COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021

Populations affected by humanitarian crises and emerging infectious disease outbreaks may have unique concerns and experiences that influence their perceptions toward vaccines. In March 2021, we conducted a survey to examine the perceptions toward COVID-19 vaccines and identify the factors associate...

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Main Authors: Stephanie Chow Garbern, Shiromi M. Perera, Eta Ngole Mbong, Shibani Kulkarni, Monica K. Fleming, Arsene Baleke Ombeni, Rigobert Fraterne Muhayangabo, Dieula Delissaint Tchoualeu, Ruth Kallay, Elizabeth Song, Jasmine Powell, Monique Gainey, Bailey Glenn, Hongjiang Gao, Ruffin Mitume Mutumwa, Stephane Hans Bateyi Mustafa, Neetu Abad, Gnakub Norbert Soke, Dimitri Prybylski, Reena H. Doshi, Rena Fukunaga, Adam C. Levine
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/5/973
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author Stephanie Chow Garbern
Shiromi M. Perera
Eta Ngole Mbong
Shibani Kulkarni
Monica K. Fleming
Arsene Baleke Ombeni
Rigobert Fraterne Muhayangabo
Dieula Delissaint Tchoualeu
Ruth Kallay
Elizabeth Song
Jasmine Powell
Monique Gainey
Bailey Glenn
Hongjiang Gao
Ruffin Mitume Mutumwa
Stephane Hans Bateyi Mustafa
Neetu Abad
Gnakub Norbert Soke
Dimitri Prybylski
Reena H. Doshi
Rena Fukunaga
Adam C. Levine
author_facet Stephanie Chow Garbern
Shiromi M. Perera
Eta Ngole Mbong
Shibani Kulkarni
Monica K. Fleming
Arsene Baleke Ombeni
Rigobert Fraterne Muhayangabo
Dieula Delissaint Tchoualeu
Ruth Kallay
Elizabeth Song
Jasmine Powell
Monique Gainey
Bailey Glenn
Hongjiang Gao
Ruffin Mitume Mutumwa
Stephane Hans Bateyi Mustafa
Neetu Abad
Gnakub Norbert Soke
Dimitri Prybylski
Reena H. Doshi
Rena Fukunaga
Adam C. Levine
author_sort Stephanie Chow Garbern
collection DOAJ
description Populations affected by humanitarian crises and emerging infectious disease outbreaks may have unique concerns and experiences that influence their perceptions toward vaccines. In March 2021, we conducted a survey to examine the perceptions toward COVID-19 vaccines and identify the factors associated with vaccine intention among 631 community members (CMs) and 438 healthcare workers (HCWs) affected by the 2018–2020 Ebola Virus Disease outbreak in North Kivu, Democratic Republic of the Congo. A multivariable logistic regression was used to identify correlates of vaccine intention. Most HCWs (81.7%) and 53.6% of CMs felt at risk of contracting COVID-19; however, vaccine intention was low (27.6% CMs; 39.7% HCWs). In both groups, the perceived risk of contracting COVID-19, general vaccine confidence, and male sex were associated with the intention to get vaccinated, with security concerns preventing vaccine access being negatively associated. Among CMs, getting the Ebola vaccine was associated with the intention to get vaccinated (RR 1.43, 95% CI 1.05–1.94). Among HCWs, concerns about new vaccines’ safety and side effects (OR 0.72, 95% CI 0.57–0.91), religion’s influence on health decisions (OR 0.45, 95% CI 0.34–0.61), security concerns (OR 0.52, 95% CI 0.37–0.74), and governmental distrust (OR 0.50, 95% CI 0.35–0.70) were negatively associated with vaccine perceptions. Enhanced community engagement and communication that address this population’s concerns could help improve vaccine perceptions and vaccination decisions. These findings could facilitate the success of vaccine campaigns in North Kivu and similar settings.
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spelling doaj.art-32574f741d164204a847f57d66e3d7a22023-11-18T03:36:31ZengMDPI AGVaccines2076-393X2023-05-0111597310.3390/vaccines11050973COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021Stephanie Chow Garbern0Shiromi M. Perera1Eta Ngole Mbong2Shibani Kulkarni3Monica K. Fleming4Arsene Baleke Ombeni5Rigobert Fraterne Muhayangabo6Dieula Delissaint Tchoualeu7Ruth Kallay8Elizabeth Song9Jasmine Powell10Monique Gainey11Bailey Glenn12Hongjiang Gao13Ruffin Mitume Mutumwa14Stephane Hans Bateyi Mustafa15Neetu Abad16Gnakub Norbert Soke17Dimitri Prybylski18Reena H. Doshi19Rena Fukunaga20Adam C. Levine21Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI 02903, USAInternational Medical Corps, Washington, DC 20036, USAInternational Medical Corps, Goma, Democratic Republic of the CongoGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAInternational Medical Corps, Goma, Democratic Republic of the CongoInternational Medical Corps, Goma, Democratic Republic of the CongoGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USABrown University, Providence, RI 02912, USABrown University, Providence, RI 02912, USARhode Island Hospital, Providence, RI 02903, USAGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAInternational Medical Corps, Goma, Democratic Republic of the CongoExpanded Programme on Immunization, Goma, Democratic Republic of the CongoGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USADivision of Global Health Protection, Centers for Disease Control and Prevention, Kinshasa, Democratic Republic of the CongoGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USAGlobal Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30333, USADivision of Global HIV and TB, Centers for Disease Control and Prevention, Atlanta, GA 30333, USADepartment of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI 02903, USAPopulations affected by humanitarian crises and emerging infectious disease outbreaks may have unique concerns and experiences that influence their perceptions toward vaccines. In March 2021, we conducted a survey to examine the perceptions toward COVID-19 vaccines and identify the factors associated with vaccine intention among 631 community members (CMs) and 438 healthcare workers (HCWs) affected by the 2018–2020 Ebola Virus Disease outbreak in North Kivu, Democratic Republic of the Congo. A multivariable logistic regression was used to identify correlates of vaccine intention. Most HCWs (81.7%) and 53.6% of CMs felt at risk of contracting COVID-19; however, vaccine intention was low (27.6% CMs; 39.7% HCWs). In both groups, the perceived risk of contracting COVID-19, general vaccine confidence, and male sex were associated with the intention to get vaccinated, with security concerns preventing vaccine access being negatively associated. Among CMs, getting the Ebola vaccine was associated with the intention to get vaccinated (RR 1.43, 95% CI 1.05–1.94). Among HCWs, concerns about new vaccines’ safety and side effects (OR 0.72, 95% CI 0.57–0.91), religion’s influence on health decisions (OR 0.45, 95% CI 0.34–0.61), security concerns (OR 0.52, 95% CI 0.37–0.74), and governmental distrust (OR 0.50, 95% CI 0.35–0.70) were negatively associated with vaccine perceptions. Enhanced community engagement and communication that address this population’s concerns could help improve vaccine perceptions and vaccination decisions. These findings could facilitate the success of vaccine campaigns in North Kivu and similar settings.https://www.mdpi.com/2076-393X/11/5/973SARS-CoV-2Ebola Virus DiseasepandemicoutbreakDemocratic Republic of the Congohumanitarian
spellingShingle Stephanie Chow Garbern
Shiromi M. Perera
Eta Ngole Mbong
Shibani Kulkarni
Monica K. Fleming
Arsene Baleke Ombeni
Rigobert Fraterne Muhayangabo
Dieula Delissaint Tchoualeu
Ruth Kallay
Elizabeth Song
Jasmine Powell
Monique Gainey
Bailey Glenn
Hongjiang Gao
Ruffin Mitume Mutumwa
Stephane Hans Bateyi Mustafa
Neetu Abad
Gnakub Norbert Soke
Dimitri Prybylski
Reena H. Doshi
Rena Fukunaga
Adam C. Levine
COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021
Vaccines
SARS-CoV-2
Ebola Virus Disease
pandemic
outbreak
Democratic Republic of the Congo
humanitarian
title COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021
title_full COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021
title_fullStr COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021
title_full_unstemmed COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021
title_short COVID-19 Vaccine Perceptions among Ebola-Affected Communities in North Kivu, Democratic Republic of the Congo, 2021
title_sort covid 19 vaccine perceptions among ebola affected communities in north kivu democratic republic of the congo 2021
topic SARS-CoV-2
Ebola Virus Disease
pandemic
outbreak
Democratic Republic of the Congo
humanitarian
url https://www.mdpi.com/2076-393X/11/5/973
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