Amo-Adjei Joshua, Nurzhynska Anastasiia, Essuman Ruth, Lohiniva Anna-Leena
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
UNICEF, Ghana Country Office, Accra, Ghana.
Arch Public Health. 2022 Feb 21;80(1):64. doi: 10.1186/s13690-022-00827-0.
On the account of limited doses of COVID-19 available to the country, the Government of Ghana created a priority list of persons to target for its vaccination agenda. In this paper, we look at trust and how it informs willingness to take the COVID-19 vaccine among persons targeted for the first phase of COVID-19 vaccination program in Ghana.
A sequential mixed-method investigation was conducted among the priority population - persons 60 years and above, frontline government functionaries, health workers, persons with underlying health conditions and, religious leaders and teachers. We sampled 415 respondents from the target population for a survey and 15 religious and traditional leaders from three cities; Accra, Cape Coast and Tamale for follow-up in-depth interviews based on the results of the survey data. Quantitative data is presented with descriptive proportions and multinomial logistic regression and thematic approach is applied to the interview data.
Trust and willingness to take the vaccine are high in this priority population. Trust in the effectiveness and safety of the vaccine, rather than socioeconomic characteristics of respondents better predicted acceptance. From interview narratives, mistrust in political actors - both local and foreign, believe in superior protection of God and seeming misunderstanding of vaccine development processes countermand acceptance. On the other hand, the professional influence of people in one's social networks, and past triumphs of vaccination programmes against concerning childhood diseases embed trust and acceptance.
Attention ought to be given to trust enhancing triggers while strategic communication approaches are used to remove triggers of mistrust.
由于该国可获得的新冠疫苗剂量有限，加纳政府制定了一份优先接种名单，作为其疫苗接种计划的目标对象。在本文中，我们探讨信任以及它如何影响加纳新冠疫苗接种计划第一阶段目标人群接种新冠疫苗的意愿。
对优先人群（60岁及以上人群、政府一线工作人员、医护人员、有基础疾病的人群、宗教领袖和教师）进行了一项顺序混合方法调查。我们从目标人群中抽取了415名受访者进行调查，并根据调查数据结果，从阿克拉、海岸角和塔马利三个城市选取了15名宗教和传统领袖进行后续深入访谈。定量数据以描述性比例和多项逻辑回归呈现，访谈数据采用主题分析法。
这一优先人群对疫苗的信任度和接种意愿较高。对疫苗有效性和安全性的信任，而非受访者的社会经济特征，更能预测疫苗的接受程度。从访谈叙述中可以看出，对国内外政治行为体的不信任、相信上帝的优越保护以及对疫苗研发过程的误解，都不利于疫苗的接受。另一方面，个人社交网络中人们的专业影响力，以及过去疫苗接种计划在预防儿童疾病方面的成功，都增强了信任和接受度。
在采用战略沟通方法消除不信任因素的同时，应关注增强信任的因素。
