COVID-19 vaccination hesitancy among Malawians: a scoping review.

Publication date: Feb 28, 2024

The best chance of eradicating the COVID-19 pandemic lies in a successful vaccination campaign against the virus. There is still hesitancy among some of the Malawians over the use of COVID-19 vaccines that are readily available. This review’s objective was to currently analyze COVID-19 vaccination hesitancy among Malawians. This scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews. An electronic database search was performed using CINAHL, OVID Medline, PubMed, and Google Scholar for studies published between January 1, 2020, and July 10, 2023, on the topic of reluctance toward COVID-19 vaccine in Malawi. A review of the journal titles and abstracts was performed to establish a match within the selection criteria. Based on the parameters of interest, this paper included publications that explicitly mentioned COVID-19 vaccine hesitancy in Malawi. A total of seven articles were identified as meeting the inclusion criteria. Some of the eligible Malawian population’s poor response to COVID-19 vaccination was due to hesitancy. Misinformation is primarily to blame for COVID-19 vaccine reluctance. COVID-19 vaccines are viewed as dangerous or intended to cause harm such as the myth that the COVID-19 vaccine would cause infertility, severe disability, and even death. The review revealed that some people choose not to receive vaccines due to religious convictions and beliefs. Some individuals also think that getting the COVID-19 vaccine could result in receiving a triple-six (666) mark from the devil. There were also reports that the COVID-19 vaccination is being considered experimental and ineffective. The Malawi government should focus on fear and misinformation regarding COVID-19 vaccination campaigns, using interventions, motivational interviews, and individual sensitization. Traditional, religious, and youth-led organizations should provide practical information on COVID-19 vaccine safety and efficacy.

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Concepts Keywords
Google COVID-19
July COVID-19 vaccine hesitancy
Malawian Malawi
Vaccine Scoping review


Type Source Name
disease MESH COVID-19
disease VO vaccination
disease VO COVID-19 vaccine
disease VO population
disease MESH infertility
disease MESH death
disease VO ineffective
pathway REACTOME Reproduction
disease VO vaccine
disease VO organization
disease VO immunization
drug DRUGBANK Pentaerythritol tetranitrate
disease VO vaccinated
drug DRUGBANK Coenzyme M
disease VO vaccination dose
disease MESH asthma
pathway KEGG Asthma
disease VO dose
disease IDO process
drug DRUGBANK Indoleacetic acid
disease MESH blood clots
disease MESH infection
disease VO efficiency
disease VO time
disease MESH non communicable diseases
disease VO age
disease MESH complications
disease VO monthly
drug DRUGBANK Iron
disease VO effective
drug DRUGBANK Vibrio cholerae CVD 103-HgR strain live antigen
drug DRUGBANK Spinosad
drug DRUGBANK Cysteamine
disease VO report
disease IDO country
disease VO vaccine efficacy
disease VO coronavirus vaccine
disease IDO intervention

Original Article

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