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Willingness to acceptance a covid-19 vaccine in nigeria: a population-based cross-sectional study.

Ekaete Alice Tobin, Martha Okonofua, Azuka Azeke, Vivian Ajekweneh, George Akpede

Background: The study aimed to assess the intention to accept a future COVID-19 vaccine in Nigeria and associated factors. Materials and methods: A cross-sectional study was conducted using an online questionnaire between July 2020 and August 2020 that captured demographic data, risk perception, trust in government and public health authorities and willingness to accept a future COVID-19 vaccine. Data were analysed using Statistical Package for Social Science and Chi-square and logistic regression at a 95% confidence interval calculated. Appropriate institutional ethical board approval and informed consent obtained from all participants were obtained. Results: 1,228 responses were received over the study period. The mean age of respondents was 32.8 years (SD 10.4), 12.7% (156/1,228) were health workers, 66.9% (820/1,228) had tertiary level of education. Intention to accept a futur e COVID-19 vaccine was expr essed by 50.2% (617/1,228). Older age, male gender, trust in government, trust in public health authorities, confidence in vaccine developers, willingness to pay for and travel for a vaccine, and vaccination during an were significantly associated with COVID-19 vaccine acceptance. Healthcar e workers and respondents with pr e-existing medical conditions were not significantly differ ent from non-healthcar e workers and persons without medical conditions respectively with regards to the willingness to be vaccinated. Conclusion: One in 2 persons would accept a COVID-19 vaccine when one becomes available in the country . The government should take pro-active steps to address the factors that may potentially impact on the benefits expected from the introduction of a COVID-19 vaccine in the country.