Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
COVID-19 vaccination refusal trends in Kenya over 2021
Vaccine, Volume 41, No. 5, Year 2023
Notification
URL copied to clipboard!
Description
Background: Vaccination refusal exacerbates global COVID-19 vaccination inequities. No studies in East Africa have examined temporal trends in vaccination refusal, precluding addressing refusal. We assessed vaccine refusal over time in Kenya, and characterized factors associated with changes in vaccination refusal. Methods: We analyzed data from the Kenya Rapid Response Phone Survey (RRPS), a household cohort survey representative of the Kenyan population including refugees. Vaccination refusal (defined as the respondent stating they would not receive the vaccine if offered to them at no cost) was measured in February and October 2021. Proportions of vaccination refusal were plotted over time. We analyzed factors in vaccination refusal using a weighted multivariable logistic regression including interactions for time. Findings: Among 11,569 households, vaccination refusal in Kenya decreased from 24 % in February 2021 to 9 % in October 2021. Vaccination refusal was associated with having education beyond the primary level (−4.1[−0.7,−8.9] percentage point difference (ppd)); living with somebody who had symptoms of COVID-19 in the past 14 days (−13.72[−8.9,−18.6]ppd); having symptoms of COVID-19 in the past 14 days (11.0[5.1,16.9]ppd); and distrusting the government in responding to COVID-19 (14.7[7.1,22.4]ppd). There were significant interactions with time and: refugee status and geography, living with somebody with symptoms of COVID-19, having symptoms of COVID-19, and believing in misinformation. Interpretation: The temporal reduction in vaccination refusal in Kenya likely represents substantial strides by the Kenyan vaccination program and possible learnt lessons which require examination. Going forward, there are still several groups which need specific targeting to decrease vaccination refusal and improve vaccination equity, including those with lower levels of education, those with recent COVID-19 symptoms, those who do not practice personal COVID-19 mitigation measures, refugees in urban settings, and those who do not trust the government. Policy and program should focus on decreasing vaccination refusal in these populations, and research focus on understanding barriers and motivators for vaccination. © 2023 Elsevier Ltd
Authors & Co-Authors
Rego, Ryan T.
United States, Ann Arbor
University of Michigan, Ann Arbor
Ngugi, Anthony K.
Pakistan, Karachi
The Aga Khan University
Espira, Leon M.
United States, Ann Arbor
University of Michigan, Ann Arbor
Orwa, James
Pakistan, Karachi
The Aga Khan University
Siwo, Geoffrey Henry
United States, Ann Arbor
University of Michigan, Ann Arbor
United States, Ann Arbor
Michigan Medicine
Shah, Jasmit S.
Pakistan, Karachi
The Aga Khan University
Weinheimer-Haus, Eileen M.
United States, Ann Arbor
University of Michigan, Ann Arbor
United States, Ann Arbor
Michigan Medicine
Pape, Utz Johann
United States, Washington, D.c.
The World Bank Group
Germany, Gottingen
Georg-august-universität Göttingen
Abubakar, Amina A.
Pakistan, Karachi
The Aga Khan University
Shah, Reena
Pakistan, Karachi
The Aga Khan University
Wagner, Abram Luther
United States, Ann Arbor
University of Michigan, Ann Arbor
Kolars, Joseph C.
United States, Ann Arbor
University of Michigan, Ann Arbor
United States, Ann Arbor
Michigan Medicine
Boulton, Matthew L.
United States, Ann Arbor
University of Michigan, Ann Arbor
Hofer, Timothy P.
United States, Ann Arbor
University of Michigan, Ann Arbor
United States, Ann Arbor
Michigan Medicine
Waljee, Akbar K.
United States, Ann Arbor
University of Michigan, Ann Arbor
United States, Ann Arbor
Michigan Medicine
Statistics
Citations: 6
Authors: 15
Affiliations: 6
Identifiers
Doi:
10.1016/j.vaccine.2022.12.066
ISSN:
0264410X
Research Areas
Covid
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Multi-countries
Kenya