Predictive Factors of Community Engagement in COVID-19 Vaccination in East Java, Indonesia

Abstract

Background: SARS-CoV-2 was declared a global pandemic by the World Health Organization in March 2020. Vaccination is an important step to prevent COVID-19. This study aimed to analyze the predictive factors of community engagement in COVID-19 vaccination in East Java, Indonesia.
 Methods: A cross-sectional study using purposive sampling was conducted on people aged 12 to >60 years (n=1024) in Lamongan Regency, East Java Province, Indonesia in August-September 2021. The data was collected using a self-administered questionnaire. Logistic regression analysis was used to estimate the relationship between community engagement in COVID-19 vaccination and other predictors.
 Results: We included 1,024 people aged 12-65 years, with a mean age (±SD) of 29 (12.7). Around 94.0% of the participants reported that they had been vaccinated twice. The role of supportive health cadres could increase community participation by 0.496 times in COVID-19 vaccination compared to the less supportive health cadres (OR= 0.496; 95.0% CI: 0.292-0.845; P=0.010). In addition, the role of supportive community leaders could increase community participation by 1,959 times in COVID-19 vaccination compared to the less supportive community leaders (OR= 1.959; 95.0% CI: 1.080-3.551; P=0.027).
 Conclusion: The role of health cadres and community leaders can increase community participation in COVID-19 vaccination. The partnership between community health center and community engagement in the COVID-19 vaccination program needs to be continued.