Qualitative data on the factors underlying the willingness to receive and barriers to receiving the COVID-19 vaccine were scant in the literature. Therefore, the authors employed a qualitative design with a heterogeneous sample of 60 residents (age range = 18-79 years) in the UK and Nigeria to explore the factors underlying their willingness to receive and barriers to receiving the COVID-19 vaccine. The thematic analysis was employed to analyze data. The results revealed that only a small number of the participants had received the COVID-19 vaccine; they experienced soreness and itchiness, and their motive for receiving the vaccine was its availability. The participants who had not received the vaccine reported the following as determinants of their willingness to receive the vaccine: "concerns about the side/adverse effect", "the perceived benefit of receiving the vaccine", "mistrust (in the pharmaceutical companies that produced the vaccine, the vaccine itself, or governments)", "the need for clarity of information on the vaccine", and "moral obligation to receive the vaccine". The participants who had not received the vaccine further reported the following as other barriers that limit them from receiving the vaccine: "unavailability of the vaccine in the country of residence", "non-membership to a high-risk group", and "membership to a minority group". In terms of what governments can do to encourage public uptake of the vaccine, many participants reported: "provide clear information on the COVID-19 vaccine", "endorsement by public figures", "make the vaccine free to receive", "introduce rewards and punishments", and "honesty from governments". Implications for practice are highlighted. Keywords COVID-19 vaccine • Willingness to vaccinate • Barriers to vaccinate • General public • The UK • Nigeria * Ifeanyichukwu Anthony Ogueji
The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global health emergency. As a novel condition, there is no known definitive treatment for the condition, except for the use of vaccines as a control measure. In the literature, the issue of inequalities in healthcare systems has been documented as a hindrance to COVID-19 vaccination; however, the specific inequalities in healthcare systems that hinder COVID-19 vaccination are poorly understood. Guided by the fundamental cause theory (FCT), this study aims to address this gap among Black people, a minority group vulnerable to inequalities in healthcare systems. Thirty-five Black people (age range = 21-58 years) residing in either the United States of America (USA) or the United Kingdom (UK) participated in this study. Qualitative data were collected and analyzed using thematic analysis. Most USA participants and a few UK participants narrated that no inequalities in healthcare systems hinder them from receiving COVID-19 vaccines. Contrarily, most UK participants and a few USA participants narrated inequalities in healthcare systems that hinder them from receiving COVID-19 vaccines. These are mistrust of the healthcare system, health policies regarding COVID-19 vaccination, historical factors (such as historical abuse of Black bodies by health professionals), residential location, and dissatisfaction with health services. In terms of what governments must do to correct these inequalities, participants recommended the need for acknowledgment and community engagement. This is the first international collaboration to examine this problem. Important implications for theory, healthcare systems, and COVID-19 vaccination program planning are highlighted. Finally, there are members of other minority groups and vulnerable communities who are not Black people. Such groups could face unique inequalities that hinder COVID-19 vaccination. Therefore, future studies should include such groups.
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