Factors associated with COVID-19 vaccine uptake and hesitancy among women of reproductive age in Mozambique.

Objective: Vaccine hesitancy has become one of the biggest challenges in combating the COVID-19 pandemic globally. This paper aims to determine the factors associated with COVID-19 vaccination and hesitancy among women of reproductive age in Mozambique. Methods: A cross-sectional mobile phone survey was conducted among women ages 15-49 to test the use of mobile phone interviews to collect data on household deaths and other topics related to pregnancy, delivery care, women's empowerment, and COVID-19 vaccination. We calculated COVID-19 vaccination coverage rates, defined as women who received at least one dose of the COVID-19 vaccine, and described reasons for not taking the vaccine. Multivariate logistic regression was used to assess factors associated with COVID-19 vaccine uptake in the study population. All estimates were adjusted using post-adjustment weighting based on the raking approach to redress the sample to be nationally representative. Results: The mobile phone survey response rate was estimated at 39.1% ( Conclusion: Our findings showed high rates of COVID-19 vaccination among women aged 15-49 with social, economic, and residential inequalities. To increase COVID-19 vaccine coverage among women in Mozambique, more effort should be put into vaccinating younger women, uneducated women, and those delivering outside a health facility. More attention should also be given to factors related to vaccine acceptance and hesitancy in Mozambique.