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Exploring SARS-CoV-2 vaccine acceptance in Sierra Leone and Zimbabwe Cover

Exploring SARS-CoV-2 vaccine acceptance in Sierra Leone and Zimbabwe

Open Access
|Feb 2024

Figures & Tables

Table 1

Demographics

Zimbabwe N=1154Sierra Leone N=1158Total Indicator
Female57.048.952.9
Age (years)
 18-199.89.69.7
 20-2413.223.218.2
 25-4948.152.450.3
 50+28.914.821.8
Education
 Primary25.220.522.9
 Secondary67.051.959.5
 Tertiary7.827.617.7
Group
 Community member68.967.568.2
 Faith leader4.26.65.4
 Healthcare worker1.56.64.0
 Community leader5.611.48.5
 Other19.97.913.9
Has a health condition26.229.027.6
Table 2

Key COVID Vaccine Indicators

IndicatorZimbabweSierra LeoneTotal
Received vaccine55.632.043.8
Believes vaccine is extremely risky10.531.020.7
Very likely would take vaccine if free59.937.048.5
Very likely to recommend vaccine to others66.838.252.5
Believes it would be very easy to receive vaccine62.039.050.4
Believes the vaccine is very safe50.936.243.6
Knows where to get accurate, timely COVID-19 vaccination information75.446.160.8
Refused to be vaccinated37.266.250.3
Personally know someone who became seriously ill or died from COVID40.413.126.8
Very concerned about getting infected at work52.139.845.9
Very concerned about getting infected in public54.640.647.6
Very concerned will infect family or friends59.448.654.0
Table 3

Predictors of Vaccination (Logistic regression)

Coef.St. Err.t-valuep-value95% CISig
Gender (Ref: male)
Female.947.087-0.59.554(.792, 1.133)
Age1.466.0826.820(1.313, 1.636)***
Country (Ref: Zimbabwe)
Sierra Leone.324.032-11.400(.267, .393)***
Education (Ref: primary)
secondary.942.108-0.52.603(.752, 1.18)
tertiary1.09.1650.57.571(.809, 1.467)
Role (Ref: community member)
faith leader1.458.2971.85.065(.977, 2.174)*
healthcare worker5.0271.2336.590(3.109, 8.129)***
community leader2.654.455.750(1.903 3.701)***
other1.254.1651.72.086(.968, 1.624)*
Mean dependent var.0.44SD dependent var.0.50
Pseudo r-squared0.09Number of obs.2277
Chi-square285.76Prob > chi20.00
Akaike crit. (AIC)2854.05Bayesian crit. (BIC)2911.36

Notes.

*** p<.01,

** p<.05,

* p<.1

Table 4

Predictors of Those Concerned They Will Become Infected at Work (Linear regression)

Coef.St. Err.t-valuep-value95% CISig
Gender (Ref: male)
Female.038.0480.79.428(-.056, .132)
Age.154.0295.340(.097, .21)***
Country (Ref: Zimbabwe)
Sierra Leone-.39.051-7.660(-.489, -.29)***
Education (Ref: primary)
secondary.186.063.09.002(.068, .304)***
tertiary.407.0795.130(.251, .562)***
Role (Ref: community member)
faith leader-.081.107-0.76.448(-.291, .129)
healthcare worker.011.1250.09.929(-.233, .256)
community leader.217.0892.45.014(.043, .391)**
other-.084.071-1.19.234(-.222, .054)
Mean dependent var.2.93SD dependent var.1.15
R-squared0.05Number of obs.2260
F-test14.41Prob > F0.00
Akaike crit. (AIC)6947.62Bayesian crit. (BIC)7004.86

Notes.

*** p<.01,

** p<.05,

* p<.1

Table 5

Predictors of Those Concerned They Will Become Infected in Public (Linear regression)

Coef.St. Err.t-valuep-value95% CISig
Gender (Ref: male)
Female.075.0461.64.102(-.015, .166)
Age.156.0285.640(.102, .211)***
Country (Ref: Zimbabwe)
Sierra Leone-.503.049-10.290(-.598, -.407)***
Education (Ref: primary)
secondary.191.0583.29.001(.077, .304)***
tertiary.432.0765.670(.282, .581)***
Role (Ref: community member)
faith leader-.225.104-2.16.031(-.429, -.021)**
healthcare worker.088.120.73.463(-.147, .323)
community leader.231.0852.71.007(.064, .398)***
other-.296.068-4.360(-.429, -.163)***
Mean dependent var.2.98SD dependent var.1.13
R-squared0.08Number of obs.2273
F-test22.86Prob > F0.00
Akaike crit. (AIC)6814.15Bayesian crit. (BIC)6871.43

Notes.

*** p<.01,

** p<.05,

* p<.1

Table 6

Predictors of Those Concerned They Will Infect Family and Friends (Linear regression)

Coef.St. Err.t-valuep-value95% CISig
Gender (Ref: male)
Female.092.0452.05.041.004.179**
Age.14.0275.210.088.193***
Country (Ref: Zimbabwe)
Sierra Leone-.363.047-7.640-.456-.269***
Education (Ref: primary)
secondary.151.0562.68.007.04.261***
tertiary.394.0745.320.248.539***
Role (Ref: community member)
faith leader-.056.1-0.55.579-.252.141
healthcare worker.052.1170.44.658-.178.281
community leader.22.0832.66.008.058.383***
other-.218.066-3.30.001-.347-.088***
Mean dependent var.3.13SD dependent var.1.08
R-squared0.06Number of obs.2272
F-test15.76Prob > F0.00
Akaike crit. (AIC)6681.81Bayesian crit. (BIC)6739.09

Notes.

*** p<.01,

** p<.05,

* p<.1

Country:District: Ward:
Respondent ID:Age range of respondent (years): 10 – 19 Years
20 – 24 Years
25 – 49 years
50 Years and above
Gender:Profession:
Respondent category:
Faith leader
Health care worker
Community leader
Journalist
Community member
Other
Educational level:
CancerObesity
Immunocompromised state due to therapy or diseaseDiabetes (type 1 or 2)
Cardiovascular diseasePulmonary disease
Other underlying condition
I never refused a vaccine recommended by a healthcare worker
Did not think it was needed
Did not have enough information on the vaccine
Did not think the vaccine was effective
Did not think the vaccine was safe
I was concerned about side effects
I had a bad experience with a previous vaccination
Did not know where to get vaccination
Other logistic problems
Not at allA littleSomewhatVery
Contracting COVID-19 at work?
(For example: office and other work settings that are not your home)
Contracting COVID-19 outside of work?
(For example: at the grocery store, when you are using transportation, or in other aspects of your daily life)
Infecting your family or friends with COVID-19?
*Year ___*Month __Not sure
*Year ___*Month __Not sure
Very likely
Somewhat likely
I am not sure
Somewhat unlikely
Very unlikely
I would not take it within the near future, but I might reconsider it in the future with time
Not at all likely
Somewhat likely
Extremely likely
Very easy
Somewhat easy
Somewhat difficult
Very difficult
Not sure
I can’t go on my own
I have a physical limitation.
It’s too far away.
I don’t know where to go to get vaccinated.
I’m not eligible to get a COVID-19 vaccine.
I have a medical reason that makes me ineligible to get vaccinated (e.g., I have had a severe allergy to vaccines in the past).
I don’t have transportation.
The hours of operation are inconvenient.
The waiting time is too long.
It is difficult to find or make an appointment.
I am too busy to get vaccinated.
It was difficult to arrange for childcare.
I don’t have time off work
Not sure
Not at all safe
A little safe
Moderately safe
Very safe
The fast production of the vaccine did not compromise its safety
Agencies approving the vaccines are following strict rules
My risk of getting sick with COVID-19 is bigger than the risk of side effects from the vaccine
The vaccine cannot cause any immediate or long-term injury
It is impossible to get COVID-19 or any other disease from the vaccine itself or its components
The vaccine works in protecting me from COVID-19
The vaccine works in stopping the transmission of COVID-19 from one person to another
Health agencies and WHO recommend the vaccine and agree it is safe
I do not need any other information
Other -please specify_______________
Once vaccinated I will be able to live my life with no restrictions
Those with concerns about the vaccine have opportunities to share their opinions with the public
Pharmaceutical companies will not make large profits from the vaccine
Everybody will have equal access to the vaccine regardless of income or race
I will be free to choose if I get the vaccine or not with no consequences
There are no other reasons why so many people are sick (i.e. 5G technology or other unknown reasons)
Protect my health
Protect health of family/friends
Protect health of co-workers
Protect health of community
To get back to work/school
To resume social activities
To resume travel
Because others encouraged me to get vaccinated
Other/Not sure
Ministry of Health
Employer
Family and friends
Hospital system websites
Local health officials
News sources (e.g., television, internet, and radio)
Health care workers
Professional organization(s)
Religious leader(s)
Online publishers of medical information (such as WebMD or Mayo Clinic)
Social media (such as Facebook, Twitter, Instagram, WhatsApp, LinkedIn, or Tik-Tok)
Union leader(s)
Other
Language: English
Page range: 27 - 45
Submitted on: Jun 17, 2023
Accepted on: Feb 16, 2024
Published on: Feb 25, 2024
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services

© 2024 Simon Ssentongo, Dennis Kinyok, Ruth Gemi, Alex Muhereza, Fifi Manuel, Rebecca Waugh, Mary Linehan, Jared Saxton, Cougar Hall, Josh West, Benjamin Crookston, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.