Sambaiga Richard F, Onuekwe Chima E, Haonga Tumaini, Mwengee William
Department of Sociology and Anthropology, College of Social Sciences, University of Dar es Salaam, Dar es Salaam, United Republic of Tanzania.
Department of Immunization, Emergency Preparedness and Response, World Health Organization, Dar es Salaam, United Republic of Tanzania.
J Public Health Afr. 2025 Apr 18;16(3):706. doi: 10.4102/jphia.v16i3.706. eCollection 2025.
The influence of religion on health seeking behaviour is well document in the public health literature. However, the extent to which religious discourses and practices contributed to scepticism towards COVID-19 vaccines, vaccine uptake, and indecisiveness in intention to be vaccinated in Tanzania has not yet been established.
To explore the nexus between religion and public health in the measures taken against the COVID-19 pandemic in Tanzania by empirically examining how religious actors in opposed the first phased of COVID-19 vaccination campaigns before becoming key supporters of the same campaigns in the second phase.
The study was conducted in eight regions representing key administrative zones of Mainland Tanzania.
The article draws on empirical evidence from exploratory mixed-method study combining focus group discussions (FGDs), key informant and semi-structured interviews.
We found that religious narratives and practices in relation to the pandemic were quite dynamic but influential in shaping individuals' decisions including on whether or not to take the COVID-19 vaccine. Religious anti-COVID-19 vaccine narratives accounted for the slow COVID-19 vaccine uptake but when religious leaders were later mobilised to support the COVID-19 vaccination campaign, the vaccine uptake in Tanzania improved considerably.
The study concludes that religious actors play a significant role in influencing public health behaviours, particularly in vaccine uptake.
Future public health measures designed to increase vaccine uptake should not overlook the salient role of religious actors in the promotion desired health practices and outcomes.
宗教对寻求医疗行为的影响在公共卫生文献中有充分记载。然而,宗教话语和实践在多大程度上导致了坦桑尼亚对新冠疫苗的怀疑、疫苗接种率以及接种意愿的犹豫不决,尚未明确。
通过实证研究宗教行为体在反对新冠疫苗接种第一阶段但在第二阶段成为同一运动的关键支持者的过程中,探索宗教与坦桑尼亚应对新冠疫情所采取措施中的公共卫生之间的联系。
该研究在代表坦桑尼亚大陆主要行政区的八个地区进行。
本文借鉴了探索性混合方法研究的实证证据,该研究结合了焦点小组讨论(FGD)、关键信息提供者和半结构化访谈。
我们发现,与疫情相关的宗教叙事和实践相当活跃,但在塑造个人决策方面具有影响力,包括是否接种新冠疫苗。宗教方面反对新冠疫苗的叙事导致了新冠疫苗接种率缓慢,但后来当宗教领袖被动员支持新冠疫苗接种运动时,坦桑尼亚的疫苗接种率有了显著提高。
该研究得出结论,宗教行为体在影响公共卫生行为方面发挥着重要作用,特别是在疫苗接种方面。
未来旨在提高疫苗接种率的公共卫生措施不应忽视宗教行为体在促进期望的健康实践和结果方面的显著作用。