Department of Agricultural Economics and Extension, North-West University Mafikeng Campus, Mmabatho 2735, South Africa.
Int J Environ Res Public Health. 2021 Dec 13;18(24):13129. doi: 10.3390/ijerph182413129.
COVID-19 remains a pressing development concern in Malawi. The third wave of viral infection upsurge raised significant concerns on people's compliance with preventive methods already introduced by the government, among which vaccination is notable. This study analysed the factors influencing COVID-19 vaccination compliance in Malawi. The data were the ninth round of the telephone-based survey that was conducted by Malawi National Statistical Office (NSO) in 2021. The data were analysed with Instrumental Variable Probit model. The results showed that awareness of COVID-19 vaccines arrival was very high (98.19%). Additionally, 11.59% and 60.71% were already vaccinated and planning to be vaccinated, respectively. The Probit regression results showed that age of household heads, need of medical services, being worried of contracting COVID-19 and wearing of masks increased the probability of vaccination compliance, while stress indicators, being employed and not worried at all of contracting COVID-19 reduced it. It was concluded that drastic behaviour change would be needed to address corona virus pandemic in Malawi. There is the need to ensure equity across different age groups in access to vaccines. Further, interventions to ensure proper assessment of an individual's COVID-19 risk and address psychological and emotional stress that are associated with ongoing pandemic would enhance vaccination compliance.
新冠疫情在马拉维仍然是一个紧迫的发展问题。第三波病毒感染浪潮的高涨，使人们对政府已经推出的预防措施（其中值得注意的是接种疫苗）的遵守情况产生了重大担忧。本研究分析了影响马拉维人 COVID-19 疫苗接种合规性的因素。数据来自马拉维国家统计局（NSO）于 2021 年进行的第九轮基于电话的调查。数据采用工具变量概率模型进行分析。结果表明，人们对 COVID-19 疫苗到货的知晓率非常高（98.19%）。此外，已经接种疫苗和计划接种疫苗的比例分别为 11.59%和 60.71%。概率回归结果表明，家庭户主的年龄、对医疗服务的需求、对感染 COVID-19 的担忧以及戴口罩的行为会增加接种疫苗的概率，而压力指标、就业状况以及对感染 COVID-19 毫不担忧则会降低接种疫苗的概率。研究结论认为，需要采取剧烈的行为改变来应对马拉维的冠状病毒大流行。需要确保不同年龄组公平获得疫苗。此外，还需要采取干预措施，以确保对个人 COVID-19 风险进行适当评估，并解决与持续大流行相关的心理和情绪压力，从而提高疫苗接种的合规性。
