COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey

We investigated the level of willingness for COVID-19 vaccination in the Democratic Republic of Congo (DRC). Data were collected between 24 August 2020 and 8 September 2020 through an online survey. A total of 4131 responses were included; mean age of respondents was 35 years (standard deviation: 11...

Full description

Bibliographic Details
Main Authors: John D. Ditekemena, Dalau M. Nkamba, Armand Mutwadi, Hypolite M. Mavoko, Joseph Nelson Siewe Fodjo, Christophe Luhata, Michael Obimpeh, Stijn Van Hees, Jean B. Nachega, Robert Colebunders
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/2/153
_version_ 1827589237706326016
author John D. Ditekemena
Dalau M. Nkamba
Armand Mutwadi
Hypolite M. Mavoko
Joseph Nelson Siewe Fodjo
Christophe Luhata
Michael Obimpeh
Stijn Van Hees
Jean B. Nachega
Robert Colebunders
author_facet John D. Ditekemena
Dalau M. Nkamba
Armand Mutwadi
Hypolite M. Mavoko
Joseph Nelson Siewe Fodjo
Christophe Luhata
Michael Obimpeh
Stijn Van Hees
Jean B. Nachega
Robert Colebunders
author_sort John D. Ditekemena
collection DOAJ
description We investigated the level of willingness for COVID-19 vaccination in the Democratic Republic of Congo (DRC). Data were collected between 24 August 2020 and 8 September 2020 through an online survey. A total of 4131 responses were included; mean age of respondents was 35 years (standard deviation: 11.5); 68.4% were females; 71% had elementary or secondary school education. One fourth (24.1%) were convinced that COVID-19 did not exist. Overall, 2310 (55.9%) indicated they were willing to be vaccinated. In a multivariable regression model, belonging to the middle and high-income category (OR = 1.85, CI: 1.46–2.35 and OR = 2.91, CI: 2.15–3.93, respectively), being tested for COVID-19 (OR = 4.71, CI: 3.62–6.12; <i>p</i> < 0.001), COVID-19 community vaccine acceptance (OR = 14.45, CI: 2.91–71.65; <i>p</i> = 0.001) and acknowledging the existence of COVID-19 (OR = 6.04, CI: 4.42–8.23; <i>p</i> < 0.001) were associated with an increased willingness to be vaccinated. Being a healthcare worker was associated with a decreased willingness for vaccination (OR = 0.46, CI: 0.36–0.58; <i>p</i> < 0.001). In conclusion, the current willingness for COVID-19 vaccination among citizens of the DRC is too low to dramatically decrease community transmission. Of great concern is the low intention of immunization among healthcare workers. A large sensitization campaign will be needed to increase COVID-19 vaccine acceptance.
first_indexed 2024-03-09T00:52:48Z
format Article
id doaj.art-ad65635bd4754ba7a308aeac63530cfc
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-09T00:52:48Z
publishDate 2021-02-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-ad65635bd4754ba7a308aeac63530cfc2023-12-11T17:05:34ZengMDPI AGVaccines2076-393X2021-02-019215310.3390/vaccines9020153COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional SurveyJohn D. Ditekemena0Dalau M. Nkamba1Armand Mutwadi2Hypolite M. Mavoko3Joseph Nelson Siewe Fodjo4Christophe Luhata5Michael Obimpeh6Stijn Van Hees7Jean B. Nachega8Robert Colebunders9Kinshasa School of Public Health, University of Kinshasa, Kinshasa 7948, Democratic Republic of the CongoKinshasa School of Public Health, University of Kinshasa, Kinshasa 7948, Democratic Republic of the CongoKinshasa School of Public Health, University of Kinshasa, Kinshasa 7948, Democratic Republic of the CongoDepartment of Tropical Medicine, University of Kinshasa, Kinshasa 7948, Democratic Republic of the CongoGlobal Health Institute, University of Antwerp, 2000 Antwerp, BelgiumKinshasa School of Public Health, University of Kinshasa, Kinshasa 7948, Democratic Republic of the CongoGlobal Health Institute, University of Antwerp, 2000 Antwerp, BelgiumGlobal Health Institute, University of Antwerp, 2000 Antwerp, BelgiumDepartment of Epidemiology Infectious Diseases and Microbiology and Center for Global Health, University of Pittsburgh, Pittsburgh, PA 15260, USAGlobal Health Institute, University of Antwerp, 2000 Antwerp, BelgiumWe investigated the level of willingness for COVID-19 vaccination in the Democratic Republic of Congo (DRC). Data were collected between 24 August 2020 and 8 September 2020 through an online survey. A total of 4131 responses were included; mean age of respondents was 35 years (standard deviation: 11.5); 68.4% were females; 71% had elementary or secondary school education. One fourth (24.1%) were convinced that COVID-19 did not exist. Overall, 2310 (55.9%) indicated they were willing to be vaccinated. In a multivariable regression model, belonging to the middle and high-income category (OR = 1.85, CI: 1.46–2.35 and OR = 2.91, CI: 2.15–3.93, respectively), being tested for COVID-19 (OR = 4.71, CI: 3.62–6.12; <i>p</i> < 0.001), COVID-19 community vaccine acceptance (OR = 14.45, CI: 2.91–71.65; <i>p</i> = 0.001) and acknowledging the existence of COVID-19 (OR = 6.04, CI: 4.42–8.23; <i>p</i> < 0.001) were associated with an increased willingness to be vaccinated. Being a healthcare worker was associated with a decreased willingness for vaccination (OR = 0.46, CI: 0.36–0.58; <i>p</i> < 0.001). In conclusion, the current willingness for COVID-19 vaccination among citizens of the DRC is too low to dramatically decrease community transmission. Of great concern is the low intention of immunization among healthcare workers. A large sensitization campaign will be needed to increase COVID-19 vaccine acceptance.https://www.mdpi.com/2076-393X/9/2/153COVID-19vaccine acceptancedeterminants and infectious diseases
spellingShingle John D. Ditekemena
Dalau M. Nkamba
Armand Mutwadi
Hypolite M. Mavoko
Joseph Nelson Siewe Fodjo
Christophe Luhata
Michael Obimpeh
Stijn Van Hees
Jean B. Nachega
Robert Colebunders
COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
Vaccines
COVID-19
vaccine acceptance
determinants and infectious diseases
title COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
title_full COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
title_fullStr COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
title_full_unstemmed COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
title_short COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
title_sort covid 19 vaccine acceptance in the democratic republic of congo a cross sectional survey
topic COVID-19
vaccine acceptance
determinants and infectious diseases
url https://www.mdpi.com/2076-393X/9/2/153
work_keys_str_mv AT johndditekemena covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT dalaumnkamba covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT armandmutwadi covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT hypolitemmavoko covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT josephnelsonsiewefodjo covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT christopheluhata covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT michaelobimpeh covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT stijnvanhees covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT jeanbnachega covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey
AT robertcolebunders covid19vaccineacceptanceinthedemocraticrepublicofcongoacrosssectionalsurvey