Community perceptions and willingness to participate in COVID-19 vaccine trials: a qualitative study in Northern Ghana

S. Chatio, N. Ansah, E. Nonterah, Oscar Bangre, D. Awuni, Irene Kuwolamo, Victor Asoala, Patrick Ansah
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Abstract

Background: Several COVID-19 vaccines were developed and are being tested to find effective vaccine to control the COVID-19 pandemic. The Navrongo health research centre was engaged to conduct trials on the safety and efficacy of some of the COVID-19 vaccines to inform policy in Ghana. This study explored perceptions and willingness to participate in the COVID-19 vaccine trials that were conducted in the Kassena-Nankana districts of Northen Ghana. Methods: This study used qualitative research approach where 10 focus group discussions and 30 in-depth interviews were conducted with participants. The data were coded into themes using QSR NVivo 12 software before thematic analysis. Results: The majority of participants perceived that the COVID-19 vaccine trial was a good initiative, which had helped people to get access to the vaccines to boost their immunity against the virus. However, some participants felt that it was not appropriate for NHRC to conduct the trials because of the perceived risks associated with the vaccines. Most participants said they were ready to participate in the trials if they were invited with many of them mentioning good health and compensation as the main factors that could influence their decision. Nonetheless, a good number of them maintained that they were not ready to participate because of perceived risks resulting from receiving the COVID-19 vaccines. Conclusion: Our recommendation is that effective community engagement strategies by researchers such as collaborating with key community leaders, to actively get involved during community education prior to conducting clinical trials, could improve understanding and participation.
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社区对 COVID-19 疫苗试验的看法和参与意愿:加纳北部定性研究
背景:为了找到控制 COVID-19 大流行的有效疫苗,加纳开发并测试了多种 COVID-19 疫苗。纳夫龙戈健康研究中心受聘对一些 COVID-19 疫苗的安全性和有效性进行试验,为加纳的政策提供依据。本研究探讨了加纳北部卡塞纳-南卡纳地区对 COVID-19 疫苗试验的看法和参与意愿:本研究采用定性研究方法,对参与者进行了 10 次焦点小组讨论和 30 次深入访谈。在进行主题分析之前,使用 QSR NVivo 12 软件对数据进行了主题编码:大多数参与者认为 COVID-19 疫苗试验是一项很好的举措,它帮助人们获得了疫苗,增强了他们对病毒的免疫力。然而,一些参与者认为国家人权委员会进行试验并不合适,因为他们认为疫苗存在风险。大多数参与者表示,如果受到邀请,他们愿意参加试验,其中许多人提到健康状况良好和补偿是影响他们做出决定的主要因素。尽管如此,他们中仍有很多人坚持认为自己还没有准备好参加试验,因为他们认为接种 COVID-19 疫苗会带来风险:我们的建议是,研究人员采取有效的社区参与策略,如与主要社区领袖合作,在开展临床试验前积极参与社区教育,可以提高人们的理解和参与度。
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