Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh

Vaccine hesitancy or low uptake was identified as a major threat to global health by the World Health Organization (WHO) in 2019. Vaccine hesitancy is context-specific and varies across time, place, and socioeconomic groups. In this study, we aimed to understand the perceptions of and attitudes towa...

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Main Authors: Wafa Alam, Nadia Farnaz, Farzana Manzoor, Sally Theobald, Sabina Faiz Rashid
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Social Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-0760/12/4/230
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author Wafa Alam
Nadia Farnaz
Farzana Manzoor
Sally Theobald
Sabina Faiz Rashid
author_facet Wafa Alam
Nadia Farnaz
Farzana Manzoor
Sally Theobald
Sabina Faiz Rashid
author_sort Wafa Alam
collection DOAJ
description Vaccine hesitancy or low uptake was identified as a major threat to global health by the World Health Organization (WHO) in 2019. Vaccine hesitancy is context-specific and varies across time, place, and socioeconomic groups. In this study, we aimed to understand the perceptions of and attitudes toward COVID-19 vaccination through time among urban slum dwellers in Dhaka, Bangladesh. In-depth telephone interviews were conducted between October 2020 and January 2021 with 36 adults (25 females and 11 males) living in three urban slums of Dhaka City, Bangladesh. Follow-up interviews were undertaken in April and August 2021 to capture any shift in the participants’ perceptions. Our findings show that for many there was an initial fear and confusion regarding the COVID-19 vaccine among people living in urban informal settlements; this confusion was soon reduced by the awareness efforts of government and non-government organizations. Women and young people were more interested in being vaccinated as they had had more exposure to the awareness sessions conducted by non-governmental organizations (NGOs) and on social media. However, people living in the slums still faced systemic barriers, such as complicated online vaccine registration and long queues, which led to low uptake of the vaccine despite their increased willingness to be vaccinated. This study highlights the importance of using sources such as NGO workers and television news to debunk myths, disseminate COVID-19 vaccine information, and support adherence to vaccination among urban slum dwellers. Our study underscores the importance of addressing systemic barriers blocking access and understanding community perceptions in order to develop effective communication strategies for vulnerable groups that will then improve the COVID-19 vaccine uptake.
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spelling doaj.art-4db4723be0164be2ab7980be669309192023-11-17T21:22:08ZengMDPI AGSocial Sciences2076-07602023-04-0112423010.3390/socsci12040230Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, BangladeshWafa Alam0Nadia Farnaz1Farzana Manzoor2Sally Theobald3Sabina Faiz Rashid4BRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka 1213, BangladeshBRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka 1213, BangladeshBRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka 1213, BangladeshDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UKBRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka 1213, BangladeshVaccine hesitancy or low uptake was identified as a major threat to global health by the World Health Organization (WHO) in 2019. Vaccine hesitancy is context-specific and varies across time, place, and socioeconomic groups. In this study, we aimed to understand the perceptions of and attitudes toward COVID-19 vaccination through time among urban slum dwellers in Dhaka, Bangladesh. In-depth telephone interviews were conducted between October 2020 and January 2021 with 36 adults (25 females and 11 males) living in three urban slums of Dhaka City, Bangladesh. Follow-up interviews were undertaken in April and August 2021 to capture any shift in the participants’ perceptions. Our findings show that for many there was an initial fear and confusion regarding the COVID-19 vaccine among people living in urban informal settlements; this confusion was soon reduced by the awareness efforts of government and non-government organizations. Women and young people were more interested in being vaccinated as they had had more exposure to the awareness sessions conducted by non-governmental organizations (NGOs) and on social media. However, people living in the slums still faced systemic barriers, such as complicated online vaccine registration and long queues, which led to low uptake of the vaccine despite their increased willingness to be vaccinated. This study highlights the importance of using sources such as NGO workers and television news to debunk myths, disseminate COVID-19 vaccine information, and support adherence to vaccination among urban slum dwellers. Our study underscores the importance of addressing systemic barriers blocking access and understanding community perceptions in order to develop effective communication strategies for vulnerable groups that will then improve the COVID-19 vaccine uptake.https://www.mdpi.com/2076-0760/12/4/230COVIDCOVID-19 vaccinesurban slumsinformal settlementsvaccine hesitancycontextual factors
spellingShingle Wafa Alam
Nadia Farnaz
Farzana Manzoor
Sally Theobald
Sabina Faiz Rashid
Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
Social Sciences
COVID
COVID-19 vaccines
urban slums
informal settlements
vaccine hesitancy
contextual factors
title Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
title_full Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
title_fullStr Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
title_full_unstemmed Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
title_short Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh
title_sort perceptions of and attitudes toward covid 19 vaccination among urban slum dwellers in dhaka bangladesh
topic COVID
COVID-19 vaccines
urban slums
informal settlements
vaccine hesitancy
contextual factors
url https://www.mdpi.com/2076-0760/12/4/230
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