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. 2023 Jan 4:10:1063954.
doi: 10.3389/fpubh.2022.1063954. eCollection 2022.

Predictors of COVID-19 vaccine hesitancy in Chad: A cross-sectional study

Guy Rodrigue Takoudjou Dzomo  1 , Edmond Mbario  2 , Oumaima Djarma  3 , Ndilbé Soumbatingar  1 , Mouassede Madengar  1 , Nadia Djimera  1 , Allarangue Djindimadje  1 , Christian Nguemadjita  1 , Guirimadje Nassaringar  1 , Margarita Bernales  4 , Togoumbaye Nangerngar  1 , Denise Naissem  1 , Ephrem Paningar  1 , Carlos Gomez-Virseda  5 , Rodrigo Lopez Barreda  4 , Ian Robbins  6 , Amandine Cournil  7 , Laurent Visier  8 , Edouard Tuaillon  9   10 , Franck J D Mennechet  9
Affiliations

Predictors of COVID-19 vaccine hesitancy in Chad: A cross-sectional study

Guy Rodrigue Takoudjou Dzomo et al. Front Public Health. .

Abstract

Vaccination against the COVID-19 virus is currently the best option to combat the SARS-CoV-2 pandemic worldwide. However, in addition to logistical and economic barriers, hesitancy to be vaccinated threatens to jeopardize efforts to contain the disease. An increasing number of people in Africa are delaying or rejecting recommended vaccines. Since their launch, COVID-19 vaccines have frequently faced rejection worldwide. In this study, we interviewed 5,174 participants from Chad that were representative of the general population, on their perception of COVID-19 vaccines. The survey was conducted from April to May 2021, before the rollout of the COVID-19 vaccination. We found that 47.9% of respondents were willing to receive the COVID-19 vaccine, 29.8% were undecided and 22.3% would not accept the vaccine. We found that urban residents were much more likely to refuse the vaccine than rural residents. We also observed that distrust of COVID-19 vaccines and mistaken beliefs played a crucial role in the reluctance to be vaccinated. Hesitancy to vaccinate against COVID-19 was strongly associated with lack of knowledge, and acceptance of vaccination was primarily associated with fear of the disease. Finally, we identified population profiles among the undecided and the refractors, which will help in developing strategies to combat COVID-19 vaccine resistance.

Keywords: COVID-19; Chad; Sub-Saharan Africa; vaccination; vaccine hesitancy.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Listed reasons to be vaccinated against COVID-19, ranked in order of importance (in percent) among participants who are willing to be vaccinated (n = 2,477).
Figure 2
Figure 2
Listed reasons for reluctance to be vaccinated against COVID-19, ranked in order of importance (in percent) among undecided or vaccine-refractory participants (n = 2,697).
Figure 3
Figure 3
Multivariate data analysis overview. Venn diagram exhibiting groups with common factors in association with hesitancy to get vaccinated against COVID-19 in Chad. Three categories have been established: (1) Participants “with a bad opinion of the COVID-19 vaccination”; (2) participants with “lack of vulnerability feelings” and (3) participants considered to be in a “social withdrawal” situation.
See this image and copyright information in PMC

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