Understanding hepatitis B vaccination willingness in the adult population in Indonesia: a survey among outpatient and healthcare workers in community health centers

Abstract

Aim This study aimed to assess factors associated with the willingness to be vaccinated against hepatitis B among Indonesia’s adult population, considering cultural and geographic differences by analysing the two provinces of Aceh and Yogyakarta. Subject and methods An institution-based cross-sectional survey was conducted in 16 community health centres. A multivariable logistic regression model stratified by province was employed to assess variables associated with the willingness to receive hepatitis B vaccination. Results We found that participants from Yogyakarta more often had a higher knowledge and risk perception of hepatitis B and were more often willing to get vaccinated than participants from Aceh. We also found that a high-risk perception of hepatitis B infection was associated with the willingness to be vaccinated against hepatitis B in participants from both Aceh and Yogyakarta. Furthermore, in Yogyakarta, a fair and high knowledge of hepatitis B infection and vaccination, being female, and having health insurance covering hepatitis B vaccination costs were associated with the willingness to be vaccinated. In Aceh, health care workers in high-risk units for hepatitis B had a higher willingness to be vaccinated than those who were not high-risk health care workers. Conclusion Given the different factors associated with the willingness to be vaccinated against hepatitis B in Aceh and Yogyakarta, this study also highlights the need of a locally adjusted, culture-based approach to improve the hepatitis B vaccination programme.

Understanding COVID-19 Vaccine Acceptance among Healthcare Workers in Indonesia: Lessons from Multi-Site Survey

“…Similar findings were reported by Machmud P.B. et al and Khatiwada M. et al to understand hepatitis B vaccination and COVID-19 vaccine acceptance, respectively, in Aceh, where participants from Aceh were less willing to receive the hepatitis B vaccine as well as the COVID-19 vaccine [ 39 , 40 ]. The likely reason for this is that Aceh is one of the provinces in Indonesia with a majority Muslim population, which might have an impact on vaccine acceptance.…”

Barriers to and Facilitators of Hepatitis B Vaccination among the Adult Population in Indonesia: A Mixed Methods Study

“…We involved two local enumerators, who were trained and supervised by the field coordinator. Details on the methodological approach for the quantitative part have been published elsewhere [ 22 ]. In brief, an institution-based cross-sectional survey was conducted from February to March 2020 in Aceh and Yogyakarta.…”