ArticleNarra J2022
Willingness-to-pay for COVID-19 vaccine in ten low-middle-income countries in Asia, Africa and South America: A cross-sectional study.
Article in Narra J, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Prevalence and Determinants of COVID-19 Vaccine Acceptance Among Healthcare Workers: A Systematic Review.Frontiers in public health · 2022Pooled it
- Willingness to Pay for the COVID-19 Vaccine and Its Correlates in Bangladesh: Cross-Sectional Study.JMIRx med · 2025Article
- Psychological Impact of COVID-19 on Redeployed Nurses in China: A Cross-Sectional Survey.Nursing open · 2025Article
- Factors associated with influenza and COVID-19 vaccination among health workers in Lao PDR, 2023.Vaccine · 2025Article
- Covid-19 vaccination coverage and associated factors among older hypertensive patients in Hangzhou, China.International health · 2025Article
- Socioeconomic conditions exacerbated by the coronavirus in the Eastern Cape province of South Africa.Frontiers in public health · 2025Article
- Cost-based COVID-19 vaccination and willingness to pay: A post-pandemic review.Human vaccines & immunotherapeutics · 2024Review
- Attitudes, motivators, and barriers toward influenza vaccination for children: a study from a conflict-ridden country.Conflict and health · 2024Article
- A study on the factors influencing the intention to receive booster shots of the COVID-19 vaccine in China based on the information frame effect.Frontiers in public health · 2024Article
- Parents' willingness to pay for COVID-19 vaccination for children in Malaysia using the contingent valuation method.Narra J · 2023Article
- Willingness to pay for a COVID-19 vaccine and its associated determinants in Iran.Frontiers in public health · 2023Article
- COVID-19 Vaccine Perspective Among University Lecturers and Students: A Qualitative Study of Pre Implementation of Vaccination.Journal of multidisciplinary healthcare · 2023Article
- SARS-CoV-2 Omicron and its current known unknowns: A narrative review.Reviews in medical virology · 2023Review
- Willingness to Pay (WTP) for COVID-19 Vaccine Booster Dose and Its Determinants in Indonesia.Infectious disease reports · 2022Article
- The main decision-making competence for willingness-to-pay towards COVID-19 vaccination: a family-based study in Taizhou, China.Annals of medicine · 2022Article
- Article
- Global Prevalence and Potential Influencing Factors of COVID-19 Vaccination Hesitancy: A Meta-Analysis.Vaccines · 2022Review
- Influencing factor of COVID-19 vaccination trust and hesitancy in Wonju city, South Korea.PloS one · 2022Article
- Hesitancy and reactogenicity to mRNA-based COVID-19 vaccines-Early experience with vaccine rollout in a multi-site healthcare system.PloS one · 2022Article
- Article
Corrections and comments
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Authors and funding
50 authors at 20 institutions in 17 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vaccine hesitancy is considered as one of the greatest challenges to control the ongoing coronavirus disease 2019 (COVID-19) pandemic. A related challenge is the unwillingness of the general public to pay for vaccination. The objective of this study was to determine willingness-to-pay (WTP) for COVID-19 vaccine among individuals from ten low- middle-income countries (LMICs) in Asia, Africa, and South America. Data were collected using an online questionnaire distributed during February - May 2021 in ten LMICs (Bangladesh, Brazil, Chile, Egypt, India, Iran, Nigeria, Pakistan, Sudan, and Tunisia). The major response variable of in this study was WTP for a COVID-19 vaccine. The assessment of COVID-19 vaccine hesitancy was based on items adopted from the World Health Organization (WHO) Strategic Advisory Group of Experts (SAGE) vaccine hesitancy scale constructs. In this study, 1337 respondents included in the final analysis where the highest number of respondents was from India, while the lowest number was from Egypt. A total of 88.9% (1188/1337) respondents were willing to pay for the COVID-19 vaccination, and 11.1% (149/1337) were not. The average WTP for COVID-19 vaccination was 87.9 US dollars ($), (range: $5-$200). The multivariate model analysis showed that the country, monthly household income, having a history of respiratory disease, the agreement that routine vaccines recommended by health workers are beneficial and having received the flu vaccination within the previous 12 months were strongly associated with the WTP. Based on the country of origin, the highest mean WTP for COVID-19 vaccine was reported in Chile, while the lowest mean WTP for the vaccine was seen among the respondents from Sudan. The availability of free COVID-19 vaccination services appears as a top priority in the LMICs for successful control of the ongoing pandemic. This is particularly important for individuals of a lower socio- economic status. The effects of complacency regarding COVID-19 extends beyond vaccine hesitancy to involve less willingness to pay for COVID-19 vaccine and a lower value of WTP for the vaccine.
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