COVID19 vaccine intentions in South Africa: health communication strategy to address vaccine hesitancy

Abstract Background Vaccine hesitancy is emerging as a significant challenge in many parts of the world in the fight against the COVID19 pandemic. The continued infection amongst the unvaccinated can lead to a heightened risk of further virus mutation, exposing even those vaccinated to new virus strains. Therefore, there are social benefits in minimising vaccine hesitancy. The objective of this study is to assess the level of COVID19 vaccine hesitancy in South Africa, identify the socio-economic patterns in vaccine hesitancy and highlight insights from the national survey that can inform the development of a COVID-19 vaccination acceptance communication campaign. Methods The study uses the nationally representative National Income Dynamics Study - Coronavirus Rapid Mobile Survey (NIDS-CRAM) survey. The analysis combines univariate and bivariate statistics, as well as multivariate regression models like binomial/ordinal and multinomial logit. Results The study finds that vaccine acceptance is lower than that of non-pharmaceutical intervention like face-mask use. Only 55% fully accept the vaccine, while a further 16% are moderately accepting of vaccines. Together, vaccine acceptance is estimated at 70.8%, and vaccine hesitancy against COVID19 is estimated at 29.2% amongst the adult South African population. The study has identified the perceived risk of infection with the mediating role of efficacy as a key predictor of vaccine intention. Higher awareness of COVID19 related information and higher household income are correlated with lower vaccine hesitancy. The non-black African population group has significantly high vaccine hesitancy compared to black Africans. Conclusions There are other significant differences across socio-economic and demographic variables in vaccine hesitancy. From a communication perspective, it is imperative to continue risk messaging, hand in hand with clearer information on the efficacy of the vaccines.

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COVID19 Vaccine Intentions in South Africa: Health Communication Strategy to Address Vaccine Hesitancy

10.21203/rs.3.rs-533888/v1 ◽

2021 ◽

Author(s):

Umakrishnan Kollamparambil ◽

Adeola Oyenubi ◽

Chijioke Nwosu

Keyword(s):

South Africa ◽

Health Communication ◽

Perceived Risk ◽

Herd Immunity ◽

National Income ◽

Population Group ◽

Communication Strategy ◽

African Population ◽

Vaccine Hesitancy ◽

Vaccine Acceptance

Abstract Background: Widespread vaccine acceptance is key to achieving herd immunity through vaccination against COVID19, especially because the available vaccines do not have 100% efficacy. The continued infection amongst the unvaccinated can lead to heightened risk of further virus mutation, exposing even those vaccinated to new virus strains. Therefore, there are social benefits in minimising vaccine hesitancy. The objective of this study is to assess the level of COVID19 vaccine hesitancy in South Africa, identify the socio-economic patterns in vaccine hesitancy and to develop a targeted health communication strategy based on the HBM and EPPM models in order to improve vaccine acceptance. Methods: The study uses the nationally representative National Income Dynamics Study - Coronavirus Rapid Mobile Survey (NIDS-CRAM) survey. The analysis combines univariate and bivariate statistics together with multivariate regression models like binomial/ordinal logit and seemingly unrelated regressions.Results: The study finds that vaccine acceptance is lower than that of non-pharmaceutical intervention life face-mask use. Only 55% are fully accepting of the vaccine, while a further 16% are moderately accepting of vaccines. Together, vaccine acceptance is estimated at 70.8% and vaccine hesitancy against COVID19 is estimated at 29.2% amongst the adult South African population. The reasons cited for vaccine hesitancy are primarily due to concerns regarding the side-effects and efficacy of vaccine. the study has identified perceived risk of infection with the mediating role of efficacy as a key predictor of vaccine intention. Apart from vulnerability to infection, those perceiving higher severity of risk (elderly and those with chronic illness) have lower hesitancy. Higher awareness of COVID19 related information and higher household income are correlated with lower vaccine hesitancy. The non-black African population group has significantly high vaccine hesitancy compared to black Africans. Males on average have lower hesitancy compared to females, and unmarried/unpartnered individuals are found to have higher hesitancy. Conclusions: There are other significant differences across socio-economic and demographic variables in vaccine hesitancy. From a communication perspective, it is imperative to continue risk messaging, hand in hand with clearer information on the efficacy of the vaccines

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Revisiting Poverty, Human Development and Inequality in Democratic South Africa

Indian Journal of Human Development ◽

10.1177/09737030211032961 ◽

2021 ◽

pp. 097370302110329

Author(s):

Vusi Gumede

Keyword(s):

South Africa ◽

Human Development ◽

South African ◽

Measurement Techniques ◽

National Income ◽

Population Group ◽

Poverty Dynamics ◽

The South ◽

South African Society ◽

Multidimensional Poverty Index

There are many questions related to poverty in South Africa that remain unsatisfactorily answered. Given the poor performance of the South African economy, including declining per capita incomes and increasing unemployment, since 2010 or so, it is important to examine poverty dynamics in the recent years. Many recent studies in this regard have relied on 2015 data, and do not examine all the three interrelated aspects of wellbeing viz. poverty, human development and inequality. In this context, this paper uses all the five waves of the National Income Dynamics Study and employs different poverty and inequality measurement techniques to investigate poverty dynamics, human development and inequality during the post-apartheid period in South Africa. The estimates suggest that although poverty was declining prior to the coronavirus pandemic, the African/Black population group is the most affected by poverty. The phenomenon of feminisation of poverty is also verified based on the evidence of increasingly more women in poverty than men. The proportion of population experiencing multiple deprivations, measured by the Multidimensional Poverty Index, have not changed in the post-apartheid period. Similarly, human development has not improved during this period. South African society continues to be one of the most unequal societies in the world. The paper argues that the inability to sufficiently reduce poverty, unemployment and inequality results from the weak performance of the South African economy. In the same vein, it is the structure of the South African economy that has kept the levels of human development low and income inequality high.

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Exploring social media usage as a communication channel among independent food retailer SMEs in South Africa

Small Business International Review ◽

10.26784/sbir.v5i2.392 ◽

2021 ◽

Vol 5 (2) ◽

pp. e392

Author(s):

José Dos Santos ◽

Rodney Duffett

Keyword(s):

South Africa ◽

Social Media ◽

Perceived Risk ◽

Communication Channel ◽

Communication Strategy ◽

Relationship Building ◽

Enabling Factors ◽

Media Usage ◽

Contact Points ◽

Food Retailer

Social media has facilitated interaction between businesses and consumers, and consequently, has seen rapid growth as a communication channel by a number of smaller retailers in South Africa. Hence, the primary research objective of this study is to explore social media usage as a marketing communication strategy by independent food retailer small to medium enterprises (SMEs). The study used a qualitative data collection strategy and in-depth interviews were conducted among eleven independent food retailer SMEs in South Africa. The study revealed that the level of social media activity by the respondent retailers was influenced by enabling factors such as cost effectiveness, accessibility, reach and relationship building, whereas perceived risk and resources such as time, knowledge and human resources were inhibiting factors. The research contributes to the available literature exploring social media usage as customer contact points for promotional purposes, as well as provides insight for further studies on the use of social media conduits by independent food retailer SMEs or similar businesses in a developing country.

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Determinants of COVID-19 vaccine acceptance in Saudi Arabia: a web-based national survey

10.1101/2020.05.27.20114413 ◽

2020 ◽

Cited By ~ 3

Author(s):

Bijaya Kumar Padhi ◽

Mohammed Al-Mohaithef

Keyword(s):

Saudi Arabia ◽

Perceived Risk ◽

Vaccination Program ◽

Vaccine Hesitancy ◽

Global Public Health ◽

Snowball Sampling ◽

Vaccine Acceptance ◽

Web Based ◽

The Future ◽

Study Participants

AbstractBackgroundVaccine hesitancy is a potential threat to global public health. Since, there is an unprecedented global effort to develop a vaccine against the COVID-19 pandemic, much less is known about its acceptance in the community. Understanding key determinants that influence the preferences and demands of a future vaccine by the community may help to develop strategies for improving the global vaccination program. This study aimed to assess the prevalence of the acceptance of COVID-19 vaccine, and their determinants among people in Saudi Arabia.MethodsA web-based, cross-sectional study was conducted using snowball sampling strategy under a highly restricted environment. A bilingual, self-administered anonymous questionnaire was designed and sent to 1000 study participants through social media platforms and email. Study participants were recruited across the country, including the four major cities (Riyadh, Dammam, Jeddah, and Abha) in Saudi Arabia. Associations between COVID-19 vaccine acceptance and sociodemographic profile of the respondents were explored using the chi-squared test. Key determinants that predict vaccine acceptance among respondents were modelled using logistic regression analysis.ResultsOf the 1000 survey invitees, 992 responded to the survey (response rate, 99.2%). The majority (65.8%) of the study participants were female, 29.53% were in the age group (36–45 years), and 17.9% were non-Saudi. Of the 992 respondents, 642 (64.72%) showed interest to accept the COVID-19 vaccine if it is available. Willingness to accept the future COVID-19 vaccine is relatively high among older age groups (79.2% among 45+ year old), being married (69.3%), participants with education level postgraduate degree or higher (68.8%), non-Saudi (69.1%), employed in government sector (68.9%). In multivariate model, respondents who were above 45 years (aOR: 2.15; 95% CI: 1.08-3.21), and married (aOR: 1.79; 95% CI: 1.28-2.50) were significantly associated with vaccine acceptance (p <.05). Besides, people having trust in the health system were most likely to accept the vaccine (aOR: 3.05; 95% CI: 1.13-4.92), and those having a higher perceived risk of acquiring infection were 2.13 times (95% CI: 1.35-3.85) higher odds of accepting the vaccine.ConclusionAddressing sociodemographic determinants relating to the COVID-19 vaccination may help to increase uptake of the global vaccination program to tackle future pandemics. Targeted health education interventions are needed to increase the uptake of the future COVID-19 vaccine.

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COVID-19 Vaccine Acceptance and Hesitancy among Singaporean Primary Healthcare Workers

10.21203/rs.3.rs-983138/v1 ◽

2021 ◽

Author(s):

Sky Wei Chee Koh ◽

Yiyang Liow ◽

Victor Weng Keong Loh ◽

Seaw Jia Liew ◽

Yiong-Huak Chan ◽

...

Keyword(s):

Influenza Vaccination ◽

Primary Healthcare ◽

Perceived Risk ◽

Healthcare Workers ◽

Collective Responsibility ◽

Acceptance Rate ◽

Vaccine Hesitancy ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Vaccine Acceptance

Abstract BackgroundFactors affecting COVID-19 vaccine acceptance and hesitancy among primary healthcare workers (HCW) remain poorly understood. This study aims to identify factors associated with vaccine acceptance and hesitancy among HCW.MethodsA multi-centre online cross-sectional survey was performed across 6 primary care clinics from May to June 2021, after completion of vaccination exercise. Demographics, profession, years working in healthcare, residential status, presence of chronic medical conditions, self-perceived risk of acquiring COVID-19 and previous influenza vaccination were collected. HCW who accepted vaccine were then asked to rank their top 5 reasons for vaccine acceptance; HCW who were vaccine hesitant had to complete the 5C scale on psychological antecedents of vaccination.Results557 out of 1182 eligible HCW responded (47.1%). 29 were excluded due to existing contraindications. Among 557 respondents, vaccine acceptance rate was 94.9% (n=501) and 5.1% were hesitant (n=27). COVID-19 vaccine acceptance was not associated with sex, age, ethnicity, profession, number of years in healthcare, living status, presence of chronic diseases, self-perceived risk or previous influenza vaccination. The top 3 reasons for COVID-19 vaccine acceptance ranked by 501 HCW were to protect their family and friends, protect themselves from COVID-19 and due to high risk of acquiring COVID-19 because of their jobs. The 15-item questionnaire from the 5C psychological antecedents of vaccination was completed by 27 vaccine hesitant HCW. The mean scores for the components of the 5Cs were: ‘Confidence’ (3.96), ‘Complacency’ (3.23), ‘Constraint’ (2.85), ‘Calculation’ (5.79) and ‘Collective responsibility’ (4.12).ConclusionCOVID-19 vaccine hesitancy is a minute issue among Singapore primary HCW, having achieved close to 95% acceptance rate with 5% hesitancy rate. Future studies can focus on other settings with higher hesitancy rates, and acceptance of booster vaccinations with the emergence of the delta COVID-19 variant.Trial RegistrationThis study was approved by the National Healthcare Group (NHG) Domain Specific Review Board (DSRB), Singapore on 26th April 2021 (Reg No. 2021/00213).

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HIV prevalence in South Africa through gender and racial lenses: results from the 2012 population-based national household survey

International Journal for Equity in Health ◽

10.1186/s12939-019-1055-6 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

M. Mabaso ◽

L. Makola ◽

I. Naidoo ◽

L. L. Mlangeni ◽

S. Jooste ◽

...

Keyword(s):

South Africa ◽

Condom Use ◽

Racial Disparities ◽

Perceived Risk ◽

Multiple Logistic Regression Analysis ◽

Population Based ◽

Hiv Prevalence ◽

Black African ◽

Hiv Epidemic ◽

Increased Risk

Abstract Background In South Africa, persistence of the HIV epidemic and associated gender and racial disparities is a major concern after more than 20 years of democratic dispensation and efforts to create a more healthy and equal society. This paper profiles HIV prevalence and related factors among Black African men and women compared to other race groups in South Africa using the 2012 population-based national household HIV survey. Methods This secondary data analysis was based on the 2012 population-based nationally representative multi-stage stratified cluster random household sample. Bivariate and multiple logistic regression analysis were used to assess the relationship between HIV prevalence and associated factors by gender and racial profile. Results Overall HIV prevalence was significantly higher (p < 0.001) among both Black African males (16.6%; 95% CI: 15.0–18.4) and females (24.1%; 95% CI: 22.4–26.0) compared to their counterparts from other races. Among Black African males, increased risk of HIV was significantly associated with age group 25–49 years and those 50 years and older compared with young males 15–25 years. Among all males, reported condom use at last sex was significantly associated with increased risk of HIV. High socio-economic status (SES) and perceived risk of HIV were associated with a decreased risk of HIV. Among female condom use at last sex and ever testing for HIV was associated with increased prevalence of HIV only among Black African females. Lower prevalence of HIV was associated with marriage, tertiary education, high SES, having a partner five years younger, perceived risk of HIV, and awareness of HIV status among Black African females. Conclusion Gender and racial disparities rooted in structural and contextual inequalities remain important factors for the maintenance of the generalized HIV epidemic in the country. HIV prevention interventions need to cut across all strata of society but also target risk factors salient for specific groups. Alleviating vulnerability to HIV along gender and racial lines should also be viewed as part of a broader public health strategy.

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Confidence and Receptivity for COVID-19 Vaccines: A Rapid Systematic Review

Vaccines ◽

10.3390/vaccines9010016 ◽

2020 ◽

Vol 9 (1) ◽

pp. 16

Author(s):

Cheryl Lin ◽

Pikuei Tu ◽

Leslie M. Beitsch

Keyword(s):

Perceived Risk ◽

Survey Design ◽

Herd Immunity ◽

Vaccine Safety ◽

Vaccine Hesitancy ◽

Vaccine Acceptance ◽

Health Authorities ◽

Political Interference ◽

Survey Results ◽

Vaccine Mandates

While COVID-19 continues raging worldwide, effective vaccines are highly anticipated. However, vaccine hesitancy is widespread. Survey results on uptake intentions vary and continue to change. This review compared trends and synthesized findings in vaccination receptivity over time across US and international polls, assessing survey design influences and evaluating context to inform policies and practices. Data sources included academic literature (PubMed, Embase, and PsycINFO following PRISMA guidelines), news and official reports published by 20 October 2020. Two researchers independently screened potential peer-reviewed articles and syndicated polls for eligibility; 126 studies and surveys were selected. Declining vaccine acceptance (from >70% in March to <50% in October) with demographic, socioeconomic, and partisan divides was observed. Perceived risk, concerns over vaccine safety and effectiveness, doctors’ recommendations, and inoculation history were common factors. Impacts of regional infection rates, gender, and personal COVID-19 experience were inconclusive. Unique COVID-19 factors included political party orientation, doubts toward expedited development/approval process, and perceived political interference. Many receptive participants preferred to wait until others have taken the vaccine; mandates could increase resistance. Survey wording and answer options showed influence on responses. To achieve herd immunity, communication campaigns are immediately needed, focusing on transparency and restoring trust in health authorities.

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Morphometry and Morphology of the Acetabulum Within the Black African Population of South Africa

International Journal of Morphology ◽

10.4067/s0717-95022019000300971 ◽

2019 ◽

Vol 37 (3) ◽

pp. 971-976

Author(s):

K Indurjeeth ◽

S Ishwarkumar ◽

BZ De-Gama ◽

Z Ndlazi ◽

P Pillay

Keyword(s):

South Africa ◽

African Population ◽

Black African

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Poverty in South Africa

10.1093/oxfordhb/9780192894199.013.8 ◽

2021 ◽

pp. 156-174

Author(s):

Vusi Gumede

Keyword(s):

South Africa ◽

Rural Areas ◽

National Income ◽

Multidimensional Poverty ◽

Population Group ◽

Black Population ◽

Income Poverty ◽

Multidimensional Poverty Index ◽

The Impact ◽

Mobile Survey

The chapter examines poverty in the post-apartheid dispensation (in South Africa), taking into account the various studies that have been undertaken regarding poverty since 1994. Because the South African statistical agency—Statistics South Africa—has not collected poverty data since 2015, the chapter uses the National Income Dynamics Study (NIDS) dataset to estimate poverty for the 2008–17 period while analysing existing data and estimates prior to 2017. An attempt to cover the period after 2017 is done using the NIDS-Coronavirus Rapid Mobile Survey (NIDS-CRAM) which is the mobile survey that was undertaken using the NIDS respondents to gauge the impact of the coronavirus pandemic. The analysis focuses on income poverty although other measures such as the multidimensional poverty index are also estimated and analysed. Relative to expenditure, the income approach in measuring poverty provides descriptive information on household welfare and it is useful for policy analysis and programme evaluation as the literature explains. The chapter concludes that although it appears that income poverty has been declining, it remains very high and it is higher for women, for those living in rural areas, and for the African/black population group. In addition, the severity and intensity of poverty has not changed much since 1994.

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Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic

10.1101/2020.04.23.20076513 ◽

2020 ◽

Author(s):

Maëlle Detoc ◽

Sébastien Bruel ◽

Paul Frappe ◽

Elisabeth Botelho-Nevers ◽

Amandine Gagneux-Brunon

Keyword(s):

Clinical Trial ◽

Perceived Risk ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Vaccine Acceptance ◽

Major Barrier ◽

Vaccine Clinical Trial ◽

Primary Endpoints ◽

Intention To Participate ◽

On Line

AbstractBackgroundThe world is facing the COVID-19 pandemic. Development of vaccine is challenging.AimTo determine the proportion of people who intend to get vaccinated against COVID-19 in France or to participate in a vaccine clinical trial.MethodsWe conducted an anonymous on-line survey from the 26th of March to the 20th of April 2020. Primary endpoints were the intention to get vaccinated against COVID-19 if a vaccine was available or participate in a vaccine clinical trial.ResultsThree thousand two hundred and fifty nine individuals answered the survey; women accounted for 67.4 % of the responders, 670 (20.6 %) were under 30 years of age, 1,502 (46.1 %) between 30-49 years, 803 (24.6 %) between 50-64 years, 271 (8.3%) between 65-80 years, 13 (0.4%) over 80 years of age. According to their statements, 2.512 participants (77.6%, 95 % CI 76.2-79 %) will certainly or probably agree to get vaccinated against COVID-19. Older age, male gender, fear about COVID-19, being healthcare workers and individual perceived risk were associated with COVID-19 vaccine acceptance Vaccine hesitancy was associated with a decrease in COVID-19 vaccine acceptance. One thousand and five hundred and fifty responders (47.6 % 95 % CI 45.9-49.3 %) will certainly or probably agree to participate in a COVID-19 vaccine clinical trial.Conclusions and RelevanceNearly 75 % and 48 % of the survey responders were likely to accept vaccination or participation in a clinical trial against COVID-19. Vaccine hesitancy will be the major barrier to COVID-19 vaccine uptake.

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