Summary (Opinions and attitudes of the Abidjan population to vaccination against Covid-19)
Georges Gaulithy§
Summary: The Covid-19 pandemic has claimed many victims worldwide. The discovery of various vaccines has brought a glimmer of hope to the battle against this disease. However, despite the availability of vaccines, the Ivorian population has not mobilized strongly to be vaccinated. Why is this so? The aim of this study is to analyze and explain the opinions and attitudes of the Abidjan population towards vaccination against COVID-19. Documentary research combined with a questionnaire and semi-structured interviews were the data collection techniques used in this study. A mixed-methods approach (quantitative and qualitative) was used to analyze the data. The results indicate the influence of social networks and interpersonal communication on people's opinions and attitudes towards the non-adoption of Covid-19 vaccines.
Key words: Opinions and attitudes, vaccination, Abidjan populations, COVID-19, resistance.
Abstract: The Covid-19 pandemic has claimed many lives around the world. The discovery of different vaccines has sparked hope in the battle against this disease. However, despite the availability of vaccines, the Ivorian populations did not strongly mobilize to be vaccinated. Why such a reaction from them? The objective of this study is to analyze and explain the opinions and attitudes of the Abidjan populations with regard to vaccination against COVID-19. The documentary study associated with a questionnaire and semi-structured interviews constituted the data collection techniques for this study. A mixed approach (quantitative and qualitative) was favored for the analysis of these data. The results indicate an influence of social networks and interpersonal communications on the opinions and attitudes of populations in the non-adoption of vaccines against Covid-19.
Keywords: Opinions and Attitudes, Vaccination, Abidjan Populations, COVID-19, Resistance.
Introduction
The concepts of opinion and attitude have been extensively defined, especially in social psychology. An opinion is a point of view, an intellectual position, an idea or a set of ideas held in a given field (Grand Robert de la Langue Française). In addition, it is a judgment that one makes about an individual, a living being, a fact, an object, a phenomenon... In the case of our study, it is the judgment that the people of Abidjan make about the phenomenon of vaccination against Covid-19.
Furthermore, Rosenberg and Hovland's (1-44) definition of attitudes takes into account three dimensions that constitute components. An affective component (positive or negative emotions, favorable or unfavorable towards the attitudinal object), a cognitive component (present and past knowledge and beliefs concerning the object) and a conative component (past and present behaviors of the individual in relation to this object and his or her behavioral intentions (future)). Of course, attitude is a set of predispositions that enable an individual to react favorably or unfavorably in the presence of an object. It is above all internal to the individual. As a result, for us, it is above all a state of mind, an intention, and therefore not directly observable. The aim here is to analyze the intention to act of the Abidjan population with regard to vaccination. Having defined these concepts, what is the state of scientific work on the question of opinions and attitudes towards vaccination against Covid-19 in the world in general and in Côte d'Ivoire in particular?
As part of the fight against the Covid-19 pandemic, the major economic and scientific powers made substantial financial resources available so that research could be carried out, or accelerated, with a view to discovering vaccines. In accordance with vaccine research protocol, clinical trials had to be carried out. Detoc et al (7003-7005) found that 48% of their survey sample (3,259 people) would be willing to take part in clinical trials to develop a vaccine against Covid-19 in France, while 75% would be in favor of vaccination against this virus. This intention to vaccinate against Covid-19 concerns healthcare personnel, who are front-line players in this fight. For Dereje et al (8-10), in Addis Ababa, almost half (46.7%) of the participants in their survey had a low level of knowledge about Covid-19, leading to a negative attitude towards it (Covid-19) and its preventive measures. As a result, one in five of those interviewed had no plans to be vaccinated against Covid-19. Conversely, high levels of knowledge about Covid-19 and the vaccines developed to combat it, favored a much higher level of vaccine intention, as highlighted by the work of Al-Qerem and Jarab (632914).
In addition, the level of knowledge influences or even determines confidence in the vaccine. Assessing the level of confidence that populations have in vaccines in general, De Figueiredo et al. (900-906) compared this level in 149 countries around the world between 2015 and 2019. Six countries stood out for their population's disagreement with vaccine safety (Afghanistan, Azerbaijan, Indonesia, Nigeria, Pakistan and Serbia). Similarly, the public's trust in (institutional) sources of information influences their willingness to be vaccinated, as highlighted by the work of De Freitas et al. (100051). What happens to this trust, especially when these sources of information emanate from other, non-institutional sources? This is the case with social media, which have a negative impact on people's willingness to be vaccinated. This vaccine refusal triggered by information from social media is revealed by the work of Lyu et al (8-12), Luo et al (101712) and Manby et al (5-9). This misinformation and its consequences are highlighted by Roozenbeek et al. (201199). According to Zhu et al. (303-306), misinformation, however brief, can become embedded in long-term memory.
Beyond the overall negative impact of social media on the uptake of Covid-19 vaccination, the question of beliefs influences whether or not vaccination is adopted. Indeed, this question of the effects of beliefs on the non-adoption of vaccination practice is a long-standing one. Chongwang shows the beliefs underlying the refusal to vaccinate in certain regions of Cameroon. Thus, cultural constraints, urban legends and misinformation fuel these beliefs against vaccines in general. This view is shared by De Figueiredo et al (900-906), who found a link between people's religious beliefs and their hostile attitudes to vaccines. Fridman et al. (e0250123), for their part, believe that risk perception and behavior (less favorable attitudes towards vaccination against Covid-19) are linked to the perception that the virus is less dangerous than it is made out to be. This perception is in line with that of Sallam et al (42). However, these beliefs do not only have a negative impact on vaccination uptake. For example, Sherman et al (1615-1618) suggest that intention to vaccinate is associated with more positive general beliefs and attitudes about Covid-19 vaccination.
In Côte d'Ivoire, the first doses of vaccine were inoculated on March 01, 2021. However, according to figures provided by the Ministry of Health and Public Hygiene, the number of people infected was 32791, of whom 193 died and 31712 were cured. To combat this pandemic, state authorities had already taken a number of measures on March 24, 2020, to protect the population and prevent the spread of the disease. To this end, standard measures such as regular hand washing, the wearing of face masks and physical distancing were decreed for the population. As an exceptional measure, a state of emergency was declared by the Head of State as soon as the first cases appeared in the country. The state of emergency also included the closure of air and land borders, schools and universities, places of leisure and worship, the introduction of a curfew, a ban on unauthorized travel between the district of Abidjan and towns in the interior of the country, and a limit on the number of people authorized to be in the same room. These measures have been met with mixed reactions from the population. They have tried as best they could to comply, often under the coercive gaze of the public security forces responsible for ensuring that the measures are respected. However, in a country where part of the population is poor[1] and have to make a daily living from small jobs, it seems difficult for them to scrupulously comply with all these barriers. The discovery of vaccines has also raised hopes throughout the world. Access to these vaccines, as in many Third World countries, especially in Africa, is dependent on certain initiatives (COVAX[2]AVAT[3]) and donations from developed countries. However, their use raises questions. Indeed, the Ivorian government's numerous appeals to the population to go and get vaccinated seem to indicate a certain mistrust, or even reluctance, on the part of the population with regard to these vaccines (N'Guessan, Kaglan). Priority targets such as health workers, teachers and public security forces did not rush to get vaccinated, so much so that the government quickly extended the program to the entire population. The statistics obtained, as of 21/11/2021, show that 1.18 million people in Côte d'Ivoire are fully vaccinated, i.e. 4.5% of the population (UN Info). In his traditional address to the nation on 31/12/2021, the Head of State mentioned that, to date, some 7 million doses of vaccine had been administered out of a total of some 15 million doses available. What are the opinions and attitudes of the Abidjan population towards vaccination against Covid-19? What are the logics and rationales underlying such behavior among the population? Why such "resistance" to vaccination?
This study aims to explain the opinions and attitudes of the Abidjan population towards vaccination against COVID-19. We hypothesize that the influence of social media combined with negative interpersonal communication towards vaccination is an obstacle to mass acceptance and vaccination of populations against Covid-19. This study is based on Rogers' diffusion theories (221-232) and Dejoy's sequential model of self-protection behavior (6-15). The first theory assumes that people in relationships influence each other when it comes to adopting an innovation. In this case, the negative communication surrounding the Covid-19 vaccine will influence the attitudes of certain subscribers to these social networks, who will end up not adopting the vaccination. The second theory is based on a model originally used in occupational accident prevention, based on four stages: appreciation of the danger, decision-making, initiation of an action and adherence (adoption) to a safety behavior. As soon as the situation is not perceived as a serious threat, the individual takes no protective action. In this case, if the Covid-19 virus is not perceived as a threat to their lives, people would not perceive the need to be vaccinated against Covid-19.
First, we will assess the Abidjan population's knowledge of COVID-19 and vaccination by means of a questionnaire. We will then present their opinions and attitudes towards vaccination. Finally, we will analyze the factors that explain this reluctance to be vaccinated against Covid-19.
- Methodology
1.1 Study area, population and sample
Two (02) communes in the Abidjan district (Yopougon and Cocody) were chosen as the sites for our work. These Abidjan communes were chosen because Yopougon is a densely populated dormitory town. Yopougon is a residential commune, home to many middle-class residents, the residences of the main diplomatic representations and the country's political and administrative elite.
In addition, we chose the non-random sampling method, namely the convenience sample, because we did not have an exact database for this population, and also because these people were easy to reach and willing to take part in the survey. However, for the sake of representativeness, we distributed the respondents across all the sub-neighborhoods of the above-mentioned districts. Also, with non-probability sampling, the researcher has no way of calculating the extent to which his sample represents the population as a whole. In the case of our study, the sample of the surveyed population comprises 85 people (50 inhabitants for the commune of Yopougon (Niangon Sud à Gauche district) and 35 inhabitants for the commune of Cocody (Blockhauss district)), taking into account the population size of each of these two communes. The sample size was determined according to certain financial and time constraints.
1.2 Data collection techniques
For the purposes of this research, we felt it appropriate to use desk research and survey-interrogation as the main data collection techniques. For the documentary study, we used all sources of information (print and online media, social networks, official websites of the Ivorian government and UN agencies, scientific books and articles). Through this diversified documentation, we wanted to obtain as much information as possible on the subject. Whether this information is official or not, whether it comes from Internet users or journalists, whether it is the result of scientific research. What's more, we collected all the statistics we felt would be useful to better explain the subject. As for the survey-interrogation, it consisted in administering a questionnaire aimed primarily at assessing their knowledge of the disease and vaccination. We also used semi-structured interviews focusing on their opinions and attitudes towards coronavirus disease and vaccination against Covid-19. In terms of data analysis, we opted for quantitative analysis, using descriptive statistics to quantify the information contained in the data collected from the respondents. Qualitative analysis, on the other hand, will enable us to focus on the discourse of the respondents. This should help us to better understand and analyze the resulting opinions and attitudes that lead to acceptance or non-acceptance of vaccination against Covid-19. Some questions used a 5-point Likert-type scale, ranging from "strongly agree" to "strongly disagree", to determine participants' opinions and attitudes towards Covid-19 vaccination.
- Results
The results of this work are articulated, firstly, around people's knowledge of Covid-19 and vaccination. Next, we will look at their opinions and attitudes towards vaccination, and finally we will investigate the factors underlying the adoption of these opinions and attitudes.
2.1. Respondents' knowledge of Covid-19 and vaccination
People's knowledge was assessed by means of a questionnaire, the main answers to which are given in the table below.
Table 1: People's knowledge of Covid-19 and vaccination
Knowledge of Covid-19 and the vaccine |
Yes |
No |
I don't know |
|||
N |
% |
N |
% |
N |
% |
|
Have you ever heard of Covid-19? |
85 |
100 |
0 |
0 |
0 |
0 |
Is Covid-19 a fatal infection? |
83 |
98 |
1 |
1 |
1 |
1 |
Is it fatal for the elderly (over 50)? |
80 |
94 |
4 |
5 |
1 |
1 |
Is it deadly for young people and children? |
3 |
4 |
81 |
95 |
1 |
1 |
Do you know the modes of transmission? |
84 |
99 |
0 |
0 |
1 |
1 |
Do you know how to prevent disease? |
84 |
99 |
0 |
0 |
1 |
1 |
Is there a cure without treatment? |
78 |
92 |
7 |
8 |
0 |
0 |
Is there a treatment? |
0 |
0 |
85 |
100 |
0 |
0 |
Did you know that there is a vaccine? |
85 |
100 |
0 |
0 |
0 |
0 |
Is vaccination an effective way of preventing and controlling the disease? |
44 |
52 |
40 |
47 |
1 |
1 |
Are vaccines safe? |
34 |
40 |
50 |
59 |
1 |
1 |
Source: Our September-October 2021 survey
This table shows that our respondents' knowledge of Covid-19 and the vaccine developed to combat it is considerable. Nearly all of them know that the disease exists (100%), that it is dangerous (98%), and that it is transmitted and prevented (99%). What's more, they all know that there is a vaccine and no treatment (100%) for Covid-19. However, barely half (52%) are convinced that this vaccine is effective in preventing the disease, while almost 60% of respondents are not reassured by the safety of these vaccines.
2.2. Sources of information about the disease and vaccination
2.2.1. Sources of information about the disease
The following graph shows the sources of information people have about the disease:
Source: Our September-October 2021 survey
The graph shows that television (35%), the Internet (social networks) (31%) and interpersonal communication (20%) are the main means used by our respondents to access information on the coronavirus disease (Covid-19).
2.2.2 Vaccination information sources
The following graph shows the sources of information people have about the disease:
Source: Our September-October 2021 survey
Looking at this pie chart, it's worth noting that the Internet (social media) is the primary source of information on Covid-19 vaccination (41%), followed by interpersonal communication (26%). These two sources captivate more than 2/3 of respondents by providing them with information on vaccination. These "unofficial" sources of information seem to be favored over "official" sources of information, such as television, the press and radio (33%).
All in all, we can see that, whether on the subject of disease or vaccination, respondents generally trust "unofficial" sources such as social networks and interpersonal communication (Cumulative percentage of 51% for disease and 67% for vaccination) to the detriment of "official sources" (Television, Radio and Press). This could be explained by the fact that these "official sources" are no longer trustworthy, as they only relay information from the political authorities in power, who are also criticized for their lack of transparency in communication and management of many affairs. But more than that, this suspicion (lack of transparency) weighs on many governments around the world, in a context of "global village" where over-communication is exercised through various channels.
2.3 Opinions and attitudes towards vaccination
Our respondents' opinions and attitudes to vaccination are as diverse as they are varied. These opinions are more or less linked to opinions about the disease. So, while for some of our respondents, their opinions on coronavirus disease, and precisely the virus, are in line with current scientific data, this is not the case for many others. For the former, the virus is very dangerous, so it's best to follow the advice of the health authorities. K.K.F (65), a retired civil servant in the commune of Yopougon, testifies:
Personally, I think that the information given to us by our competent authorities on Covid-19 is accurate. What opinion do I have to give that this is an invention by white people to kill black people? Don't those who speak this way see the consequences of this disease for their black brothers in the Caribbean?
All these people, whose opinions are in line with current health knowledge, are in favor of vaccination. They all have a positive attitude towards the vaccine. S.L. (38), who lives in Yopougon and works as a driver for a businessman, confides:
We work a lot with different partners. So, when it started, we were anxious because we could encounter this virus anywhere. As soon as the vaccines arrived in Abidjan and we were told that it was possible, I didn't hesitate for a moment to get vaccinated.
C.L. (48), an executive in a local bank who lives in the commune of Cocody, says it all:
I'm fully vaccinated. I know about the coronavirus because I contracted it. I was on the verge of death because I was fucked up here at the CHU de Cocody. People need to stop fooling around with this very dangerous virus. They need to get vaccinated.
However, these opinions are countered by other respondents who have other opinions contrary to these. It's not uncommon to hear in interviews that the disease has little effect on young people, let alone Africans. For example, K.K.B. (22), a carpenter in the commune of Yopougon, asserts: "This coronavirus business is a white man's business. It's no match for us Africans. Look how it killed them over there! How many people did it kill here? Their business (virus) isn't as dangerous as that". This type of reasoning is shared by many of our interviewees. P.C. (30), who runs a maquis (bistro) in Cocody, adds: "The virus can't stand the heat, especially in our climate. Corona is a white people's disease, and it doesn't kill the youngest. That's what I saw on TV". The opinions of some respondents on vaccination are unfavorable, as they feel it's not worth the effort. Other respondents confided in us that the vaccine was responsible for the death of many vaccinated people (celebrities). S.L. (43), a schoolteacher in Cocody, wonders.
Look, most of the celebrities who died recently from Covid-19 were all vaccinated. Why did they die despite being vaccinated? It's strange, I'm not in favor of this vaccination and I don't intend to have it.
Alongside these two groups of respondents are others who, even if their opinions are in line with health knowledge, are hesitant about vaccination. They have doubts about the reliability of the vaccine. A.I. (35), a computer scientist living in Yopougon, testifies:
I think the speed with which vaccines have been developed means we have to be cautious. For the time being, I refuse to vaccinate myself. We don't know enough about the side effects of this vaccine on those who receive it.
In this study, respondents with a positive opinion of vaccination (34 people or 40%) also have a positive attitude towards vaccination, as they all support vaccination. However, those with an unfavorable opinion of vaccination (50 respondents or 59%) also have a negative attitude towards vaccination. If denial, concealment and trivialization of Covid-19 often lead to non-adherence to barrier measures, or even refusal to accept vaccination, what about the factors underlying such an attitude?
2.4. Factors underlying the adoption of opinions and attitudes
The factors justifying this hesitancy or even refusal to adhere to vaccination are linked to a two-dimensional factual explanation. On the one hand, we have the fact that the rate of contagion is low, as is the number of deaths among people infected with Covid-19. On the other hand, popular beliefs about how to combat the disease reinforce this reluctance.
The relatively low rate of infection and death due to covid-19 (61,581 cases of infected people, including 702 deaths as of 1/11/2021) in Côte d'Ivoire compares with the millions of infected people and hundreds of thousands of deaths in countries such as the United States, Brazil, Italy and France... All of which seems to confirm the intention of many people in the population not to be inoculated with the Covid-19 vaccine. The testimony of M.B.T. (28), a shopkeeper in Cocody, speaks for itself: "Ever since the Covid-19 story broke, look at the figures. Infection and death are almost non-existent among us compared with whites. So why vaccinate me in this context?" It's a fact that the official figures seem to be greatly underestimated (low screening capacity, many people asymptomatic, people generally only go to hospital when the disease is at an advanced stage, whereas Covid-19, like seasonal flu, generally resolves itself...). Covid-19 has certain similarities with malaria, which is widespread in this part of the world, and is often confused with the latter, leading to self-medication with pharmaceutical or phytotherapeutic products. The fears of WHO officials about the damage this pandemic would do in Africa have not been realized, reinforcing the desire of some people not to be vaccinated.
In addition, popular beliefs are a major obstacle to vaccination. In Côte d'Ivoire, as in many African countries, and indeed around the world, there is a widespread belief that certain grandmother's remedies can be used to prevent disease.[4] were effective in preventing and even combating Covid-19. It is not uncommon to hear that eating chilli, garlic and even drinking alcohol, notably Koutoukou (local brandy), are effective against Covid-19. As C.K.T. (36), an upholsterer in the commune of Yopougon, puts it:
Corona medicine, we have that here. You eat a spicy sauce and then drink gbêlê (koutoukou) corona s'en va loin. Even if it's weird (complicated), you take a steam bath with Chinese "mentholateum" (minty balm) and that's it.
Likewise, when these popular beliefs are combined with the disinformation provided by social networks, they generate beliefs that are deeply rooted in the individual's psyche and difficult to shake off. On certain social networks, for example, it is widely believed that people who have been vaccinated have a life expectancy limited to 2 years from the date of inoculation. For Dedy (52), these popular beliefs are "that popular knowledge which conditions, to a greater or lesser degree, the attitude and behaviour of individuals with regard to disease and, in particular, with regard to prevention".
- Discussion
People's opinions and attitudes generally determine behavior, which is merely the visible expression of this whole mental process. In this study, we found that people's opinions and attitudes towards vaccination against Covid-19 are influenced, for the most part, by information gathered from social networks and interpersonal communication (67%). These results confirm the work of Lyu et al (8-12), Luo et al (101712) and Manby et al (5-9). This reluctance, or even refusal, to adopt the vaccine also depends on rumours and other misleading information, but above all on popular beliefs. In this respect, the work of Fridman, Gershon and Gneezy (e0250123), Sallam et al. (42), Chongwang and De Figueiredo et al. (900-906) confirms the negative impact of these beliefs on vaccine uptake in general, but specifically that of Covid-19. These results support Dedy's (50-55) view of the weakness of health awareness in Africa.
Notwithstanding these facts, it is also remarkable that people's distrust of the government's will (imposition of vaccination) combined with certain conspiracy theories (insertion of microscopic chips in vaccines with the aim of controlling the world's population) reinforces, rightly or wrongly, the position of all those people who remain skeptical about Covid-19 vaccines, as Taïeb has already revealed with regard to other vaccines (272-285).
Conclusion
At the end of this study, it should be noted that people's opinions and attitudes to Covid-19 vaccination are strongly influenced by the flood of information in which they are immersed. Most of this information comes from social networks and interpersonal communications, which confirms our initial hypothesis. So, whether they come from official or unofficial sources, they influence and modify the perceptions and beliefs of those who follow them. Beyond the question of vaccines, this study questions the influence of the media, especially social networks, on people's behavior. These social media tend to supplant the information delivered by official communication channels.
The limitations of this study are seen in the weakness of the sample and the representativeness of the sites (one sub-neighborhood per commune, which poses a problem of representativeness, and the fact that two communes were chosen out of the thirteen in the Abidjan district) make it impossible to generalize the results.
Works quoted
Al-Qerem, Walid A. and Anan S Jarab. "COVID-19 Vaccination Acceptance and Its Associated Factors Among a Middle Eastern Population." Frontiers in public health, vol. 9, 632914. Feb. 10, 2021. doi :10.3389/fpubh.2021.632914
Chongwang, Julien. "La vaccination face à la méfiance des populations," Scidev.net, Feb. 26, 2019. https://www.scidev.net/afrique-sub-saharienne/features/26022019-2/.
Dedy, Seri. "SIDA et Société" journal des Sciences Sociales. Programme d'Appui stratégique à la Recherche Scientifique (RSS-PASRES), no. 1, 2013, pp. 44-56.
De Figueiredo, Alexandre et al. "Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study", The Lancet, vol. 1255, no. 396, 2020, pp. 898-908. doi:10.1016/S0140-6736(20)31558-0.
De Freitas, Loren et al. " Public trust, information sources and vaccine willingness related to the COVID-19 pandemic in Trinidad and Tobago: an online cross-sectional survey", The Lancet Regional Health-Americas, vol. 3, 2021, p. 100051. doi:10.1016/j.lana.2021.100051.
Dejoy, David M. "Managing safety in the workplace: An attribution theory analysis and model" Journal of Safety Research, no. 25, 1996, pp. 3-17.
Dereje, Nebiyu et al. "COVID-19 Vaccine hesitancy in Addis Ababa, Ethiopia: A mixed-methods study," medRxiv, 2021. https://doi.org/10.1101/2021.02.25.21252443.
Detoc, Maëlle et al. "Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic", Vaccine, 2020, pp.7002-7006. doi:10.1016/j.vaccine.2020.09.041.
Freeman, Daniel et al. "COVID-19 vaccine hesitancy in the UK: The Oxford coronavirus explanations, attitudes, and narratives survey (Oceans) II", Psychological Medicine, 2020, pp. 1-15. doi://10.1017/S0033291720005188.
Fridman, Ariel et al. "COVID-19 and vaccine hesitancy: A longitudinal study," PLoS ONE, vol. 16, no. 4, 2021, p. e0250123. https://doi.org/10.1371/journal.pone.0250123.
Hajure, Mohammedamin et al. " Attitude Towards COVID-19 Vaccination Among Healthcare Workers: A Systematic Review," Infection and Drug Resistance, vol. 14, 2021, pp. 3883-3897. https://doi.org/10.2147/IDR.S332792.
Kaglan, Erick. "Vaccines against Covid-19: from rejection to shortage, how Côte d'ivoire became a model for managing mistrust," World Bank, Jan. 30, 2021. https://www.banquemondiale.org/fr/news/feature/2021/09/07/covid-19-vaccines-from-rejection-to-shortage-how-c-te-d-ivoire-became-a-model-for-managing-vaccine-hesitancy.
Kuhn, Randall et al. "COVID-19 vaccine access and attitudes among people experiencing homelessness from pilot cell phone survey in Los Angeles, CA" In PLoS ONE, vol. 16, no. 7, 2021, p. e0255246. https://doi.org/10.1371/journal.pone.0255246.
Le Grand Robert/Sejer. "Le Grand Robert de la Langue Française", Electronic Version 2.0. 2003. www.lerobert.com.
Luo, Chen et al. "Exploring public perceptions of the COVID-19 vaccine online from a cultural perspective: Semantic network analysis of two social media platforms in the United States and China", Telematics and informatics, vol. 65, 2021, pp. 101712.
Lyu, Hanjia et al. "Social media study of public opinions on potential COVID-19 vaccines: Informing dissent, disparities, and dissemination," Intelligent Medicine, 2021, https://doi.org/10.1016/j.imed.2021.08.001.
Manby Louisa et al. "Healthcare workers' perceptions and attitudes towards the UK's COVID-19 vaccination programme," medRxiv, 2021. https://doi.org/10.1101/2021.03.30.21254459.
N'guessan, Issiaka. "Côte d'Ivoire: healthcare personnel sulk over Covid-19 vaccination," Scidev.net, Jan. 30, 2021. https://www.scidev.net/afrique-sub-saharienne/scidev-net-at-large/cote-divoire-le-personnel-de-sante-boude-la-vaccination-contre-la-covid-19/.
UN, Info. "Africa: only 15 countries have reached the 10% Covid-19 vaccination target," Un.org, Oct. 5, 2021. https://news.un.org/fr/story/2021/09/1105222.
Rogers, Everett. Diffusion of innovations, 5th edn, Simon & Schuster New York, 2003.
Rosenberg, Milton J. and Hovland Carl I. "Cognitive, Affective and Behavioral Components of Attitudes", Attitude Organization and Change: An Analysis of Consistency among Attitude Components, edited by Rosenberg, Milton J. and Hovland, Carl I., Yale University Press, 1960, pp.1-44.
Roozenbeek, Jon et al. "Susceptibility to misinformation about COVID-19 around the world", Royal Society Open Science, vol.7, 2020, p. 201199. https://dx.doi.org/10.1098/rsos.201199.
Sallam, Malik et al. "High Rates of COVID-19 Vaccine Hesitancy and Its Association with Conspiracy Beliefs: A Study in Jordan and Kuwait among Other Arab Countries", Vaccines, vol. 9, no. 1, 2021, p. 42. doi:10.3390/vaccines9010042.
Sherman Susan M et al. "COVID-19 vaccination intention in the UK: results from the COVID-19 vaccination acceptability study (CoVAccS), a nationally representative cross-sectional survey", Human Vaccine & Immunotherapeutics, vol. 17, no. 6, 2021, pp. 1612-1621. doi://10.1080/21645515.2020.1846397.
Taïeb, Emmanuel. "Logiques politiques du conspirationnisme", Sociologie et Sociétés, no. 42, Tome 2, 2010, pp. 265-289.
Zhu Bi et al. " Brief Exposure to Misinformation Can Lead to Long-Term False Memories," Applied Cognitive Psychology, vol. 26, no. 2, 2011, pp. 301-307. https://doi.org/10.1002/acp.1825.
How to cite this article:
MLA: Gaulithy, Georges. "Opinions and attitudes of the Abidjan population towards vaccination against Covid-19". Uirtus 2.1 (April 2022): 33-50.
- Université Félix Houphouët-Boigny / [email protected];
[1 ] 39.5% of the population lives below the poverty line according to data provided by the World Bank in 2018.
[2] COVAX "The Covid-19 Vaccines Global Access" is a United Nations initiative that aims to collaborate for global and equitable access to vaccines against the COVID-19 virus.
[3] AVAT "The African Vaccine Acquisition Trust" is an initiative of the African Union which aims at the grouped purchase of vaccines by the African Union for the benefit of member countries.
[4] A body of knowledge based on the know-how of elders (grandmothers) that draws its sources from plants and other natural products used to combat various illnesses, and which are said to have proven therapeutic virtues.