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

Julio S. Solís ArceWZB Berlin Social Science Center, Berlin, GermanyShana S. WarrenInnovations for Poverty Action (IPA), New York, NY, USANiccolò F. MeriggiInternational Growth Centre (IGC), Freetown, Sierra LeoneAlexandra ScaccoWZB Berlin Social Science Center, Berlin, GermanyNina McMurryWZB Berlin Social Science Center, Berlin, GermanyMaarten VoorsWageningen University & Research, Wageningen, the NetherlandsGeorgiy SyunyaevColumbia University, New York, NY, USAAmyn A. MalikSamya AboutajdineInternational Growth Centre (IGC), Freetown, Sierra LeoneOpeyemi S. AdeojoBusara Center for Behavioral Economics, Lagos, NigeriaDeborah AnigoAgricultural and Rural Development Secretariat, Federal Capital Territory Administration, Abuja, NigeriaAlex ArmandNova School of Business and Economics, Lisbon, PortugalSaher AsadLahore University of Management Sciences, Lahore, PakistanMartin AtyeraInnovations for Poverty Action (IPA) Uganda, Kampala, UgandaBritta AugsburgThe Institute for Fiscal Studies, London, UKManisha AwasthiGloria Eden AyesigaInnovations for Poverty Action (IPA) Uganda, Kampala, UgandaAntonella BancalariRedes Peru, Lima, PeruMartina Björkman NyqvistStockholm School of Economics and Misum, Stockholm, SwedenEkaterina BorisovaGhent University, Department of Economics, Ghent, BelgiumConstantin Manuel BosancianuWZB Berlin Social Science Center, Berlin, GermanyMagarita Rosa Cabra GarcíaAli CheemaInstitute of Development and Economic Alternatives, Lahore, PakistanElliott CollinsInnovations for Poverty Action (IPA), New York, NY, USAFilippo CuccaroAhsan Zia FarooqiTatheer FatimaMattia FracchiaNOVAFRICA, Lisbon, PortugalMery Len Galindo SoriaAndrea GuarisoTrinity College Dublin, Dublin, IrelandAli HasanainLahore University of Management Sciences, Lahore, PakistanSofía JaramilloSellu KallonInstitute of Public Administration and Management, University of Sierra Leone, Freetown, Sierra LeoneAnthony KamwesigyeInnovations for Poverty Action (IPA) Uganda, Kampala, UgandaArjun KharelCentre for the Study of Labour and Mobility (CESLAM), Kathmandu, NepalSarah KrepsCornell University, Ithaca, NY, USAMadison LevineWageningen University & Research, Wageningen, the NetherlandsRebecca LittmanUniversity of Illinois Chicago, Chicago, IL, USAMohammad Bilal MalikGisele ManirabarutaInnovations for Poverty Action (IPA) Rwanda, Kigali, RwandaJean Léodomir Habarimana MfuraInnovations for Poverty Action (IPA) Rwanda, Kigali, RwandaFatoma MomohAlberto MucauqueAssociação NOVAFRICA para o Desenvolvimento Empresarial e Económico de Moçambique, Maputo, MozambiqueImamo MussaAssociação NOVAFRICA para o Desenvolvimento Empresarial e Económico de Moçambique, Maputo, MozambiqueJean Aime NsabimanaInnovations for Poverty Action (IPA) Rwanda, Kigali, RwandaIsaac ObaraBusara Center for Behavioral Economics, Lagos, NigeriaMaría Juliana OtáloraBéchir Wendemi OuédraogoInnovations for Poverty Action (IPA) Burkina Faso, Ouagadougou, Burkina FasoTouba Bakary PareInnovations for Poverty Action (IPA) Burkina Faso, Ouagadougou, Burkina FasoMelina PlatasNYU Abu Dhabi, Abu Dhabi, United Arab EmiratesLaura PolancoJavaeria A. QureshiUniversity of Illinois Chicago, Chicago, IL, USAMariam RaheemVasudha RamakrishnaIsmail RendráAssociação NOVAFRICA para o Desenvolvimento Empresarial e Económico de Moçambique, Maputo, MozambiqueTaimur T. ShahSarene Eyla ShakedInnovations for Poverty Action (IPA) Uganda, Kampala, UgandaJacob N. ShapiroPrinceton University, Princeton, NJ, USAJakob SvenssonInstitute for International Economic Studies (IIES), Stockholm University, Stockholm, SwedenAhsan TariqAchille Mignondo TchibozoInnovations for Poverty Action (IPA) Burkina Faso, Ouagadougou, Burkina FasoHamid Ali TiwanaBhartendu TrivediCorey VernotPedro C. VicenteNOVAFRICA, Lisbon, PortugalLaurin WeissingerTufts University, Medford, MA, USABasit ZafarCentre for Economic Research in Pakistan (CERP), Lahore, PakistanBaobao ZhangCornell University, Ithaca, NY, USADean KarlanInnovations for Poverty Action (IPA), New York, NY, USAMichael CallenLondon School of Economics and Political Science, London, UKMatthieu TeachoutInternational Growth Centre (IGC), Freetown, Sierra LeoneMacartan HumphreysColumbia University, New York, NY, USAAhmed Mushfiq MobarakYale University, New Haven, CT, USA. [email protected]Saad B. OmerYale Institute for Global Health, New Haven, CT, USA. [email protected]
2021en
ABI

Аннотация

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.

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