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Socio-Demographic Factors Influencing Malaria Vaccine Acceptance for Under-Five Children in a Malaria-Endemic Region: A Community-Based Study in the Democratic Republic of Congo. | LitMetric

AI Article Synopsis

  • Two new malaria vaccines aim to help reduce disease and death rates in young children in high malaria areas, particularly in the Democratic Republic of Congo (DRC), which seeks to eliminate malaria by 2030.
  • A survey of 1,612 adults in Bukavu indicated low awareness (7.26%) of the malaria vaccine, but a significant number were open to vaccination, with 46.53% willing to vaccinate themselves and 52.60% willing to vaccinate their young children.
  • Factors like profession, income, age, education level, and living conditions influenced their willingness to vaccinate, highlighting a need for improved vaccine outreach and education within the community.

Article Abstract

Two novel vaccines against malaria are proposed as a complementary control tool to prevent and reduce related disease and death in under-five children from moderate to high malaria transmission regions. The Democratic Republic of Congo (DRC) has committed to eradicate malaria by 2030, and significant efforts have been deployed to strengthen control and elimination measures. We aimed to understand factors influencing the malaria vaccine acceptability among the general population in eastern DRC. We conducted a survey among adult Congolese in Bukavu in March 2022. The questionnaire was adapted from the Behavioral and Social Drivers of vaccine uptake (BeSD) framework and was administered online and physically. Multivariate logistic regressions were built, and estimates were represented as adjusted odds ratios (aOR) and corresponding 95% confidence intervals (95%CI). Out of 1612 adults (median age: 39 years, 46.15% female) surveyed, only 7.26% were aware of the malaria vaccine. However, 46.53% expressed willingness to vaccinate themselves, and 52.60% were open to vaccinating their under-five children. Adjusting for confounding factors, non-student/non-healthcare worker professions (aOR = 0.58, 95%CI [0.42-0.78]) and middle-income status (aOR = 1.87, 95%CI [1.25-2.80]) were significantly associated with self-vaccination acceptance. Age played a role in under-five child vaccination acceptability, with 25 to over 64 years showing increased acceptability compared to the 18-24 age group. Additionally, non-student/non-healthcare worker professions (aOR = 1.88, 95%CI [1.37-2.59]), medium education levels (aOR = 2.64, 95%CI [1.29-5.79]), and residing in semi-rural areas (aOR = 1.63, 95%CI [1.27-2.10]) were predictors of under-five child vaccination acceptance. The acceptability of the malaria vaccine for self and for under-five children was suboptimal for effective malaria control in this community in the DRC. Our study constitutes a call for the Expanded Program on Immunization to closely work with various stakeholders to strengthen risk communication for community engagement prior to and during the introduction of this novel and lifesaving tool, malaria vaccination.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11055057PMC
http://dx.doi.org/10.3390/vaccines12040380DOI Listing

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