Abstract

Introduction: There is no specific treatment and vaccine for COVID-19 yet. The prospective vaccine is the primary prevention and is the promising preventive strategy to gain herd immunity. The study aimed to identify COVID-19 vaccine acceptance rate among primary health care attendees at Durban, South Africa. Method: A questionnaire based cross-sectional study was conducted at the Kwadabeka Community Health Centre, Durban, South Africa. Chi-square test and logistic regression were carried out to identify the factors for COVID-19 vaccine acceptability. P-values <0.05 were reported and considered statistically significant. Results: Almost two-thirds (61.4%) of the participants reported that they would accept a COVID-19 vaccine. Logistic regression analysis found that respondents’ attitude on whether “COVID-19 pandemic will be dealt with successfully” was 2.3 times more likely to accept the vaccine (OR=2.3, 95% CI: 1.3-3.8, p<0.05) and good practice on “use of a face mask to public places were 3 times more likely to accept the vaccine (OR=3.0, 95% CI: 1.5-6.1, P<0.05). On the contrary, knowledge on “only elderly people die from COVID-19 (False)” revealed that 44% were less likely to accept the vaccine (OR=0.56, 95% CI: 0.33-0.95, P<0.05) and practice on social distance “keep a distance of 1-2 m in public places” was 69% less likely to accept the vaccine (OR=0.31, 95% CI: 0.15-0.63, p<0.05). Conclusion: The COVID-19 vaccine acceptance rate is comparable with other studies. However, community-based studies and a mass educational and communication campaign to promote the COVID-19 vaccination coverage to the general population are recommended.

Highlights

  • There is no specific treatment and vaccine for COVID-19 yet

  • *Correspondence to: Dr Akm Monjurul Hoque M.B.B.S., M.Sc., M.P.H., Medical Manager, Kwadabeka Community Health Centre, 21 Pitlochry Road, 3629, Westville, South Africa; Tel: +27317143704; Fax: +27317143710; E-mail: mhoque75@gmail.com, monjurul.hoque@kznhealth.gov.za situation such as having the highest prevalence of HIV, and the highest burden of tuberculosis in the world [7, 8]

  • In an earlier study undertaken in South Africa (SA) it was estimated that a vaccine with a 70% efficacy could have the capacity to contain the COVID-19 outbreak with higher vaccination coverage of 94.44%

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Summary

Introduction

There is no specific treatment and vaccine for COVID-19 yet. The prospective vaccine is the primary prevention and is the promising preventive strategy to gain herd immunity. The study aimed to identify COVID-19 vaccine acceptance rate among primary health care attendees at Durban, South Africa. Conclusion: The COVID-19 vaccine acceptance rate is comparable with other studies. There is no specific treatment for the condition, though some drugs are used to treat severely infected COVID-19 patients [2,3,4,5]. Primary prevention of COVID-19 using a vaccine is the most promising strategy for controlling and preventing the pandemic. The present interventions such as social distancing, quarantine, isolation and principles of universal precautions are slowing down the spread of the virus to flatten the epidemic curve in South Africa (SA) [6]. A lower vaccination rate of 66% will suffice with a vaccine of 100% efficacy [6]

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