Social Perception, Hesitancy, and Satisfaction towards COVID19 Vaccination in Primary Health Centers: A Multicenter Cross-Sectional Study from South India

Abstract

Background:
 Consumers' perception and satisfaction with the vaccination services is a critical and commonly used indicator to evaluate the quality of services provided by the concerned authorities. The present survey assessed social perception, satisfaction, hesitancy, and associated factors of COVID-19 vaccination provided at the primary health centers (PHC) of South India. 
 Methods:
 We collected a validated data using data collection tool. The associated factors for the low and high satisfaction with the vaccination services were evaluated by logistic regression analysis. We performed Spearman's correlation test to identify the correlation between perception and satisfaction scores.
 Results:
 Of the 675 participants, 87.4% were satisfied with the vaccination services provided at the PHCs. The participants' satisfaction was significantly associated with the age group [Adjusted OR (AOR) = 1.89, 95% CI = 1.39 – 2.89, P = 0.037] and occupation status [AOR = 1.42, 95% CI = 1.17 – 1.74, P = 0.024]. We found a significant positive correlation (Spearman's rho = 0.207, p < 0.001) between perception and satisfaction scores. Furthermore, 20.7% of participants were hesitant (too much and somewhat) to give recommended COVID-19 vaccines. 
 Conclusion: 
 We recommend targeted health education programs for social population to improve their perceptions and the importance of all recommended COVID-19 vaccines. Next, we suggest continuing social satisfaction assessment to enhance and maintain the quality of vaccination services.