Factors associated with the opposition to COVID-19 vaccination certificates: A multi-country observational study from Asia

Kc, Sarin; Faradiba, Dian; Sittimart, Manit; Isaranuwatchai, Wanrudee; Ananthakrishnan, Aparna; Rachatan, Chayapat; Dabak, Saudamini Vishwanath; Shafie, Asrul Akmal; Guerrero, Anna Melissa; Suwantika, Auliya A.; Kang, Gagandeep; Ahn, Jae Youn; Hsu, Li Yang; Mayxay, Mayfong; Howard, Natasha; Wattanasri, Parinda; Nakamura, Ryota; George, Tarun K; Teerawattananon, Yot

doi:10.1016/j.tmaid.2022.102358

Cited by 6 publications

(9 citation statements)

References 31 publications

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“…While the concept of vaccination certificates is not necessarily novel, the current COVID-19 crisis has been distinct in its display of fragmentation and politicisation of vaccines and related instruments. Our public sample demonstrates this conflict, with data showing that those more inclined to receive COVID-19 vaccines are much more likely to accept the adoption of CVCs [5]. A similar understanding was inferred in a study from the United States on public understanding for vaccine passports [9].…”

Section: Acceptance Of Cvcssupporting

confidence: 76%

“…Proof of vaccination, often referred to as vaccine or immunity passports, has been in routine use for several years to lower infectious disease risk in different settings [1][2][3][4][5][6][7][8]. These instruments have been critical not just as public health measures, but as a means to sustain economies and communities.…”

Section: Acceptance Of Cvcsmentioning

confidence: 99%

“…Countries are using these certificates for multiple requirements, including cross-border travel, entry into community events and gatherings, and resuming in-person employment. Existing studies have highlighted that certain requirements are much more acceptable among the public; for example, using CVCs for foreign travel rather than for resuming in-person education or employment [4,5]. Such differences have made the uniform operationalisation of these instruments challenging.…”

Section: Introductionmentioning

confidence: 99%

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Receptiveness of and Implementation Considerations for COVID-19 Vaccination Certificates in Asia: A Survey Across 9 Countries

Ananthakrishnan¹,

Rachatan²,

Faradiba³

et al. 2022

Preprint

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COVID-19 vaccination certificates (CVCs) have played a key role in safe reopening of borders for international travel and trade, so understanding key stakeholder perceptions of enablers and barriers for their effective use is critical. The COVID-19 Vaccination Policy Research and Deci-sion-Support Initiative in Asia (CORESIA) was established to address policy questions related to CVCs. We conducted two online surveys, i.e., one for the public and one for health and non-health sector experts, from June to October 2021 in nine Asian countries. Descriptive analysis identified participants, enablers, and barriers. Most participants (78% public, 89% experts) accepted the use of CVCs, primarily to resume international travel (76%). Most respondents in both surveys wanted the minimum vaccination coverage to be 60% before CVCs were implemented nation-wide. Most of the public (82%) agreed to maintain existing non-pharmaceutical interventions, while most experts wanted risk-based testing and quarantine policy for incoming travellers (51%) and both digital and paper format CVCs (64%). Support for CVCs for international travel remains high in Asia. Recognising key enablers and barriers for effective use of CVCs from COVID-19 pandemic may help policymakers draft effective border policies for future epidemics.

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Section: Acceptance Of Cvcssupporting

confidence: 76%

Section: Acceptance Of Cvcsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Receptiveness of and Implementation Considerations for COVID-19 Vaccination Certificates in Asia: A Survey Across 9 Countries

Ananthakrishnan¹,

Rachatan²,

Faradiba³

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

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“…These types of consensus-building across prioritization and decision-making processes are vital and must be transparently communicated to broader stakeholder groups such as the public through open lines of communication. Another recent example is a regional study from Asia which analysed vaccine certification uptake through public and institutional surveys, allowing citizen participation and support for government policy-making on the issue from these results [ 34 ]. This builds confidence in and bolsters the government’s efforts to address challenging healthcare needs during emergencies.…”

Section: Introductionmentioning

confidence: 99%

How can health technology assessment support our response to public health emergencies?

Ananthakrishnan

Luz

et al. 2022

Health Res Policy Sys

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Public health emergencies (PHEs), such as the COVID-19 crisis, are threats to global health and public order. We recommend that countries bolster their PHE responses by investing in health technology assessment (HTA), defined as a systematic process of gathering pertinent information on and evaluating health technologies from a medical, economic, social and ethical standpoint. We present examples of how HTA organizations in low- and middle-income countries have adapted to supporting PHE-related decisions during COVID-19 and describe the ways HTA can help the response to a PHE. In turn, we advocate for HTA capacity to be further developed globally and for increased institutional acceptance of these methods as a building block for preparedness and response to future PHEs. Finally, the long-term potential of HTA in strengthening health systems and embedding confidence and transparency into scientific policy should be recognized.

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“…This matters not only because levels of acceptability may critically affect the effectiveness of the health policy measure but also because accountable governments need to be aware of public attitudes if they want to act in a way that takes into consideration the population's doubts and feelings. Indeed, the public following or adhering to health policies or guidelines does not imply an automatic process of acceptance; on the contrary, according to other studies in this field, people's adoption of public health measures is intertwined with individuals' characteristics-such as socio-demographics [4][5][6][7][8][9][10][11], COVID-19-related health status [6,8], attitudes towards vaccination [12], political orientation [4,6,13], health risk perception [7], and trust in institutions [8,14]-and attitudes towards such mandates in terms of potential perceived benefits or harms that they may provide them.…”

Section: Introductionmentioning

confidence: 99%

Public Perceptions of Harms and Benefit of COVID-19 Immunity Certificate: A Cross-Sectional Study in the Italian Setting

et al. 2022

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A cross-sectional survey between 29 January 2022 and 3 February 2022 was conducted to understand the public rationale for accepting or rejecting the use of COVID-19 immunity certificates and to identify the psychosocial factors that mostly predict the positive/negative individuals’ perceptions of this measure. One thousand twenty-two Italian adults were recruited by a professional panel provider by employing a stratified sampling strategy controlled for gender, age, geographical area of residence, size of the urban centre of residence, employment, and wage. Eight Welch’s ANOVAs were then carried out to compare the perception of benefits and the perception of harms among different population groups. Multiple linear regression was carried out to measure the explained variance of benefits perception and harms perception by age, trust in institutions, and concern for health emergencies. The results shows that age, trust in institution, and concern for the COVID-19 emergency explain more variance of perceived benefits than of perceived harms of COVID-19 immunity certificates but the opposite regarding political orientation which explains perceived harms better than perceived benefits. The need for policy improvements is pressing because a large share of the world’s population remains unvaccinated. Moreover, our results can serve as vital information for similar health crises that may occur in the future. In addition, our results are expected to offer useful insights into public feelings around the use of digital health information tools.

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Factors associated with the opposition to COVID-19 vaccination certificates: A multi-country observational study from Asia

Cited by 6 publications

References 31 publications

Receptiveness of and Implementation Considerations for COVID-19 Vaccination Certificates in Asia: A Survey Across 9 Countries

Receptiveness of and Implementation Considerations for COVID-19 Vaccination Certificates in Asia: A Survey Across 9 Countries

How can health technology assessment support our response to public health emergencies?

Public Perceptions of Harms and Benefit of COVID-19 Immunity Certificate: A Cross-Sectional Study in the Italian Setting

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