ArticleMedecine tropicale et sante internationale2025
[Factors associated with acceptance of COVID-19 vaccination in the Kokolo health zone in Kinshasa, Democratic Republic of Congo (DRC)].
Article in Medecine tropicale et sante internationale, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Context: Vaccination is a key preventive strategy in the response to the SARS-CoV-2 pandemic. However, ensuring vaccination adherence remains challenging, particularly in the Kokolo health zone (HZ) in Kinshasa, Democratic Republic of the Congo (DRC), where vaccination coverage remains below 40%. This study aims to identify the factors influencing acceptance of the vaccine among heads of households or their spouses. Methodology: From January 2021 to December 2024, a cross-sectional analytical study was conducted among 399 heads of households (or spouses) selected by three-stage probability sampling. Data were collected through interviews using a structured questionnaire on the Results: Overall, the HZ population reported having heard of both the COVID-19 and its vaccination. Among those surveyed, 79.9% (319 out of 399) considered the vaccine to be effective. The main reasons for not accepting vaccination were never having seen a death or reported case of the disease in the HZ. In a multivariate analysis, acceptance of the vaccine was associated with military service and knowledge of the disease and existing vaccines. Conclusion: When developing strategies to promote Covid-19 vaccination acceptance, knowledge about the disease and existing vaccination, the involvement of political and administrative authorities, military authorities, and community leaders, awareness-raising, and the organization of nearby vaccination sites must be taken into account. Media is the main channel for information and awareness-raising in this HZ.
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