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Article

COVID-19 Vaccine Acceptability and Its Determinants in Mozambique: An Online Survey

by
Janeth Dula
1,
Alexandre Mulhanga
1,
Armindo Nhanombe
1,
Laurentino Cumbi
1,
António Júnior
1,
Joe Gwatsvaira
2,
Joseph Nelson Siewe Fodjo
3,
Edlaine Faria de Moura Villela
4,5,
Sérgio Chicumbe
1,† and
Robert Colebunders
3,*,†
1
Health Policy and Systems Program, National Institute of Health, Maputo 1120, Mozambique
2
Department of Mathematics and Statistics, University of Limerick, V94 T9PX Limerick, Ireland
3
Global Health Institute, University of Antwerp, 2000 Antwerp, Belgium
4
Disease Control Coordination, São Paulo State Health Department, São Paulo 01246-000, Brazil
5
Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia 74605-050, Brazil
*
Author to whom correspondence should be addressed.
†
Sérgio Chicumbe and Robert Colebunders contributed equally to this work.
Vaccines 2021, 9(8), 828; https://doi.org/10.3390/vaccines9080828
Submission received: 18 June 2021 / Revised: 17 July 2021 / Accepted: 19 July 2021 / Published: 27 July 2021
(This article belongs to the Special Issue SARS-CoV-2 (COVID-19) Vaccination and Compliance/Hesitancy)
Review Reports Versions Notes

Abstract

A high worldwide SARS-CoV-2 vaccine coverage must be attained to stop the COVID-19 pandemic. In this study, we assessed the level of willingness of Mozambicans to be vaccinated against COVID-19. Data were collected between 11 and 20 March 2021, through a self-administered online survey. Of the 1878 respondents, 30.1% were healthcare workers, 58.3% were aged between 18 and 35 years, 60% were male, and 38.5% were single. Up to 43% had been tested for COVID-19 and 29% had tested positive. Overall vaccine acceptability was 71.4% (86.6% among healthcare workers, 64.8% among other respondents; p < 0.001). Reasons for vaccine hesitancy included: fear of vaccine side effects (29.6%) and the belief that the vaccine is not effective (52%). The acceptability of the SARS-CoV-2 vaccine increased with increasing vaccine efficacy. Using logistic regression, determinants for acceptability of the vaccine were: older age, a past COVID-19 test, a concern of becoming (re)infected by COVID-19, having a chronic disease, and considering vaccination important for personal and community health. In conclusion, vaccine acceptability in Mozambique was relatively high among healthcare workers but significantly lower in the rest of the population. This suggests that there is a need to educate the general population about SARS-CoV-2 vaccination and its importance.
Keywords: SARS-CoV-2; COVID-19; vaccine acceptability; Mozambique; online survey SARS-CoV-2; COVID-19; vaccine acceptability; Mozambique; online survey

Share and Cite

MDPI and ACS Style

Dula, J.; Mulhanga, A.; Nhanombe, A.; Cumbi, L.; Júnior, A.; Gwatsvaira, J.; Fodjo, J.N.S.; Faria de Moura Villela, E.; Chicumbe, S.; Colebunders, R. COVID-19 Vaccine Acceptability and Its Determinants in Mozambique: An Online Survey. Vaccines 2021, 9, 828. https://doi.org/10.3390/vaccines9080828

AMA Style

Dula J, Mulhanga A, Nhanombe A, Cumbi L, Júnior A, Gwatsvaira J, Fodjo JNS, Faria de Moura Villela E, Chicumbe S, Colebunders R. COVID-19 Vaccine Acceptability and Its Determinants in Mozambique: An Online Survey. Vaccines. 2021; 9(8):828. https://doi.org/10.3390/vaccines9080828

Chicago/Turabian Style

Dula, Janeth, Alexandre Mulhanga, Armindo Nhanombe, Laurentino Cumbi, António Júnior, Joe Gwatsvaira, Joseph Nelson Siewe Fodjo, Edlaine Faria de Moura Villela, Sérgio Chicumbe, and Robert Colebunders. 2021. "COVID-19 Vaccine Acceptability and Its Determinants in Mozambique: An Online Survey" Vaccines 9, no. 8: 828. https://doi.org/10.3390/vaccines9080828

APA Style

Dula, J., Mulhanga, A., Nhanombe, A., Cumbi, L., Júnior, A., Gwatsvaira, J., Fodjo, J. N. S., Faria de Moura Villela, E., Chicumbe, S., & Colebunders, R. (2021). COVID-19 Vaccine Acceptability and Its Determinants in Mozambique: An Online Survey. Vaccines, 9(8), 828. https://doi.org/10.3390/vaccines9080828

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