Willingness to get vaccinated against Ebola: A mapping of Guinean people positions

Hum Vaccin Immunother. 2018;14(10):2391-2396. doi: 10.1080/21645515.2018.1480236. Epub 2018 Jun 28.

Abstract

Objective: To map the different personal positions of Guinean people regarding vaccination against Ebola.

Methods: From January to April 2016, 304 adults in Guinea were presented with 48 vignettes depicting situations in which getting vaccinated would be possible. These situations varied as a function of the constructs of health-protective behavior theories. The participants indicated the likelihood they would get vaccinated in each case.

Results: Seven qualitatively different positions were found: Always Vaccinate (38%), Never Vaccinate (25%), Hesitant (19%), Depends on Cost Only (7%), Depends on Neighbors' Attitude and Cost (5%), Mainly Depends on Risk (4%), and Mistrust of Cheap Vaccines (2%).

Conclusion: The diversity of Guinean people's positions implies that Ebola vaccination campaigns in Guinea, and probably in other sub-Saharan African countries, must not be "one size fits all," but must be multifaceted and tailored in design and implementation to match the diversity of these people's needs and views.

Keywords: Acceptability; Africa; Ebola vaccine; guinea; vaccination; willingness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Ebola Vaccines / administration & dosage*
  • Female
  • Guinea
  • Hemorrhagic Fever, Ebola / prevention & control*
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Vaccination / psychology*
  • Young Adult

Substances

  • Ebola Vaccines

Grants and funding

This study was funded by a grant from Canada Research Chairs program awarded to LK. Grant number: 950–230745. The funding body had no role in the study or the decision to submit the paper for publication.