IIARD International Institute of Academic Research and Development

INTERNATIONAL JOURNAL OF HEALTH AND PHARMACEUTICAL RESEARCH (IJHPR )

E-ISSN 2545-5737
P-ISSN 2695-2165
VOL. 9 NO. 1 2024
DOI: https://doi.org/10.56201/ijhpr.v9.no1.2024.pg70.81

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“I Know, but…”: Unpacking the Complex Drivers of Vaccine Hesitancy Among the Highly Educated

Alfred Addy, Joseph Kweku Mac-Yalley, Evans Kwadwo Kyeremeh, Ignatius Appiah Acheampong, George Benneh Mensah

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Abstract

Objective: Diagnose drivers of disproportionate COVID-19 vaccine hesitancy among educated Ghanaians integrating theoretical frameworks and health systems perspectives. Method: Expanded analysis blending Health Belief, Transtheoretical, Planned Behavior models and Structure-Process-Outcome constructs with scholarly literature, case studies and Public Health Act scrutiny. Results: Multifaceted attitudinal, normative, informational, digital, procedural and policy barriers worsen tertiary-level reluctance trends. Risk/benefit miscalculations coupled with safety misconceptions persist amid unchecked social media falsehoods. Access hurdles, political sensitivities around enforcement and lacking messaging relevance further sustain hesitancy. Conclusions: Overcoming complexity necessitates coordinated communication, convenience/access, regulation and mandate interventions tailored to educate groups’ mindsets and trusted information channels. Recommendations: Context-specific policy reforms addressing risk perceptions, social media governance, registration/delivery pathways and Public Health Act applicability can promote vaccination intentions and behaviors among qualified Ghanaians. Contributions: Granular framework integrating behavioral models with digitization, procedural and policy perspectives to inform tailored reluctance interventions for educated sub-populations. Significance: Advancing vaccine equity and epidemic preparedness in Ghana via evidence-based promotion strategies targeting influential hesitant demographic.

keywords:

COVID-19 vaccine hesitancy, Educated Ghanaians, Health Belief Model, Vaccine behavior change, Vaccine access barriers

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Armah-Attoh, D., Selormey, E., Houessou, R., Laari, J., Dzudzor, M., & Binkpits, B. (2021).
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