AI Article Synopsis

  • India launched its COVID vaccination drive on January 16, 2021, but successful implementation requires addressing factors beyond just having an effective vaccine, particularly in vulnerable populations like tribal communities.
  • A study conducted between June and November 2021 in West Bengal revealed that 36.9% of tribal participants were hesitant to get vaccinated, primarily due to fears of side effects and linked to factors like decreased income and lack of trust in healthcare systems.
  • To combat vaccine hesitancy, the study suggests enhancing knowledge and awareness through education, increasing healthcare worker involvement, and establishing vaccination centers in tribal areas.

Article Abstract

Background: On January 16, 2021, India rolled out the COVID vaccination drive. A successful and effective vaccination campaign requires much more than the availability of a safe and effective vaccine. This includes identifying vulnerable populations with lower vaccine confidence and identifying the drivers of vaccine hesitancy.

Objective: This study aims to find out vaccine hesitancy among the tribal population regarding COVID-19 vaccination.

Methods: It was an observational descriptive cross-sectional study, conducted at Manindranagar and Hatinagar gram panchayat of Berhampore Block of Murshidabad district, West Bengal, from June 2021-November 2021, among tribal people aged >18 years. A total of 198 tribal people were selected by applying the probability proportional to size sampling method. Participants were interviewed using predesigned, pretested, and semi-structured schedules. Potential predictors of hesitancy were investigated using the multivariate logistic regression model.

Results: Vaccine hesitancy was present among 36.9% of the study participants. Fear of side effects (78.1%) was the most common reason of vaccine hesitancy. Only 30.8% of them received at least one dose of vaccine. Vaccine hesitancy was associated with decreased family income in the last 1 year (adjusted odds ratio [AOR] = 8.23), knowledge regarding vaccine (AOR = 0.41), adherence to COVID-appropriate behavior (AOR = 0.45), and trust on the local health-care worker (AOR = 0.32).

Conclusion: Vaccine hesitancy among the tribal population is driven by a lack of knowledge and awareness. Their economic status, attitudes toward the health system, and accessibility factors may also play a major role in vaccine hesitancy. Extensive information, education, and communication activity, more involvement of health-care workers in the awareness campaign, and establishment of vaccination centers in tribal villages may be helpful.

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Source
http://dx.doi.org/10.4103/ijph.ijph_130_22DOI Listing

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