Moeti Dikonketjo M P, Govender Indiran, Bongongo Tombo
Department of Family Medicine and Primary Health Care, School of Medicine, Sefako Makgatho Health Sciences University, Pretoria.
S Afr Fam Pract (2004). 2024 Sep 23;66(1):e1-e9. doi: 10.4102/safp.v66i1.5988.
South Africa faced challenges while implementing coronavirus disease 2019 (COVID-19) measures such as mass vaccination. Some people rejected or were hesitant to receive government-recommended vaccines. This study explored COVID-19 vaccination hesitancy among unvaccinated individuals in a primary care setting in Pretoria, South Africa.
This was an exploratory phenomenological study that included one-on-one interviews with 12 individuals at Temba Community Health Centre in Pretoria, South Africa.
The research revealed five themes: perceptions of COVID-19 disease, perceptions of COVID-19 vaccine, factors related to non-vaccination, information sources about the COVID-19 vaccine, and long-term vaccination decisions. There were seven linked sub-themes.
Overall, participants had a good understanding of COVID-19 disease, but limited knowledge about the vaccine, causing hesitancy to get vaccinated. Reasons for not getting vaccinated included health-related concerns, safety concerns, personal experiences, and social and political factors. Safety and health-related concerns were prevalent, with adverse vaccine outcomes being the most common concern. Most participants had experienced a historic encounter with a vaccine-related death or illness.Contribution: Vaccine hesitancy should be viewed as a powerful concern from the community, and a key source of worry for the health authorities over any vaccine-related doubt.
南非在实施2019冠状病毒病（COVID-19）相关措施（如大规模疫苗接种）时面临挑战。一些人拒绝或对接种政府推荐的疫苗犹豫不决。本研究探讨了南非比勒陀利亚一家初级保健机构中未接种疫苗个体对COVID-19疫苗接种的犹豫情况。
这是一项探索性现象学研究，包括对南非比勒陀利亚滕巴社区卫生中心的12名个体进行一对一访谈。
研究揭示了五个主题：对COVID-19疾病的认知、对COVID-19疫苗的认知、与未接种疫苗相关的因素、关于COVID-19疫苗的信息来源以及长期接种决策。还有七个相关的子主题。
总体而言，参与者对COVID-19疾病有较好的了解，但对疫苗的了解有限，这导致他们对接种疫苗犹豫不决。未接种疫苗的原因包括与健康相关的担忧、安全担忧、个人经历以及社会和政治因素。与安全和健康相关的担忧普遍存在，疫苗不良后果是最常见的担忧。大多数参与者都经历过与疫苗相关的死亡或疾病的历史性事件。贡献：疫苗犹豫应被视为社区的一个重大关切，也是卫生当局对任何与疫苗相关疑虑的一个关键担忧来源。
