Abstract
BackgroundSeveral coronavirus disease (COVID-19) vaccines have already been authorized and distributed in different countries all over the world, including Bangladesh. Understanding public acceptance of such a novel vaccine is vital, but little is known about the topic.ObjectivesThis study aimed to investigate the determinants of intention to receive a COVID-19 vaccine and willingness to pay (WTP) among people in Bangladesh.MethodsAn anonymous and online-based survey of Bangladeshi people (mean age = 29.96 ± 9.15 years; age range = 18–60 years) was conducted using a self-reported questionnaire consisting of socio-demographics, COVID-19 experience, and vaccination-related information as well as the health belief model (HBM). Multivariable logistic regression was performed to determine the factors influencing COVID-19 vaccination intent and WTP.ResultsOf the 894 participants, 38.5% reported a definite intention to receive a COVID-19 vaccine, whereas 27% had a probable intention, and among this intent group, 42.8% wanted to get vaccinated as soon as possible. Older age, feeling optimistic about the effectiveness of COVID-19 vaccination, believing that vaccination decreases worries and risk of COVID-19 infection, and being less concerned about side effects and safety of COVID-19 vaccination under the HBM construct were found to be significant factors in COVID-19 vaccination intention. Most of the participants (72.9%) were willing to pay for a COVID-19 vaccine, with a median (interquartile range [IQR]) amount of BDT 400/US$ 4.72 (IQR; BDT 200–600/US$ 2.36–7.07) per dose. Factors associated with higher WTP were younger age, being male, having higher education, residing in an urban area, having good self-rated health status, positivity towards COVID-19 vaccination's effectiveness, and being worried about the likelihood of getting infected with COVID-19. Participants who were COVID-19 vaccination intent preferred an imported vaccine over a domestically-made vaccine (22.9% vs. 14.8%), while 28.2% preferred a routine immunization schedule.ConclusionThe findings indicate a considerable proportion of Bangladeshi people intended to get vaccinated and had WTP for the COVID-19 vaccine. However, urgent education and awareness programs are warranted to alleviate public skepticism regarding the COVID-19 vaccination.
Highlights
The coronavirus disease 2019 (COVID-19), which emerged in Wuhan, Hubei Province, China at the end of 2019, has caused a large global outbreak and has become a major public health crisis [1, 2]
The findings indicate a considerable proportion of Bangladeshi people intended to get vaccinated and had willingness to pay (WTP) for the COVID-19 vaccine
This study revealed that the majority of participants (72.9%) were willing to pay for a COVID-19 vaccine
Summary
The coronavirus disease 2019 (COVID-19), which emerged in Wuhan, Hubei Province, China at the end of 2019, has caused a large global outbreak and has become a major public health crisis [1, 2]. In Bangladesh, approximately 802,305 confirmed cases of COVID19 were reported as of June 1, 2021, with a death toll of 12,660 [6] This pandemic has severely affected people’s physical and psychological well-being [7,8,9,10,11], health system [12, 13] and caused a major global economic recession [14]. According to recent studies on public acceptance of COVID-19 vaccination, the intention to take the vaccine ranged from 67 to 91% across countries such as India, Saudi-Arabia, Canada, the United States, and China [24,25,26,27,28,29]. Understanding public acceptance of such a novel vaccine is vital, but little is known about the topic
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