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Vaccine hesitancy higher in women than men


By Sharon Atieno

Though African countries are struggling to secure more COVID-19 vaccine doses for their populace, vaccine hesitancy remains a major challenge. 

Regionally, vaccination rates remain low with less than two per cent of the population having received complete vaccination, according to the Africa Centres for Disease Control and Prevention (Africa CDC). So far, only about five per cent of the population have received the first vaccine.

Despite difficulties in accessing vaccines, vaccine hesitancy- the refusal or delayed acceptance to be vaccinated – has been highlighted as one of the main reasons for the low turnout in Africa. 

A 2020 Africa CDC survey in 15 countries found that while 79 per cent of respondents would take a COVID-19 vaccine, vaccine hesitancy ranged from four to 38 per cent. In a recent five-country Afrobarometer, six out of 10 citizens in Benin, Liberia, Niger, Senegal and Togo were hesitant to get vaccinated.  

Shockingly, studies in the region have proven that women are more hesitant to take the COVID-19 vaccines as opposed to their male counterparts. 

Studies show women are more hesitant

A 2021 study carried out in Ghana by the University of Southampton found that the odds of hesitancy were almost two times higher in females than in males. In Kenya, an Amref Health Africa study among the youth shows similar results.

Esther Wanja. Photos/Sharon Atieno

Esther Wanja, a resident of Kibera estate in Nairobi city, is among the women who are unwilling to be vaccinated. She is worried that if she gets the vaccine, she may die and leave her children. 

“I have heard that when you’re vaccinated there are no immediate side effects, but after two years they start showing,” Wanja notes. 

“All the government does is to push us to take the vaccine, but nobody is coming to the ground to explain to us why we really need to take this vaccine. We can’t be vaccinated just because people are being vaccinated, we have to have the correct information.” 

Veronica Ajiambo’s case is different. The mother of four is in denial about the existence of COVID-19 disease in her area. She is waiting to be shown a COVID-19 patient in a weak and sickly state for her to know that the disease exists, otherwise she does not see the need to be vaccinated.

Besides, Ajiambo notes that widespread claims around the vaccine‘s use to reduce the population of Africans or the vaccine being labelled as fake, is not helping the situation.

Covid situation as per August 24, 2021

Prof Joachim Osur, Vice Chancellor, Amref International University, observes that what fuels the difference in hesitancy between men and women is their source of information. While men tend to get information from radio and television, majority of women tend to rely on social media, he said.

Herd immunity

Prof Osur notes that for the vaccination drive to be successful and for herd immunity to be achieved, it is crucial to increase uptake of vaccine among the women.

“The pandemic will only end when herd immunity is achieved, this can only be done if between 60-80% of the population is vaccinated. Women are almost half the population so we are all not safe until women get vaccinated,” he said.

Prof Osur warned of dire consequences if a section of the population is not vaccinated. This includes the risk of the virus mutating, paving way to variants which are worse than the Delta variant. 

Veronica Ajiambo playing with her one year old daughter.

He said that in order to increase vaccine uptake among women, there is need for better vaccination messaging which proactively targets women as well as better use of social media to promote positive health information to counter the negative ones.

Kenya’s Ministry of Health has on its part adopted a community-centred approach to ensure the correct information reaches households.

It has since partnered with community-based organisations in efforts to demystify myths and misconceptions around Covid-19. This has seen about 60,000 community health volunteers trained and deployed across the 47 counties.

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