International Journal of Infectious Diseases (Jan 2022)

COVID-19 vaccine acceptance in South Asia: a multi-country study

  • Mohammad Delwer Hossain Hawlader,
  • Mohammad Lutfor Rahman,
  • Anum Nazir,
  • Tasnim Ara,
  • Miah Md. Akiful Haque,
  • Shuvajit Saha,
  • Sabrina Yesmin Barsha,
  • Mosharop Hossian,
  • Kazi Farhana Matin,
  • Saleka Raihana Siddiquea,
  • Md. Utba Rashid,
  • Md. Abdullah Saeed Khan,
  • Mohammad Ali Hossain,
  • Mahfil Ara Rahman,
  • Mahendra Giri,
  • Ridwana Maher Manna,
  • Md. Yeasin Arafat,
  • S. M. Rezwanul Hasan,
  • Ramisha Maliha,
  • Soumik Kha,
  • Jeba Zaman Khan,
  • Mehedi Hasan,
  • Rubaya Rashid,
  • Joyeeta Khan,
  • Omar Khalid,
  • A.M. Khairul Islam,
  • Naima Nur,
  • A.H.M. Ataullah,
  • Huma Umbreen,
  • Nizwa Itrat,
  • Uswa Ahmad,
  • Mehak Naeem,
  • Ibrahim Kabir,
  • Shailesh Kumar Pandit,
  • Sujata Giri,
  • Mohammad Hayatun Nabi

Journal volume & issue
Vol. 114
pp. 1 – 10

Abstract

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Objectives: With COVID-19 vaccination underway, this study aimed to understand belief, attitude and intention of the people in the South Asia region towards the vaccine. Methods: We conducted a cross-sectional study using semi-structured questionnaires among 18201 individuals in four South Asian countries; Bangladesh, India, Pakistan, and Nepal between January 17 and February 2, 2021. We used the Health Belief Model (HBM) to identify the predictors related to vaccine acceptance. STATA (v16.1) was used for all analyses. Results: The percentage of respondents willing to be vaccinated against COVID-19 was 65%, 66%, 72% and 74% for Bangladesh, India, Pakistan and Nepal, respectively. Perceived destructive impact of COVID-19, positive perception of vaccines and concern about possible side effects were significant in modifying respondents’ intentions.. In multivariable logistic regression, age, sex, marital status, education, comorbidities, worry about getting infected, perceived COVID-19 impact, belief regarding vaccine efficacy, positive attitude towards mandatory measures, and vaccine availability were found to be associated with vaccine acceptance across countries. Conclusion: Nearabout two-third of the respondants were willing to take COVID-19 vaccine in the four South Asia countries.

Keywords