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Evaluation of COVID-19 vaccine acceptance and uptake in rural Bangladesh: a cross-sectional study.
BMJ Open. 2022 12 12; 12(12):e064468.BO

Abstract

OBJECTIVE

The objective of this study was to evaluate the acceptance and uptake of COVID-19 vaccines in rural Bangladesh.

DESIGN

This was a cross-sectional study conducted between June and November 2021.

SETTING

This study was conducted in rural Bangladesh.

PARTICIPANTS

People older than 18 years of age, not pregnant and no history of surgery for the last 3 months were eligible to participate.

PRIMARY AND SECONDARY OUTCOMES

The primary outcomes were proportions of COVID-19 vaccine acceptance and roll-out participation among the rural population. The secondary outcome was identification of correlates which contributed to COVID-19 vaccine acceptance and roll-out participation. Χ2 tests and multivariable logistic regression analyses were performed to identify relevant correlates such as sociodemographic factors, clinical conditions and COVID-19-related factors.

RESULTS

A total of 1603 participants were enrolled. The overall COVID-19 vaccine acceptance was very high (1521/1601, 95%), and half of the participants received at least one dose of the COVID-19 vaccine. Majority of participants wanted to keep others safe (89%) and agreed to the benefits of COVID-19 vaccines (88%). To fulfil the requirement of online registration for the vaccine at the time, 62% of participants had to visit an internet café and only 31% downloaded the app. Over half (54%) of participants were unaware of countries they knew and trust to produce the COVID-19 vaccine. Increased age, being housewives, underweight and undergraduate education level were associated with vaccine acceptance, while being female, increased age and being overweight/obese were associated with vaccine uptake. Trust in the health department and practical knowledge regarding COVID-19 vaccines were positively associated with both vaccine acceptance and uptake.

CONCLUSION

This study found a very high COVID-19 vaccine acceptance in rural Bangladesh. Policymakers should support interventions aimed at increasing vaccine and general health literacy and ensure ongoing vaccine supply and improvement of infrastructure in rural areas.

Links

Authors+Show Affiliations

Deakin Health Economics, Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia. School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Centre of Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Department of Public Health, First Capital University of Bangladesh, Chuadanga, Bangladesh.

Department of Public Health, First Capital University of Bangladesh, Chuadanga, Bangladesh.

Pothikrit Institute of Health Studies, Bangladesh University of Health Sciences, Dhaka, Bangladesh.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia baki.billah@monash.edu.

MeSH

FemaleHumansPregnancyMaleCOVID-19 VaccinesCross-Sectional StudiesRural PopulationBangladeshCOVID-19Vaccination

Pub Type(s)

Journal Article

Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

36523245

Citation

Savira, Feby, et al. "Evaluation of COVID-19 Vaccine Acceptance and Uptake in Rural Bangladesh: a Cross-sectional Study." BMJ Open, vol. 12, no. 12, 2022, pp. e064468.

Savira F, Alif SM, Afroz A, et al. Evaluation of COVID-19 vaccine acceptance and uptake in rural Bangladesh: a cross-sectional study. BMJ Open. 2022;12(12):e064468.

Savira, F., Alif, S. M., Afroz, A., Siddiquea, B. N., Shetty, A., Chowdhury, H. A., Bhattacharya, O., Chowdhury, M. R. K., Islam, M. S., Ali, L., & Billah, B. (2022). Evaluation of COVID-19 vaccine acceptance and uptake in rural Bangladesh: a cross-sectional study. BMJ Open, 12(12), e064468. https://doi.org/10.1136/bmjopen-2022-064468

Savira F, et al. Evaluation of COVID-19 Vaccine Acceptance and Uptake in Rural Bangladesh: a Cross-sectional Study. BMJ Open. 2022 12 12;12(12):e064468. PubMed PMID: 36523245.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Evaluation of COVID-19 vaccine acceptance and uptake in rural Bangladesh: a cross-sectional study. AU - Savira,Feby, AU - Alif,Sheikh M, AU - Afroz,Afsana, AU - Siddiquea,Bodrun Naher, AU - Shetty,Aishwarya, AU - Chowdhury,Hasina Akhter, AU - Bhattacharya,Oashe, AU - Chowdhury,Mohammad Rocky Khan, AU - Islam,Md Shariful, AU - Ali,Liaquat, AU - Billah,Baki, Y1 - 2022/12/12/ PY - 2022/12/16/entrez PY - 2022/12/17/pubmed PY - 2022/12/20/medline KW - COVID-19 KW - epidemiology KW - health policy KW - public health SP - e064468 EP - e064468 JF - BMJ open JO - BMJ Open VL - 12 IS - 12 N2 - OBJECTIVE: The objective of this study was to evaluate the acceptance and uptake of COVID-19 vaccines in rural Bangladesh. DESIGN: This was a cross-sectional study conducted between June and November 2021. SETTING: This study was conducted in rural Bangladesh. PARTICIPANTS: People older than 18 years of age, not pregnant and no history of surgery for the last 3 months were eligible to participate. PRIMARY AND SECONDARY OUTCOMES: The primary outcomes were proportions of COVID-19 vaccine acceptance and roll-out participation among the rural population. The secondary outcome was identification of correlates which contributed to COVID-19 vaccine acceptance and roll-out participation. Χ2 tests and multivariable logistic regression analyses were performed to identify relevant correlates such as sociodemographic factors, clinical conditions and COVID-19-related factors. RESULTS: A total of 1603 participants were enrolled. The overall COVID-19 vaccine acceptance was very high (1521/1601, 95%), and half of the participants received at least one dose of the COVID-19 vaccine. Majority of participants wanted to keep others safe (89%) and agreed to the benefits of COVID-19 vaccines (88%). To fulfil the requirement of online registration for the vaccine at the time, 62% of participants had to visit an internet café and only 31% downloaded the app. Over half (54%) of participants were unaware of countries they knew and trust to produce the COVID-19 vaccine. Increased age, being housewives, underweight and undergraduate education level were associated with vaccine acceptance, while being female, increased age and being overweight/obese were associated with vaccine uptake. Trust in the health department and practical knowledge regarding COVID-19 vaccines were positively associated with both vaccine acceptance and uptake. CONCLUSION: This study found a very high COVID-19 vaccine acceptance in rural Bangladesh. Policymakers should support interventions aimed at increasing vaccine and general health literacy and ensure ongoing vaccine supply and improvement of infrastructure in rural areas. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/36523245/Evaluation_of_COVID_19_vaccine_acceptance_and_uptake_in_rural_Bangladesh:_a_cross_sectional_study_ DB - PRIME DP - Unbound Medicine ER -