Acceptance of Covid-19 Vaccination: Perspectives of an Urban Community in Ghana
DOI:
https://doi.org/10.14738/assrj.106.14849Abstract
Since the start of the COVID-19 pandemic, research on the adoption and spread of the COVID-19 vaccination has been conducted all over the world. However, studies on the spread of the COVID-19 vaccine and its subsequent acceptance have received little attention in Ghana. This study investigated how the general population reacted to the Government of Ghana's COVID-19 vaccination diffusion strategy as well as the motivating factors for its acceptance. In-depth interviews with thirty (30) purposefully selected respondents were conducted. The interview data were thematically analysed. Themes that emerged from the analysis included: conspiracy theory, vaccine as free lunch, misconception about susceptibility of COVID-19, misinformation and public education and lack of trust in the Government and the health system. The study's findings show that reluctance to receive vaccine is a significant obstacle to establishing effective vaccination efforts during the pandemic. We conclude that conspiracy theory, vaccine as free lunch, misconception about susceptibility of COVID-19, misinformation and public education and lack of trust in the Government and the health system as factors resulting in vaccine hesitancy. The study's conclusions can also give the Ghanaian government ideas for approaches to adopt in order to allay respondents' worries. This may significantly lessen vaccine hesitancy among Ghanaians.
References
Abdul Majid, M. A., Othman, M., Mohamad, S. F., & Abdul Halim Lim, S. (2018). Achieving data saturation: Evidence from a qualitative study of job satisfaction. Social and Management Research Journal (SMRJ), 15(2), 65-77.
Allington, D., Duffy, B., Wessely, S., Dhavan, N., & Rubin, J. (2020). Health-protective Barry, M., Temsah, M. H., Alhuzaimi, A., Alamro, N., Al-Eyadhy, A., Aljamaan, F., & Al-Bernard, H.R. 2002. Research Methods in Anthropology: Qualitative and quantitative methods. 3rd edition. AltaMira Press, Walnut Creek, California.
Boom, J. A., & Cunningham, R. M. (2014). Understanding and managing vaccine concerns.
Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3 (2): 77–101. doi:10.1191/1478088706qp063oa.
Browne, M., Thomson, P., Rockloff, M. J., & Pennycook, G. (2015). Going against the herd: Bunch, L. (2021, June). A tale of two crises: Addressing Covid-19 vaccine hesitancy as promoting racial justice. In HEC forum (Vol. 33, No. 1, pp. 143-154). Springer Netherlands.
Chan, A. K., Nickson, C. P., Rudolph, J. W., Lee, A., & Joynt, G. M. (2020). Social media for 485
Christensen, C. M. (1997). The Innovator’s Dilemma. Harvard Business School Press. Boston, Clandinin, D.J., and M. Connolly. 2000. Narrative inquiry: Experience and story in qualitative research. San Francisco, CA: Jossey-Bass.
Creswell, John W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Thousand Oaks, CA: Sage.
De Civita, M., & Dasgupta, K. (2007). Using diffusion of innovations theory to guide diabetes management program development: an illustrative example. Journal of Public Health, 29(3), 263-268.
Dearing, J. W. (2008). Evolution of diffusion and dissemination theory. Journal of Public Health Management and Practice, 14(2), 99-108.
Dror, A. A., Eisenbach, N., Taiber, S., Morozov, N. G., Mizrachi, M., Zigron, A., & Sela, E. (2020). Vaccine hesitancy: the next challenge in the fight against COVID-19. European journal of epidemiology, 35(8), 775-779.
Dubé, E., Laberge, C., Guay, M., Bramadat, P., Roy, R., &Bettinger, J. A. (2013). Vaccine hesitancy: an overview. Human vaccines &immunotherapeutics, 9(8), 1763-1773.
Effectiveness of extension dissemination approaches and adoption levels of livestock and fisheries technologies in Nigeria. Ghana Health Service. (2020). Situation update, confirmed Covid-19 cases in Ghana as at 25 April 2020, 22:00hrs. COVID-19: Ghana’s outbreak response management updates. Ghana Health Service and Ministry of Health. https://ghanahealthservice.org/covid19/
Godin, G., Vézina-Im, L. A., &Naccache, H. (2010). Determinants of influenza vaccination among healthcare workers. Infect Control Hosp Epidemiol, 31(7), 689-93.
Grabenstein, J. D. (2013). What the world's religions teach, applied to vaccines and immune globulins. Vaccine, 31(16), 2011-2023.
Hausmann, J. S., Touloumtzis, C., White, M. T., Colbert, J. A., & Gooding, H. C. (2017). Adolescent and young adult use of social media for health and its implications. Journal of Adolescent Health, 60(6), 714-719.
Helitzer, D., Heath, D., Maltrud, K., Sullivan, E., &Alverson, D. (2003). Assessing or predicting adoption of telehealth using the diffusion of innovations theory: a practical example from a rural program in New Mexico. Telemedicine Journal and e-health, 9(2), 179-187.
Hickler, B., MacDonald, N. E., Senouci, K., & Schuh, H. B. (2017). Efforts to monitor global progress on individual and community demand for immunization: development of definitions and indicators for the Global Vaccine Action Plan Strategic Objective 2. Vaccine, 35(28), 3515-3519.
Holt, M., Lea, T., Bear, B., Halliday, D., Ellard, J., Murphy, D., & de Wit, J. (2019). Trends in attitudes to and the use of HIV pre-exposure prophylaxis by Australian gay and bisexual men, 2011–2017: Implications for further implementation from a diffusion of innovations perspective. AIDS and Behavior, 23(7), 1939-1950.
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative health research, 15(9), 1277-1288.
Jain, S., Batra, H., Yadav, P., & Chand, S. (2020). COVID-19 Vaccines Currently under Preclinical and Clinical Studies, and Associated Antiviral Immune Response. Vaccines, 8(4), 649.
Kaur, S. P., & Gupta, V. (2020). COVID-19 Vaccine: A comprehensive status report. Virus research, 198114. 486
Larson, L. J., & Schultz, R. D. (2021). Canine and feline vaccinations and immunology. Infectious disease management in animal shelters, 191-220.
Li, H. O. Y., Bailey, A., Huynh, D., & Chan, J. (2020). YouTube as a source of information on COVID-19: a pandemic of misinformation? BMJ global health, 5(5), e002604. MA.
McCrae, R. R. (1987). Creativity, divergent thinking, and openness to experience. Journal of personality and social psychology, 52(6), 1258.
McCrae, R. R. (1994). Openness to experience: Expanding the boundaries of Factor V. European Journal of Personality, 8(4), 251-272.
McCrae, R. R., & Costa Jr, P. T. (1997). Conceptions and correlates of openness to experience. In Handbook of personality psychology (pp. 825-847). Academic Press.
Neumann-Böhme, S., Varghese, N. E., Sabat, I., Barros, P. P., Brouwer, W., van Exel, J., ... &Stargardt, T. (2020). Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19.
Nzaji, M. K., Ngombe, L. K., Mwamba, G. N., Ndala, D. B. B., Miema, J. M., Lungoyo, C. L., &Musenga, E. M. (2020). Acceptability of Vaccination against COVID-19 among Healthcare Workers in the Democratic Republic of the Congo. Pragmatic and observational research, 11, 103.
Okoli, G. N., Lam, O. L., Racovitan, F., Reddy, V. K., Righolt, C. H., Neilson, C., ... &Mahmud, S. M. (2020). Seasonal influenza vaccination in older people: A systematic review and meta-analysis of the determining factors. PloS one, 15(6), e0234702.
Ozawa, S., Clark, S., Portnoy, A., Grewal, S., Stack, M. L., Sinha, A., & Walker, D. (2017). Estimated economic impact of vaccinations in 73 low-and middle-income countries, 2001–2020. Bulletin of the World Health Organization, 95(9), 629.
Padron-Regalado, E. (2020). Vaccines for SARS-CoV-2: lessons from other coronavirus strains. Infectious diseases and therapy, 9(2), 255-274.
Pandhi, N., Schumacher, J. R., Thorpe, C. T., & Smith, M. A. (2016). Cross-sectional study with certain personalities to receive preventive services. BMJ open, 6(3), e009738.
Patterson, F., &Zibarras, L. D. (2017). Selecting for creativity and innovation potential: implications for practice in healthcare education. Advances in Health Sciences Education, 22(2), 417-428.
Peretti-Watel, P., Larson, H. J., Ward, J. K., Schulz, W. S., & Verger, P. (2015). Vaccine hesitancy: clarifying a theoretical framework for an ambiguous notion. PLoS currents, 7.
Polack, F. P., Thomas, S. J., Kitchin, N., Absalon, J., Gurtman, A., Lockhart, S., & Gruber, W. C. (2020). Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. New England Journal of Medicine, 383(27), 2603-2615.
Puri, N., Coomes, E. A., Haghbayan, H., &Gunaratne, K. (2020). Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases. Human Vaccines &Immunotherapeutics, 1-8.
Ramasamy, M. N., Minassian, A. M., Ewer, K. J., Flaxman, A. L., Folegatti, P. M., Owens, D. R., &Demissie, T. (2020). Safety and immunogenicity of ChAdOx1 nCoV-19 vaccine administered in a prime-boost regimen in young and old adults (COV002): a single-blind, randomised, controlled, phase 2/3 trial. The Lancet, 396(10267), 1979-1993. Rapid knowledge dissemination: early experience from the COVID‐19 pandemic.
Rhodes, A., Hoq, M., Measey, M. A., &Danchin, M. (2020). Intention to vaccinate against COVID-19 in Australia. The Lancet Infectious Diseases. URL: http://dx.doi.org/10.14738/assrj.106.14849 487
Rimal, R. N. (2000). Closing the knowledge-behavior gap in health promotion: The mediating role of self-efficacy. Health communication, 12(3), 219-237.
Rogers, E. M., & Shoemaker, F. F. (1971). Communication of Innovations; a cross-cultural approach.
Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.
Rogers, E. M. (2010). Diffusion of innovations. Simon and Schuster.
Roy, B., Kumar, V., & Venkatesh, A. (2020). Health Care Workers’ Reluctance to Take the Covid-19 Vaccine: A Consumer-Marketing Approach to Identifying and Overcoming Hesitancy. NEJM Catalyst Innovations in Care Delivery, 1(6).
Schreier, M. (2012). Qualitative content analysis in practice. Sage publications.
Shaw, J., Stewart, T., Anderson, K. B., Hanley, S., Thomas, S. J., Salmon, D. A., & Morley, C. (2021). Assessment of US health care personnel (HCP) attitudes towards COVID-19 vaccination in a large university health care system. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America.
Shekhar, R., Sheikh, A. B., Upadhyay, S., Singh, M., Kottewar, S., Mir, H., & Pal, S. (2021). COVID-19 vaccine acceptance among health care workers in the United States. Vaccines, 9(2), 119.
Smith, R. A., Kim, Y., Zhu, X., Doudou, D. T., Sternberg, E. D., & Thomas, M. B. (2018). Integrating models of diffusion and behavior to predict innovation adoption, maintenance, and social diffusion. Journal of health communication, 23(3), 264-271. Springer.
Wang, J., Jing, R., Lai, X., Zhang, H., Lyu, Y., Knoll, M. D., & Fang, H. (2020). Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China. Vaccines, 8(3), 482.
Williams, L., Gallant, A. J., Rasmussen, S., Brown Nicholls, L. A., Cogan, N., Deakin, K., &Flowers, P. (2020). Towards intervention development to increase the uptake of COVID‐19 vaccination among those at high risk: Outlining evidence‐based and theoretically informed future intervention content. British Journal of Health Psychology, 25(4), 1039-1054.
World Health Organization. (2013). Vaccine safety events: managing the communications response. A guide for Ministry of Health EPI managers and health promotion units.
World Health Organization. (2020) Weekly Epidemiological Update-8 December 2020; World Health Organization: Geneva, Switzerland.
World Health Organization. (2020). Novel Coronavirus (2019-nCoV): situation report, 3
World Health Organization. 2019-nCoV Situation Report. https://www.who.int/emergencies/diseases/novelcoronavirus-2019/situation-reports/.
Zhang, X., Yu, P., Yan, J., &Spil, I. T. A. (2015). Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic. BMC health services research, 15(1), 1-15.
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