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Acceptance of COVID-19 Vaccines in Sub-Saharan Africa : Evidence from Six National Phone Surveys (English)

Recent debates surrounding the lagging COVID-19 vaccination campaigns in low-income countries center around vaccine supply and financing. Yet, relatively little is known about attitudes toward COVID-19 vaccines in these countries and in Africa in particular. This paper provides cross-country comparable estimates of the willingness to accept a COVID-19 vaccine in six Sub-Saharan African countries. It uses data from six national high-frequency phone surveys in countries representing 38 percent of the Sub-Saharan African population (Burkina Faso, Ethiopia, Malawi, Mali, Nigeria, and Uganda). Samples were drawn from large, nationally representative sampling frames providing a rich set of demographic and socioeconomic characteristics which are used to disaggregate the analysis. The findings show acceptance rates to be generally high, with at least four in five people willing to be vaccinated in all but one country. Vaccine acceptance ranges from nearly universal in Ethiopia (97.9 percent) to below what would likely be required for herd immunity in Mali (64.5 percent). Safety concerns about the vaccine in general and its side effects emerge as the primary reservations toward a COVID-19 vaccine across countries. These findings suggest that limited supply, not inadequate demand, likely presents the key bottleneck to reaching high COVID-19 vaccine coverage in Sub-Saharan Africa.


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    Kanyanda,Shelton Sofiel Elisa, Markhof,Yannick Valentin, Wollburg,Philip Randolph, Zezza,Alberto

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    Policy Research Working Paper

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    Acceptance of COVID-19 Vaccines in Sub-Saharan Africa : Evidence from Six National Phone Surveys

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    Poverty and Equity; School of Public Health; socioeconomic impact; review of vaccine; national institute of statistic; million people; availability of vaccine; bureau of statistic; absolute poverty line; social protection program; public health system; household survey; Learning and Innovation Credit; selection bias; household weight; sampling frame; national statistical; vaccination campaign; phone number; household characteristic; household head; standard error; representative sample; expenditure quintile; survey respondent; random sample; individual weight; logistic regression; marginal effect; cross-country variation; household size; financial factor; survey data; vaccine coverage; crisis management; sample selection; university student; point estimate; survey sample; vaccine supply; government response; general population; individual level; high frequency; confidence interval; statistical significance; survey instrument; rural area; public involvement; survey questions; female respondent; recent studies; individual characteristic; several countries; several steps; income quintile; poor household; baseline data; adult population; pregnant woman; financial relationship; informed consent; data sharing; mathematical model; population size; Microdata Library; sampling design; public policy; child vaccination; national survey; study design; young child; working-age population; Health Economics; upper bind; descriptive statistic; baseline information; random digit; universal acceptance; several advantages; rigorous analysis; cross-country study; literature review; government trust; data sample; comparable data; household level; individual decision; regression model; future research; public authority; effective demand; population group; intellectual content; global population; survey implementation; open access; development policy; health outcome; african population; knowledge gap; supply gap; vaccine availability; research focus; socioeconomic variables; Research Support; information campaign; international stakeholders; global effort



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Kanyanda,Shelton Sofiel Elisa Markhof,Yannick Valentin Wollburg,Philip Randolph Zezza,Alberto

Acceptance of COVID-19 Vaccines in Sub-Saharan Africa : Evidence from Six National Phone Surveys (English). Policy Research working paper,no. WPS 9739,COVID-19 (Coronavirus) Washington, D.C. : World Bank Group.