Coronavirus (1465) Knowledge, Attitudes, Practices and Vaccination Hesitancy in Tanzania

22 June, 2022

HIFA is grateful to the Global Health Academy at the University of Edinburgh for supporting this ongoing discussion on COVID-19, information and misinformation. Here is our 1,465th message in this thread! You can read our analysis of the first 865 messages in the Journal of Medical Internet Research Innovation

Citation, abstract and a comment from me below.

CITATION: COVID-19 Knowledge, Attitudes, Practices and Vaccination Hesitancy in Moshi, Kilimanjaro Region, Northern Tanzania

Jaffu Othniel Chilongola et al. Tanzania Journal of Medical Research 2022


Background: The COVID-19 vaccinations have reignited optimism in many cultures devastated by the pandemic's tremendous loss of lives and livelihoods. Vaccination hesitancy is a critical and growing international problem in the global effort to manage the COVID-19 pandemic. To successfully handle vaccination hesitancy concerns, it is necessary to understand the levels of knowledge, attitudes, and behaviors on COVID-19. The purpose of this study was to understand people’s knowledge, behaviors, and attitudes about COVID 19 and its related vaccines.

Methods: In October 2021, a cross-sectional study with 232 participants was conducted. A standardized interviewer-administered questionnaire was used to collect data.

Results: Most respondents in the present survey heard about COVID-19 between January and March 2020. Social media and newspapers are the most effective sources of information on COVID-19, reaching 34.48 % of the population. Basic COVID-19 knowledge was reported to be moderate. Nearly half of the respondents (48.3 %) thought SARSCOV-2 was man-made, while 36.21 % were unsure. Good preventive behaviors were indicated by 49.14 % of subjects. Overall, we find that around 65 % of people are reluctant to get vaccinated against COVID-19. Male gender, low education, and occupation were shown to be more hesitant about vaccination. In this study, healthcare workers were averse to getting the COVID-19 vaccine. The reasons for vaccination hesitation were "unknown safety" of the vaccines (17.4 %) and "unknown long-term consequences" of the vaccines (18.97 %). Almost a third (27.59 %) of those interviewed said they had no intention of being vaccinated.

Conclusion: We report moderate knowledge on COVID-19, as well as effective preventive practices, but negative attitudes regarding COVID-19 vaccination, resulting in low vaccination rates of 6.9%. Misinformation regarding COVID-19 appears to play a key role in vaccination reluctance.

COMMENT (NPW): On HIFA we have learned about several national/local studies of knowledge and attitudes to COVID-19 vaccination. It would be interesting to see a comparative analysis across different countries and continents.

Best wishes, Neil

Neil Pakenham-Walsh, Global Coordinator HIFA,

Working in official relations with WHO