COVID-19 perceptions and vaccine hesitancy: Acceptance, attitude, and barriers among Cameroonians

Ajonina-Ekoti, Irene U.; Ware, Kenric B.; Nfor, Carine K.; Akomoneh, Elvis Achondou; Djam, Allain; Chia-Garba, Mary; Wepnyu, Gladys N.; Awambeng, Derick; Abendong, Kenedy; Manjong, Florence T.; Nwongo, Odile; Ajonina, Marcelus U.

doi:10.1016/j.japh.2022.07.002

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…Although higher than the data found in the West African regional and national statistics, this result is far lower than the mooted 70% by June 2022 and the 60% by December 2022 that were planned by the WHO and the Cameroonian government, respectively [ 8 , 10 ]. These results are consistent with the reports of Patwary et al [ 9 ] and Ajonina-Ekoti et al [ 25 ], which indicated that at the early stage of the vaccination campaign, contrary to the 66.53% and 74.47% of people that favored vaccination in Burkina Faso and Nigeria, respectively, only 15% of Cameroonians had declared that they were likely to take the COVID-19 vaccine. These data also corroborate the reports from Drescher et al [ 20 ], which indicated that both Cameroonians and Ivorians expressed reluctance to vaccinate right before the vaccination campaigns began.…”

Section: Discussionsupporting

confidence: 92%

“…This thesis gained massive attention when the WHO predicted on 17 April 2020 that Africa would become the next epicenter of the COVID-19 pandemic [ 24 ]. A similar refractory attitude to the one we have reported towards the COVID-19 vaccines was reported in Cameroon by Ajonina-Ekoti et al before the vaccination campaign, where about 87% of the 591 participants reported their unwillingness to receive a COVID-19 vaccine if it was available in the country [ 25 ]. Almost all of the participants ignored the role of vaccines, as 92.31% said that the vaccine prevent contamination.…”

Section: Discussionsupporting

confidence: 78%

“…The lack of confidence towards COVID-19 vaccines was expressed by a significant association between beliefs about vaccine quality and deadly side effects, and, as a result, a preference for medicinal plants as a treatment option. In accordance with the conspiracy theory on the agenda of limiting the African population [ 20 , 25 , 28 ], 197 (37.88%) participants claimed that the vaccines were of bad quality, and 190 (36.54%) named potential severe side effects of vaccines, including gynecological cancer, sterility and death. None of the participants using the medicinal plants were vaccinated.…”

Section: Discussionmentioning

confidence: 90%

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Factors Associated with COVID-19 Vaccine Refusal: A Community-Based Study in the Menoua Division in Cameroon

Tetsatsi,

Nguena,

Deutou

et al. 2023

TropicalMed

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COVID-19, which was named in March 2020 as a global pandemic by the WHO, remains a serious public health threat worldwide. Despite the adoption of vaccines as an effective strategy to counter this pandemic, the vaccination rate in Cameroon is far lower than that planned by the Cameroonian government and its partners. The main objective of this study was to determine the factors limiting COVID-19 vaccine acceptance in the Menoua Division in the West Region of Cameroon. A community-based cross-sectional and analytical study was conducted between March and April 2022 in the Menoua Division. A pre-tested questionnaire was filled out by willing participants of more than 18 years old, and data were further expressed in order to estimate the knowledge of participants on COVID-19, vaccine status, and the factors associated with vaccine refusal. A Pearson test was performed in order to identify the associated factors, with a p-value < 0.05 considered as significant. A total of 520 participants with a mean age of 33.27 ± 12.78 were included. Most had a secondary education level (56.15%), and trade and informal sectors (34.04%) were the main occupations. Knowledge on COVID-19 was average, and it was significantly associated (p < 0.05) with gender and education level. The vaccination rate was 10%, which was six times less than the national target. A lack of information, confidence, and medicinal plant use were all factors significantly associated with vaccine refusal. This pioneer community-based study in Cameroon identified a lack of knowledge, confidence, and medicinal plant use as the leading factors limiting COVID-19 vaccine acceptance in Cameroon. Health authorities should therefore strengthen sensitization in order to tackle the lack of information and the misinformation among the target groups.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 90%

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Factors Associated with COVID-19 Vaccine Refusal: A Community-Based Study in the Menoua Division in Cameroon

Tetsatsi,

Nguena,

Deutou

et al. 2023

TropicalMed

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“…Several factors drive the intention to accept, delay and abstain from vaccination and these include trust in vaccine approval, the perceived effectiveness of the vaccine for protecting others and conspiracy beliefs 29,30 . This phenomenon also known as COVID-19 vaccine hesitancy is well known in Cameroon [31][32][33] and other African countries 34 .…”

Section: Discussionmentioning

confidence: 96%

Prevalence, Clinical Profile and Determinants of COVID-19 Vaccination and SARS-CoV-2 Breakthrough Infection in Douala, Cameroon

Moguem Soubgui,

Foko,

Embolo Enyegue

et al. 2023

Trends Med. Res

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Background and Objective: Vaccination is the most cost-effective public health intervention to control diseases such as the current COVID-19 pandemic. This study aimed to determine the prevalence, clinical profile and determinants of COVID-19 vaccination uptake and SARS-CoV-2 breakthrough infection. Materials and Methods: A cross-sectional study was conducted in Douala, Cameroon from January, to September, 2022. A pretested structured questionnaire was used to collect sociodemographic, anthropometric and clinical data of participants during individual interviews. Additionally, findings on COVID-19 vaccination and RT-qPCR based SARS-CoV-2 molecular testing of fully COVID-19 vaccinated patients from medical records. Statistical analyses were performed using StatView, SPSS and GraphPad software. The level of statistical significance was set at p<0.05. Results: The overall prevalence of COVID-19 vaccination uptake was 18.6%. The prevalence of cough (p = 0.01) and sore throat (p = 0.03) was higher in unvaccinated patients. The chances of getting vaccinated were increased in those with higher education, elderly people and those with a history of COVID-19 infection. Vaccine breakthrough infections were found at a prevalence of 5.41% and were mainly seen in elderly patients with comorbidities (obesity, hypertension). Conclusion: There is a need for adequately tailored information campaigns to sensitize Cameroonian populations on the positive impact of COVID-19 vaccination, especially those with low levels of education.

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Acceptance‐Hesitancy of COVID‐19 Vaccination and Factors Affecting It in Adults: Systematic Review Study

Darbandi,

Koupaei,

kiani

et al. 2024

Immunity Inflam & Disease

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BackgroundDespite the advent of vaccines against COVID‐19, there is considerable variation in the acceptance and hesitancy towards the vaccination program across different countries. The objective of this study was to ascertain the prevalence of hesitancy and acceptance regarding the use of the vaccine against the novel coronavirus, also known as COVID‐19, and to identify the factors that influence these attitudes.Materials and MethodsAll the cross‐sectional studies were retrieved from the PubMed databases, the Web of Science ISI, Scopus, and the Cochrane Library. Papers published in English between 2 November 2019 and 23 May 2023 were subjected to further assessment based on their title, abstract, and main text, with a view to ensuring their relevance to the present study.ResultsFollowing an exhaustive investigation, 59 studies were selected for screening in this systematic review. The most frequently employed method of data collection was the online survey. The study sample comprised 59.12% women and 40.88% men, with ages ranging from 16 to 78 years. The proportion of individuals accepting the vaccine ranged from 13% to 96%, while the proportion of those exhibiting hesitancy ranged from 0% to 57.5%. The primary reasons for accepting the COIVD‐19 vaccine were a heightened perception of risk associated with the virus and a general trust in the healthcare system. The most frequently cited reasons for vaccine hesitancy in the context of the ongoing pandemic include concerns about the potential dangers of the vaccines, the rapid pace of their development, the possibility of adverse effects (such as infertility or death), and the assumption that they have been designed to inject microchips.DiscussionA variety of socio‐demographic factors are implicated in determining the rate of vaccine acceptance. A number of socio‐demographic factors have been identified as influencing vaccine acceptance. These include high income, male gender, older age, marriage, the presence of older children who have been vaccinated and do not have chronic diseases, high education, and health insurance coverage.ConclusionEliminating vaccine hesitancy or increasing vaccine acceptance is a crucial factor that should be addressed through various means and in collaboration with regulatory and healthcare organizations.

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COVID-19 perceptions and vaccine hesitancy: Acceptance, attitude, and barriers among Cameroonians

Cited by 7 publications

References 18 publications

Factors Associated with COVID-19 Vaccine Refusal: A Community-Based Study in the Menoua Division in Cameroon

Factors Associated with COVID-19 Vaccine Refusal: A Community-Based Study in the Menoua Division in Cameroon

Prevalence, Clinical Profile and Determinants of COVID-19 Vaccination and SARS-CoV-2 Breakthrough Infection in Douala, Cameroon

Acceptance‐Hesitancy of COVID‐19 Vaccination and Factors Affecting It in Adults: Systematic Review Study

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