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The Role of Political Trust in the Uptake of COVID-19 Vaccine Among Three Geopolitical Zones in Nigeria: A Cross-Sectional Survey

Received: 28 November 2022     Accepted: 16 December 2022     Published: 29 December 2022
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Abstract

There is growing evidence of vaccine delays or refusals due to a lack of trust in the importance, safety, or effectiveness of vaccines, alongside persisting access issues. Although immunization coverage is reported administratively across the world, no similarly robust monitoring system exists for vaccine confidence and acceptance. In this study, COVID-19 vaccine uptake will be mapped across 3 geopolitical zones in Nigeria. This study is aimed at determining and comparing the relationship between political trust and vaccine uptake in 3 geo-political zones in Nigeria in addition to establishing the factors leading to the current COVID-19 uptake and acceptability in the 3 geo-political areas under review. A cross-sectional study design was utilized, to quantify the prevalence of different views on COVID-19 vaccine acceptability, access, and political trust. The data was gathered utilizing a self-administered and online questionnaire, which were analyzed utilizing IBM SPSS version 23 software. Descriptive statistical tools were adequately employed to make sense of the data in addition to the grouping of responses from the interviews. The research found that there is little trust in COVID-19 vaccine in the southeastern part of Nigeria with 55.2% of the respondents from Southeast not accepting its safety as it is provided by the Nigerian Government. The Southwestern part had majority of trust in the vaccine (85.9%) while the Northern part of Nigeria seem to be marginally trusting in the safety of the vaccine with 56.4% agreeing to its safety. From the results, 83.3% of Southwestern respondents obliged to receiving a vaccine produced in Nigeria while 51.1% of Northeastern respondents agreed too, unlike the 36.4% of the Southeastern respondents. There is a significant statistical relationship between political trust and COVID-19 vaccine uptake. It was also discovered that there is a statistically significant relationship in the uptake of the COVID-19 vaccine in the 3 geopolitical zones in Nigeria.

Published in World Journal of Public Health (Volume 7, Issue 4)
DOI 10.11648/j.wjph.20220704.18
Page(s) 177-188
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

COVID-19 Vaccine Uptake, Political Trust, Vaccine Hesitancy, Vaccine Acceptance

References
[1] Rousseau, D., Sitkin, S. B., Burt, R. S. and Camerer, C. 1998. “Not so different after all: A cross-discipline view of trust”. Academy of Management Review, 23 (3), 393-404.
[2] Dror, Amiel A., Netanel Eisenbach, Shahar Taiber, Nicole G. Morozov, Matti Mizrachi, Asaf Zigron, Samer Srouji, and Eyal Sela. 2020. “Vaccine Hesitancy: The next Challenge in the Fight against COVID-19.” European Journal of Epidemiology 35 (8): 775–79.
[3] Larson HJ., Clarke RM., Caitlin Jarrett et al. (2018): Measuring trust in vaccination: A systematic review, Human Vaccines & Immunotherapeutics, 14: 7, 1599-1609.
[4] Badur, Selim, Martin Ota, Serdar Öztürk, Richard Adegbola, and Anil Dutta. 2020. “Vaccine Confidence: The Keys to Restoring Trust.” Human Vaccines & Immunotherapeutics 16 (5): 1007–17. https://doi.org/10.1080/21645515.2020.1740559.
[5] de Figueiredo, A., Simas, C., Karafillakis, E., Paterson, P., & Larson, H. J. 2020. “Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study”. Lancet 2020, 396: 898–908. DOI: https://doi.org/10.1016/S0140-6736(20)31558-0
[6] Simone, B., P. Carrillo-Santisteve, and PIETRO LUIGI Lopalco. 2012. “Healthcare Workers’ Role in Keeping MMR Vaccination Uptake High in Europe: A Review of Evidence.” Eurosurveillance 17 (26): 20206.
[7] Lazarus, Jeffrey V., Scott Ratzan, Adam Palayew, Francesco C. Billari, Agnes Binagwaho, Spencer Kimball, Heidi J. Larson et al. "COVID-SCORE: A global survey to assess public perceptions of government responses to COVID-19 (COVID-SCORE-10)." PloS one 15, no. 10 (2020).
[8] Mesch, Gustavo S., and Kent P. Schwirian. 2015. “Confidence in Government and Vaccination Willingness in the USA.” Health Promotion International 30 (2): 213–21.
[9] Olu-Abiodun O., Abiodun O, Okafor N. COVID-19 vaccination in Nigeria: A rapid review of vaccine acceptance rate and the associated factors. PLOS One, Published: May 11, 2022.
[10] https://doi.org/10.1371/journal.pone.0267691
[11] Amo-Adjei, J., Nurzhynska, A., Essuman, R. et al. Trust and willingness towards COVID-19 vaccine uptake: a mixed-method study in Ghana, 2021. Arch Public Health 80, 64 (2022). https://doi.org/10.1186/s13690-022-00827-0
[12] Luchenski S, Maguire N, Aldridge RW et al. What works in inclusion health: overview of effective interventions for marginalised and excluded populations. The Lancet, Published: November 11, 2017. DOI: https://doi.org/10.1016/S0140-6736(17)31959-1
[13] The World Bank. Current health expenditure (% of GDP)—Nigeria. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=NG (Date accessed: November 3, 2022).
[14] Downie R. Promoting Accountability in Nigeria's Health System. Center for Strategic and international Studies. Published 2017. file:///C:/Users/cnwoke/Downloads/170221_Downie_PromotingAccountabilityNigeria_Web.pdf
[15] MacDonald NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161–4. https://doi.org/10.1016/j.vaccine.2015.04.036
Cite This Article
  • APA Style

    Nwoke Emmanuel Chukwuebuka, Ebenezer Obi Daniel, Oladapo Michael Olagbegi, Paul Olaiya Abiodun, Ahmed Mamuda Bello, et al. (2022). The Role of Political Trust in the Uptake of COVID-19 Vaccine Among Three Geopolitical Zones in Nigeria: A Cross-Sectional Survey. World Journal of Public Health, 7(4), 177-188. https://doi.org/10.11648/j.wjph.20220704.18

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    ACS Style

    Nwoke Emmanuel Chukwuebuka; Ebenezer Obi Daniel; Oladapo Michael Olagbegi; Paul Olaiya Abiodun; Ahmed Mamuda Bello, et al. The Role of Political Trust in the Uptake of COVID-19 Vaccine Among Three Geopolitical Zones in Nigeria: A Cross-Sectional Survey. World J. Public Health 2022, 7(4), 177-188. doi: 10.11648/j.wjph.20220704.18

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    AMA Style

    Nwoke Emmanuel Chukwuebuka, Ebenezer Obi Daniel, Oladapo Michael Olagbegi, Paul Olaiya Abiodun, Ahmed Mamuda Bello, et al. The Role of Political Trust in the Uptake of COVID-19 Vaccine Among Three Geopolitical Zones in Nigeria: A Cross-Sectional Survey. World J Public Health. 2022;7(4):177-188. doi: 10.11648/j.wjph.20220704.18

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  • @article{10.11648/j.wjph.20220704.18,
      author = {Nwoke Emmanuel Chukwuebuka and Ebenezer Obi Daniel and Oladapo Michael Olagbegi and Paul Olaiya Abiodun and Ahmed Mamuda Bello and Israel Olukayode Popoola and Michael Avwerhota and Michael Olabode Tomori and Friday Iyobosa Igbinovia and Adebanke Adetutu Ogun and Folake Abiola Abiodun and Stellamaris Moronkeji},
      title = {The Role of Political Trust in the Uptake of COVID-19 Vaccine Among Three Geopolitical Zones in Nigeria: A Cross-Sectional Survey},
      journal = {World Journal of Public Health},
      volume = {7},
      number = {4},
      pages = {177-188},
      doi = {10.11648/j.wjph.20220704.18},
      url = {https://doi.org/10.11648/j.wjph.20220704.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20220704.18},
      abstract = {There is growing evidence of vaccine delays or refusals due to a lack of trust in the importance, safety, or effectiveness of vaccines, alongside persisting access issues. Although immunization coverage is reported administratively across the world, no similarly robust monitoring system exists for vaccine confidence and acceptance. In this study, COVID-19 vaccine uptake will be mapped across 3 geopolitical zones in Nigeria. This study is aimed at determining and comparing the relationship between political trust and vaccine uptake in 3 geo-political zones in Nigeria in addition to establishing the factors leading to the current COVID-19 uptake and acceptability in the 3 geo-political areas under review. A cross-sectional study design was utilized, to quantify the prevalence of different views on COVID-19 vaccine acceptability, access, and political trust. The data was gathered utilizing a self-administered and online questionnaire, which were analyzed utilizing IBM SPSS version 23 software. Descriptive statistical tools were adequately employed to make sense of the data in addition to the grouping of responses from the interviews. The research found that there is little trust in COVID-19 vaccine in the southeastern part of Nigeria with 55.2% of the respondents from Southeast not accepting its safety as it is provided by the Nigerian Government. The Southwestern part had majority of trust in the vaccine (85.9%) while the Northern part of Nigeria seem to be marginally trusting in the safety of the vaccine with 56.4% agreeing to its safety. From the results, 83.3% of Southwestern respondents obliged to receiving a vaccine produced in Nigeria while 51.1% of Northeastern respondents agreed too, unlike the 36.4% of the Southeastern respondents. There is a significant statistical relationship between political trust and COVID-19 vaccine uptake. It was also discovered that there is a statistically significant relationship in the uptake of the COVID-19 vaccine in the 3 geopolitical zones in Nigeria.},
     year = {2022}
    }
    

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    AU  - Nwoke Emmanuel Chukwuebuka
    AU  - Ebenezer Obi Daniel
    AU  - Oladapo Michael Olagbegi
    AU  - Paul Olaiya Abiodun
    AU  - Ahmed Mamuda Bello
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    AU  - Michael Avwerhota
    AU  - Michael Olabode Tomori
    AU  - Friday Iyobosa Igbinovia
    AU  - Adebanke Adetutu Ogun
    AU  - Folake Abiola Abiodun
    AU  - Stellamaris Moronkeji
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    AB  - There is growing evidence of vaccine delays or refusals due to a lack of trust in the importance, safety, or effectiveness of vaccines, alongside persisting access issues. Although immunization coverage is reported administratively across the world, no similarly robust monitoring system exists for vaccine confidence and acceptance. In this study, COVID-19 vaccine uptake will be mapped across 3 geopolitical zones in Nigeria. This study is aimed at determining and comparing the relationship between political trust and vaccine uptake in 3 geo-political zones in Nigeria in addition to establishing the factors leading to the current COVID-19 uptake and acceptability in the 3 geo-political areas under review. A cross-sectional study design was utilized, to quantify the prevalence of different views on COVID-19 vaccine acceptability, access, and political trust. The data was gathered utilizing a self-administered and online questionnaire, which were analyzed utilizing IBM SPSS version 23 software. Descriptive statistical tools were adequately employed to make sense of the data in addition to the grouping of responses from the interviews. The research found that there is little trust in COVID-19 vaccine in the southeastern part of Nigeria with 55.2% of the respondents from Southeast not accepting its safety as it is provided by the Nigerian Government. The Southwestern part had majority of trust in the vaccine (85.9%) while the Northern part of Nigeria seem to be marginally trusting in the safety of the vaccine with 56.4% agreeing to its safety. From the results, 83.3% of Southwestern respondents obliged to receiving a vaccine produced in Nigeria while 51.1% of Northeastern respondents agreed too, unlike the 36.4% of the Southeastern respondents. There is a significant statistical relationship between political trust and COVID-19 vaccine uptake. It was also discovered that there is a statistically significant relationship in the uptake of the COVID-19 vaccine in the 3 geopolitical zones in Nigeria.
    VL  - 7
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Author Information
  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Swansea University, Swansea, United Kingdom

  • South African National Bioinformatics Institute, University of the Western Cape, Western Cape, South Africa

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria

  • Department of Public Health, Atlantic International University, Hawaii, United States of American

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • International Organization for Migration, Abuja, Nigeria

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Texila American University, Georgetown, Guyana

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