Doubt and Distrust: Determinants of COVID-19 Vaccine Hesitancy in Nigeria From a Qualitative Perspective

Authors

  • Avwerosuoghene Onobrakpeya Master, Tzu Chi University, Department of Public Health https://orcid.org/0000-0002-5175-2558
  • Liang-Yin Hsu Associate Professor, Department of Public Health, Tzu Chi University

Keywords:

COVID-19, Doubt, Nigeria, Trust, Vaccine Hesitancy

Abstract

Objectives: This research aimed to understand the determinants of COVID-19 vaccine hesitancy in Nigeria, as well as understand the decision-making process behind the choice to vaccinate or not.

Methods: This research employed a qualitative research methodology, utilizing semi-structured interviews. Eighteen participants were selected using a purposive sampling procedure.

Results: The determinants of COVID-19 vaccine hesitancy identified in Nigeria were Doubt-based determinants: (1) Doubt in the vaccine, manufacturers and available vaccine knowledge, (2) Distrust and dissatisfaction in the government, and (3) Doubt in COVID-19’s existence, (4) Perceptions and beliefs-based determinants and (5) Situational determinants. For the decision-making process, three pathways were identified: The Hesitant - Vaccinated Pathway, The Hesitant - Unvaccinated Pathway and The Willing - Hesitant - Unvaccinated Pathway. 

Conclusions: Doubt was found to be a prominent determinant. Determinants were not limited to socioeconomic status, or education level.

Published

2025-02-05

Issue

Section

General manuscript