- Abstract
- Covid-19 and Covid-19 vaccine hesitancy are currently major issues in the world, especially for vulnerable and low-income countries and communities. War and conflicts complicate pandemic control. Armenia, a small, low-income country located between Europe and Asia, had managed to bring down its daily new cases to 328 by end of Summer of 2020. On September 27th of 2020, Azerbaijan launched a full-scale war with Armenia. One month into the war, the new daily cases had risen to 2484, the second highest country in the world with cases. Even when Covid-19 vaccines became available in early months of 2021, vaccine hesitancy was still preventing Armenians from getting vaccinated. As of August 2021, Armenia had only 3.9% of its population vaccinated; and while as of March 30th of 2022 it has reached 38%, many still refuse to get vaccinated. Previous studies conducted in various settings have hinted that sociodemographic characteristic, such as age, marital status, occupation, education level are indicators of vaccine hesitancy, but no qualitative analysis had been completed to understand the reasons (Fossen et al, Syed Alwi et al, Harapan et al.). Given the collectivist nature of Armenian society, the political distress because of the war, as well as cultural misconceptions about the vaccines, this study aimed to understand the various reasons of vaccine hesitancy. The study conducted a web-based survey which was distributed on Facebook through convenience sampling. The survey, consisting of both open-ended and close-ended questions, collected 209 responses, out of which around 68% were vaccinated, while 32% not. The Chi Square tests revealed no significant associations at p<0.05 between many characteristics (sex, age, marital status, education status, location) and the decision to get vaccinated. However, a significant correlation was observed between the occupation of participants and their vaccination status (X2 (4, N = 209) = 54.694, p < 0.00001). The results of the qualitative analysis revealed that at the policy level of the social-ecological model, 52 claims were made by both the unvaccinated and vaccinated groups (out of the total 209 total), regarding the Government requirements for vaccination. This further explains that those who were required to get vaccinated for work, in fact, did get their vaccines proving the policy regulations to be an effective strategy to increase the vaccination rates. Moreover, at the intrapersonal level, 74 out of 209 participants (35.4%) had doubts and worries about the vaccines, creating an opportunity for awareness campaigns to target these beliefs. The interpersonal aspect of the model revealed that those who were vaccinated did so to protect their families, hence, emphasizing this while providing information about the vaccines could be another possible intervention.
- Presented by
- Astghik Baghinyan
- Institution
- University of Rochester, Department of Public Health Sciences
- Keywords
- Covid-19, global health, vaccine hesitancy, war, Award Consideration