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. 2024 Nov 8:49:71.
doi: 10.11604/pamj.2024.49.71.41612. eCollection 2024.

[Determinants of vaccine acceptance in Makokou, Gabon]

[Article in French]
Ulrick Jolhy Bisvigou  1   2 , Edgard Brice Ngoungou  1   2 , Steeve Minto'o Rogombe  3 , Sydney Maghendji Nzondo  1   2 , Euloge Ibinga  1   2
Affiliations

[Determinants of vaccine acceptance in Makokou, Gabon]

[Article in French]
Ulrick Jolhy Bisvigou et al. Pan Afr Med J. .

Abstract
in English, French

Conclusion: de nombreuses connaissances erronées dans les communautés de Makoukou nécessitent d'être corrigées par le PEV, afin d'intégrer une culture de vaccination.

Introduction: the root causes of vaccine hesitancy in communities must be determined in order to address them. Analyzing the knowledge, attitudes, and perceptions of parents could help explain the poor performance of the Expanded Program on Immunization (EPI).

Methods: a household survey was conducted in the city of Makokou in October 2021. The questionnaire covered five areas of vaccination: access, accessibility, information, acceptance and activation. A descriptive analysis followed by logistic regression was performed to measure the effect of vaccine acceptance.

Results: a total of 486 people, from urban (66%) and rural (34%) areas, were surveyed. Participants ranged in age from 18 to 86 years old, with an average age of 28.5±11.3 years, and a sex ratio of 0.69. The number of dependent children ranged from 0 to 21, with an average of 1.3 children. The majority of respondents (61.9%) were unaware of the EPI; the most recognized disease was tetanus (37%) and the main source of information was family discussion (40.5%). The main issues at vaccination centers were waiting times (51.9%), lack of information (26.7%) and poor reception (20.2%). Nearly half (48%) did not trust government vaccines. Male gender, rural living environment, difficulty in accessing the centers, and lack of information were the main factors associated with vaccine acceptance in Ogooué-Ivindo.

Conclusion: numerous misconceptions in the communities of Makokou need to be corrected by the EPI to foster a culture of vaccination.

Introduction: les motifs d'hésitation vaccinale dans la communauté doivent être identifiés afin d'y remédier. L'analyse des connaissances, attitudes et perceptions des parents, permettrait d'expliquer les faibles performances du Programme élargi de vaccination (PEV).

Méthodes: une enquête auprès des ménages de la ville de Makokou a été réalisée durant le mois d'octobre 2021. Le questionnaire portait sur cinq domaines de la vaccination: accès, accessibilité, information, acceptation, activation. Une analyse descriptive puis une régression logistique ont été réalisées pour mesurer l'effet de l'acceptation.

Résultats: au total 486 personnes en milieux urbain (66%) et rural (34%), ont été interrogées. Les participants étaient âgés de 18 à 86 ans; l'âge moyen était de 28,5±11,3 ans, le sexe-ratio de 0,69. Le nombre d'enfants à charge variait de 0 à 21, avec une moyenne de 1,3 enfants. La majorité des personnes interrogées (61,9%) ne connaissent pas le PEV; la maladie la plus reconnues étaient le tétanos (37%), la principale source d'information était la discussion familiale (40,5%). Les situations gênantes au centre de vaccination étaient le temps d'attente (51,9%), le manque d'information (26,7%) et le mauvais accueil (20,2%). Près de la moitié (48%) ne faisaient pas confiance aux vaccins du gouvernement. Le sexe masculin, le milieu de vie rural, la difficulté d'accès, le manque d'information étaient les principaux facteurs associés à l'acceptation de la vaccination dans l'Ogooué-Ivindo.

Keywords: Gabon; expanded program on immunization; survey; vaccination hesitancy.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d'intérêts.

Figures

Figure 1
Figure 1
modèle final de régression logistique
See this image and copyright information in PMC

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