Doubt and Distrust: Determinants of COVID-19 Vaccine Hesitancy in Nigeria From a Qualitative Perspective
Keywords:
COVID-19, Doubt, Nigeria, Trust, Vaccine HesitancyAbstract
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.
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