Medecine tropicale et sante internationale · 2025
[Factors associated with acceptance of COVID-19 vaccination in the Kokolo health zone in Kinshasa, Democratic Republic of Congo (DRC)].
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Amisi Kengea Levis, Masamba Bikoki Winnie, Nsinga Bungiena Jean-Claude, Kape Kalume Jean-Jacques
Аннотация
CONTEXT: Vaccination is a key preventive strategy in the response to the SARS-CoV-2 pandemic. However, ensuring vaccination adherence remains challenging, particularly in the Kokolo health zone (HZ) in Kinshasa, Democratic Republic of the Congo (DRC), where vaccination coverage remains below 40%. This study aims to identify the factors influencing acceptance of the vaccine among heads of households or their spouses.
METHODOLOGY: From January 2021 to December 2024, a cross-sectional analytical study was conducted among 399 heads of households (or spouses) selected by three-stage probability sampling. Data were collected through interviews using a structured questionnaire on the KoboCollect application and analyzed using Epi Info 7.2.6.0.
RESULTS: Overall, the HZ population reported having heard of both the COVID-19 and its vaccination. Among those surveyed, 79.9% (319 out of 399) considered the vaccine to be effective. The main reasons for not accepting vaccination were never having seen a death or reported case of the disease in the HZ. In a multivariate analysis, acceptance of the vaccine was associated with military service and knowledge of the disease and existing vaccines.
CONCLUSION: When developing strategies to promote Covid-19 vaccination acceptance, knowledge about the disease and existing vaccination, the involvement of political and administrative authorities, military authorities, and community leaders, awareness-raising, and the organization of nearby vaccination sites must be taken into account. Media is the main channel for information and awareness-raising in this HZ.
METHODOLOGY: From January 2021 to December 2024, a cross-sectional analytical study was conducted among 399 heads of households (or spouses) selected by three-stage probability sampling. Data were collected through interviews using a structured questionnaire on the KoboCollect application and analyzed using Epi Info 7.2.6.0.
RESULTS: Overall, the HZ population reported having heard of both the COVID-19 and its vaccination. Among those surveyed, 79.9% (319 out of 399) considered the vaccine to be effective. The main reasons for not accepting vaccination were never having seen a death or reported case of the disease in the HZ. In a multivariate analysis, acceptance of the vaccine was associated with military service and knowledge of the disease and existing vaccines.
CONCLUSION: When developing strategies to promote Covid-19 vaccination acceptance, knowledge about the disease and existing vaccination, the involvement of political and administrative authorities, military authorities, and community leaders, awareness-raising, and the organization of nearby vaccination sites must be taken into account. Media is the main channel for information and awareness-raising in this HZ.