when entering some premises for services, visiting, working, learning and functions. Barriers to COVID-19 vaccine uptake included low-risk perception, negative attitudes emanating from concerns about the origins of the vaccines, COVID-19 cases or death of vaccinated people, negative peer influence, religious doctrines, cultural beliefs and misconceptions circulating through social media. Other barriers included knowledge gaps on COVID-19 vaccines, safety, effectiveness, side effects, access-related challenges to COVID-19 services and concerns over the changing policy on COVID-19 vaccination. Conclusions The study has shown the importance of community engagement and data-driven public health communication strategies to facilitate behaviour change for increased uptake of a vaccine. In future epidemics, public health campaigns should focus on the timely provision of information explaining the benefits of an intervention, addressing safety concerns more effectively. To build trust and hence improve vaccine uptake by the public, there is a need for continuous engagement with people and to provide platforms for dialogue to address issues contributing to low vaccine uptake.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Understanding facilitators and barriers to COVID-19 vaccination in the Zimbabwean population: a qualitative analysis

Midzi,

Mutsaka-Makuvaza,

Charimari

et al. 2024

BMC Public Health

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“…Several initiatives are being implemented in Afghanistan to prevent vaccination hesitancy, including routine immunization vaccinators and the deployment of 2,000 more new health professionals (teams of two people: one male and one female), raising societal awareness and educating them, and avoiding myths ( 35 ). Similarly, in Bangladesh, the most popular variables contributing to decreasing vaccination hesitancy include social media and awareness campaigns ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine hesitancy: A narrative review of four South Asian countries

Ennab

Qabsa

Uday

et al. 2022

Front. Public Health

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ObjectivesVaccine hesitancy remains a global issue, especially within poverty-stricken countries where there's an interplay of financial and non-financial barriers. This narrative review aims to understand attitudes and behaviors toward COVID-19 vaccination in four South Asian countries and make context-specific recommendations to vaccine program drivers and decision-makers.MethodsA search was conducted using PubMed and Science Direct, and CINHAL from January 2020 up to May 2022 restricted to the English language for terms: “Afghanistan” OR “Pakistan” OR “India” OR “Bangladesh” in combination with “COVID-19 vaccine” and other related terms. All articles were initially included, and those with relevance were included in the synthesis of this paper.ResultsA narrative review was performed for this study. Our narrative review included a total of eighteen studies with a sample size (n = 223–5,237) averaging about 1,325 participants per study conducted. The studies included revealed public hesitancy to receive the COVID-19 vaccine ranging from 6.3 to 56.2% with an average of 31.63% across all eighteen studies. Several reasons were linked to this observation in these four South Asian countries, and the predominant ones included: Insufficient information provided to the general public about the side effects of the vaccines, concerns regarding vaccine safety, and skepticism of vaccine efficacy.ConclusionVaccine hesitancy is a global problem within the context of COVID-19, and issues regarding equity, misinformation, and poverty in South Asian countries makes it difficult to meet goals for herd immunity. Policymakers and governments should aim toward financial and non-financial incentives to drive the public toward vaccination.

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“…A cross-sectional study conducted in Nigeria [ 53 ] and Egypt [ 54 ] showed that respectively, 50.5% and 42% of healthcare workers exhibited vaccine hesitancy. Vaccine hesitancy may have been related to healthcare providers’ fears of adverse effects in their future pregnancies and other medical complications, efficacy uncertainty, inadequate vaccine trials prior to human administration, doubts about vaccine benefits, misinformation and disinformation about the vaccine’s side effects [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on antenatal care provision at public hospitals in the Sidama region, Ethiopia: A mixed methods study

Kassa,

Scarf,

Turkmani

et al. 2024

PLoS ONE

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Background Coronavirus disease 2019 (COVID-19) continues to pose a global public health threat. The pandemic overstretched already weak health systems in low- and low-middle-income countries, including Ethiopia. There is a paucity of studies on the impact of COVID-19 on antenatal care access, uptake, and provision in Ethiopia. This study examines the impact of COVID-19 on antenatal care provision in the Sidama region, Ethiopia. Methods A concurrent mixed-methods study was conducted between 14 February and 10 May 2022 at 15 public hospitals in the Sidama region. An interrupted times series design was applied for a quantitative study, which included data from all pregnant women who attended antenatal care before COVID-19 (12 months, March 2019 to February 2020) and during COVID-19 (six months, March to August 2020) at 15 public hospitals in the region. The total numbers in the antenatal care 1 cohort (at least one antenatal care contact) and antenatal care 4 cohort (at least four antenatal care contacts) were 15,150 and 5,850, respectively, forming a combined final dataset of 21,000 women. Routinely collected monthly data were derived from the hospitals’ health management information system and imported into Stata version 17 for analysis. The mean monthly incidence rate ratio of antenatal care uptake was calculated using a Poisson regression model with a 95% confidence interval. Simultaneously, an exploratory study design was conducted for qualitative using in-depth interviews to explore maternity care providers’ perceptions of the impact of COVID-19 on antenatal care access, uptake, and provision. Qualitative data were thematically analysed. The quantitative and qualitative findings were then integrated using the joint display technique. Results Our findings indicate a significant monthly decrease of 0.7% in antenatal care 1 and 1.8% in antenatal care 4 during the first six months of the pandemic. A lack of medical supplies, fear of contracting COVID-19, inadequate personal protective equipment, discrimination against those attending the hospital, and the absence of antenatal care guidelines for care provision, COVID-19 vaccine hesitancy and long waiting times for ANC led to disrupted access, uptake, and provision of antenatal care during COVID-19. Conclusion and recommendations Our findings demonstrate that the COVID-19 pandemic affected antenatal care access, uptake, and provision in the study area from March to August 2020. To mitigate disrupted antenatal care access, uptake and provision, antenatal care clinics should be equipped with medical supplies. It is crucial to maintain rapport between the community and maternity care providers and provide training for maternity care providers regarding the adapted/adopted guidelines during COVID-19 at the hospital grassroots level for use in the current and future pandemics. Pregnant women should have timely access to maternity care providers in order to maintain at least a minimum standard of care in current and future pandemics.

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Beliefs, barriers and hesitancy towards the COVID-19 vaccine among Bangladeshi residents: Findings from a cross-sectional study

Cited by 13 publications

References 65 publications

Understanding facilitators and barriers to COVID-19 vaccination in the Zimbabwean population: a qualitative analysis

Understanding facilitators and barriers to COVID-19 vaccination in the Zimbabwean population: a qualitative analysis

COVID-19 vaccine hesitancy: A narrative review of four South Asian countries

Impact of COVID-19 on antenatal care provision at public hospitals in the Sidama region, Ethiopia: A mixed methods study

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