COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

Amyn A. Malik; Samya Aboutajdine; Opeyemi Adeojo; Deborah Anigo; Alex Armand; Saher Asad; Martin Atyera; Britta Augsburg; Manisha Awasthi; Gloria Eden Ayesiga; Antonella Bancalari; Ekaterina Borisova; Constantin Manuel Bosancianu; Magarita Rosa Cabra García; Martina Björkman Nyqvist; Julio S Solís Arce; Shana S. Warren; Niccoló F. Meriggi; Alexandra Scacco; Nina McMurry; Maarten J. Voors; Georgiy Syunyaev; Ali Cheema; Elliott Collins; Filippo Cuccaro; Ahsan Zia Farooqi; Mattia Fracchia; Mery Len Galindo Soria; Ali Hasanain; Sofia Jaramillo; Sellu Kallon; Anthony Kamwesigye; Arjun Kharel; Sarah E. Kreps; Madison Levine; Rebecca Littman; Mohammad Malik; Gisele Manirabaruta; Jean Léodomir Habarimana Mfura; Fatoma Momoh; Alberto Mucauque; Imamo Mussa; Jean Aime Nsabimana; Isaac Obara; María Juliana Otálora; Béchir Wendemi Ouédraogo; Touba Bakary Pare; Melina R. Platas; Laura Polanco; Israr Qureshi; Mariam Raheem; Vasudha Ramakrishna; Ismail Rendrá; Taimur Shah; Sarene Eyla Shaked; Jacob N. Shapiro; Jakob Svensson; Ahsan Tariq; Achille Mignondo Tchibozo; Hamid Ali Tiwana; Bhartendu Trivedi; Corey Vernot; Pedro C. Vicente; Laurin B. Weissinger; Basit Zafar; Baobao Zhang; Michael Callen; Dean S. Karlan; Matthieu Teachout; MacArtan Humphreys; Ahmed Mushfiq Mobarak; Saad B. Omer; Tatheer Fatima; Andrea Guariso

doi:10.1038/s41591-021-01454-y

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COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

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COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

Amyn A. Malik, Samya Aboutajdine, Opeyemi Adeojo, Deborah Anigo, Alex Armand, Saher Asad, Martin Atyera, Britta Augsburg, Manisha Awasthi, Gloria Eden Ayesiga, …

Nature Medicine, Vol.27(8), pp.1385-1394

2021-08

DOI: https://doi.org/10.1038/s41591-021-01454-y

Abstract

Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs. © 2021, The Author(s).

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Title: COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
Creators - without role: Amyn A. Malik - Institute of Public Health
Samya Aboutajdine - The International Growth Centre
Opeyemi Adeojo - University of Lagos
Deborah Anigo - Federal Capital Territory Administration
Alex Armand - Nova School of Business and Economics
Saher Asad - Lahore University of Management Sciences
Martin Atyera - Innovations for Poverty Action
Britta Augsburg - The Institute for Fiscal Studies
Manisha Awasthi - Morsel Research & Development
Gloria Eden Ayesiga - Innovations for Poverty Action
Antonella Bancalari - University of St. Andrews
Ekaterina Borisova - HSE University
Constantin Manuel Bosancianu - WZB Berlin Social Research Center (DE)
Magarita Rosa Cabra García - Innovations for Poverty Action
Martina Björkman Nyqvist - Stockholm School of Economics, Department of Economics
Julio S Solís Arce - WZB Berlin Social Research Center (DE)
Shana S. Warren - Innovations for Poverty Action
Niccoló F. Meriggi - The International Growth Centre
Alexandra Scacco - WZB Berlin Social Research Center (DE)
Nina McMurry - WZB Berlin Social Research Center (DE)
Maarten J. Voors - Wageningen University & Research
Georgiy Syunyaev - HSE University
Ali Cheema - Lahore University of Management Sciences
Elliott Collins - Innovations for Poverty Action
Filippo Cuccaro - Innovations for Poverty Action
Ahsan Zia Farooqi - Institute of Development and Economic Alternatives
Mattia Fracchia - Nova School of Business and Economics
Mery Len Galindo Soria - Innovations for Poverty Action
Ali Hasanain - Lahore University of Management Sciences
Sofia Jaramillo - Innovations for Poverty Action
Sellu Kallon - University of Sierra Leone
Anthony Kamwesigye - Innovations for Poverty Action
Arjun Kharel - Centre for the Study of Labour and Mobility
Sarah E. Kreps - Cornell University (US)
Madison Levine - Wageningen University & Research
Rebecca Littman - University of Illinois (US)
Mohammad Malik - Institute of Development and Economic Alternatives
Gisele Manirabaruta - Innovations for Poverty Action
Jean Léodomir Habarimana Mfura - Innovations for Poverty Action
Fatoma Momoh - Innovations for Poverty Action
Alberto Mucauque - Nova School of Business and Economics
Imamo Mussa - Nova School of Business and Economics
Jean Aime Nsabimana - Innovations for Poverty Action
Isaac Obara - Busara Center for Behavioral Economics
María Juliana Otálora - Innovations for Poverty Action
Béchir Wendemi Ouédraogo - Innovations for Poverty Action
Touba Bakary Pare - Innovations for Poverty Action
Melina R. Platas - New York University Abu Dhabi
Laura Polanco - Innovations for Poverty Action
Israr Qureshi - IE Business School
Mariam Raheem - Centre for Economic Research in Pakistan
Vasudha Ramakrishna - Yale Research Initiative on Innovation and Scale
Ismail Rendrá - Nova School of Business and Economics
Taimur Shah - Centre for Economic Research in Pakistan
Sarene Eyla Shaked - Innovations for Poverty Action
Jacob N. Shapiro - Princeton University (US)
Jakob Svensson - Stockholm University (SE)
Ahsan Tariq - Institute of Development and Economic Alternatives
Achille Mignondo Tchibozo - Innovations for Poverty Action
Hamid Ali Tiwana - Institute of Development and Economic Alternatives
Bhartendu Trivedi - Morsel Research & Development
Corey Vernot - Yale Research Initiative on Innovation and Scale
Pedro C. Vicente - Nova School of Business and Economics
Laurin B. Weissinger - Tufts University
Basit Zafar - University of Michigan (US)
Baobao Zhang - Cornell University (US)
Michael Callen - London School of Economics and Political Science (GB)
Dean S. Karlan - Kellogg School of Management (US)
Matthieu Teachout - Columbia University (US)
MacArtan Humphreys - Columbia University (US)
Ahmed Mushfiq Mobarak - Yale School of Management
Saad B. Omer - Emory University (US)
Tatheer Fatima - Morsel Research and Development
Andrea Guariso - Trinity College Dublin
Publication Details: Nature Medicine, Vol.27(8), pp.1385-1394
Publisher: Springer Nature
Number of pages: 10
Identifiers: 991001480230806056
Copyright: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Academic Unit: Mistra Center For Sustainable Markets; Department of Economics
Language: English
Resource Type: Journal article

COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries

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