Monday, February 1, 2021

Vaccine hesitancy in Africa and the impact of misinformation on the COVID 19 Vaccine

 By Rawlings Magede

In 2019, the World Health Organisation (WHO) listed “vaccine hesitancy” as one of the ten greatest threats to global health. More than one and half years later, the world is fighting against a pandemic that has threatened to wipe up the human race. COVID 19 has claimed the lives of more than two million people globally since its outbreak in 2020.Countries such as India and Brazil are among the countries with the highest casualties. In Africa, statistics of COVID 19 related deaths are sketchy owing to the poorly developed public health infrastructure and testing. What however is undisputable is that the pandemic has claimed the lives of many people. In the absence of an effective health infrastructure, people particularly in rural areas continue to die quietly from the virus. In Africa, the fight against the pandemic has also been weakened by misinformation and religion. Ever since reports of the discovery of the COVID 19 vaccine began to filter in, there was a floodgate of conspiracy theories by religious leaders on the vaccine. Reasons for reservations on taking the vaccine varied with some religious leaders suggesting that once one is vaccinated they automatically join Satanism. However, WHO has noted that vaccine hesitancy is influenced by factors such as complacency, convenience and confidence.

In my search for answers, this past week, I conducted an online survey (Whatsapp) that probed reasons why people in Zimbabwe would consider not taking the COVID 19 vaccine. The  majority of respondents (60%) highlighted that their reason for not taking the vaccine were that they did not know much about the COVID 19 vaccine, while 30% highlighted that they do not trust the vaccine while a remaining 10% singled out their religious belief as the major factor for them not taking the COVID 19 vaccine. In my view, if this is representative of Zimbabwean society, it will fall short in achieving population immunity which experts say would require between 80-90% of the population to be immune. If results of the survey are anything to go by, then government needs to share widely information around the vaccine.

Share information on the COVID 19 Vaccine

Among urgent issues that governments across Africa must deal with is sharing widely on the vaccine. Little has been said about this vaccine, what happens after vaccination, ,side effects etc. Recently there were reports that twenty-nine people in the United States developed some reactions after being vaccinated against COVID 19 since the rollout began. All this information is fuelling the anti-vaccination movement that is being led by various individuals, mostly from various religions. The pronouncement by WHO on the threat posed by vaccine hesitancy in achieving global health even before the outbreak of the pandemic in 2019 was informed by past experiences of societies that refused vaccinations. For example Polio vaccinations were boycotted in East Africa in the 1990s and in northern Nigeria in the 2000s.More recently, In South Africa in July 2020, people took to the streets of Johannesburg to register their concerns against human trials for a potential corona virus vaccine. This was after the University of Witwatersrand in partnership with Oxford University rolled out South Africa’s first clinical trial, which would consist of two thousand volunteers. This incident demonstrates concerns among some on the continent over vaccines that people know very little about.

Among issues that African governments must tackle is the need to deal with vaccine hesitancy that is inherent in most African societies due to lack of adequate information and religious beliefs. This will greatly help increase confidence .Misinformation on vaccine safety has eroded trust in our health care systems. Rebuilding this trust is a herculean task but will take concerted and multi-faceted efforts. Closely linked to this, is the need for governments to communicate effectively and transparently regarding the full benefits and risks of vaccinations going forward. There is no doubt that more pandemics will visit us in the near future. Health personnel especially those in remote districts must be trained to ensure that they give relevant and comprehensive information in a respective and culturally sensitive manner. To effectively do this, key stakeholders that can help easily propagate this message such as religious, political and other leaders must be identified and equipped with skills to effectively  disseminate   key information to their followers. The assumption that radio and social media has a wider reach has  negatively impacted access to key information by some sections of society. Added to this, well thought strategies must also be devised to target marginalized communities that may have less access to healthcare services.

In the final analysis, COVID 19 has demonstrated the urgent need for collaboration between government and other stakeholders. Collaborations require strong institutions that embrace transparency and accountability over use of funds. Going forward, the challenge for our leaders and policy makers would be to craft and design effective vaccination policies and bolster population immunity that will help the continent combat future epidemics.

Rawlings Magede is a Communication for Development expert who writes here in his personal capacity. Feedback on vamagede@gmail.com

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