Vaccine hesitancy: Beliefs and barriers associated with COVID-19 vaccination among the general population in Sudan

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Abdulaziz Al-bashir Yousif
Mahgoub Mohammed Elhassan Faragalla
Einass Ezzeldeen Syed Taha
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Napata College
Background: Vaccine hesitancy is a complex public health issue referring to concerns about the safety, efficacy or need for vaccination. There is a huge gap of information about the vaccine hesitancy, beliefs and barriers associated with COVID-19 vaccination among the general population in Sudan. Therefore, this study aimed to contribute to filling this gap by investigating the perception and awareness of Sudanese towards the intake of COVID-19 vaccine and determine the underpinning believes. Materials and Methods: An online, cross-sectional, and self-administered questionnaire was instrumentalized to survey adult participants from Sudan on the acceptability of COVID-19 vaccine. Results: Total of participants were 369, (133 were males and 236 were females). The public acceptability of COVID-19 vaccines was (64.4%) in Sudan. Vaccination (“Accept” and “Not accept”) to COVID-19 vaccine was predicting through a logistic regression model (Y=2.963+0.641*Agegroups+0.147*Gender+0.484*Educationallevel+0.070*Area+0.449*Chronic illness-0.071*Belief score (%)). The model revealed that Belief score (%) was statistically significant with p-value of respectively 0.210, 0.617, 0.307and 0.295. The area of living was not value of 0.000001. Age, gender, education level and chronic illness despite their contribution to the model were not statistically significant (p=0.885) and contribution to the model was minimum with 0.070. Conclusions: A high prevalence of refusal and hesitancy about COVID-19 vaccination in Sudanese population was observed in the study. The safety concern seemed to be the main reason for the unwillingness to accept vaccines.