Main Article Content
Abstract
Background: Vaccination programs are critical in controlling the spread of viral diseases worldwide. The COVID-19 pandemic underscored the critical role of vaccines. Achieving widespread immunization is significantly challenged by vaccine hesitancy, particularly concerns regarding potential risks. The perceptions of Kenyans regarding the risks of COVID-19 vaccines were explored in this scoping review.
Methods: The Arksey and O’Malley framework and the Joanna Briggs Institute methodology were used. A search strategy was developed to identify peer-reviewed publications and relevant grey literature from electronic databases and Google. Identified articles were screened using inclusion and exclusion criteria. Data was extracted from and analyzed to identify themes.
Results: Twenty-eight articles were included in the scoping review. The most common themes leading to vaccine hesitancy among Kenyans were vaccine safety, vaccine side effects, and lack of knowledge about COVID-19 vaccines. Four other themes were identified and discussed.
Conclusion: This review adds to our understanding of the factors influencing vaccine hesitancy during public health emergencies in Kenya. Public health messaging should prioritize addressing these concerns while also advocating for equitable access to the benefits of vaccination.
Keywords
Article Details
Copyright (c) 2024 Faith Anyango Ochieng’, Dónal O'Mathuna
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
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- Al Jazeera. (2021). Kenya’s High Court Suspends Mandatory Covid Vaccination Order. https://www.aljazeera.com/news/2021/12/14/kenyan-court-suspends-mandatory-vaccination-order
- Bodine, F. (2021, May 28). Report: Covid-19 Vaccine Perceptions and Hesitancy in Sub-Saharan Africa. GeoPoll. https://www.geopoll.com/blog/covid-vaccine-perceptions/
- Bosire, E., Cho, A., Kamau, L. W., Bosire, V. K., & Mendenhall, E. (2023). Views on COVID-19 Vaccination among Residents of Eldoret, Kenya During the 2021 Vaccine Rollout. Global Public Health, 18(1). https://doi.org/10.1080/17441692.2023.2278877
- Colgrove, J. (2023). Coercion and its discontents: The Promise and Peril of Increasingly Restrictive Vaccination Mandates Comment on “Convergence on Coercion: Functional and Political Pressures as Drivers of Global Childhood Vaccine Mandates.” International Journal of Health Policy and Management, 12, 7617. https://doi.org/10.34172/ijhpm.2023.7617
- Dena, S. (2022). Assessing the Public Perceptions Around COVID-19 Vaccine within the University of Eldoret Community Using WhatsApp Focus Groups. https://doi.org/10.14293/s2199-1006.1.sor-.ppv0kmd.v1
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- Hasanzad, M., Namazi, H., & Larijani, B. (2022). Covid-19 Anti-Vaccine Attitude and Hesitancy. Journal of Diabetes & Metabolic Disorders, 22(1), 1–4. https://doi:10.1007/s40200-022-01018-y
- Human Rights Watch. (2022). Kenya: Vaccine Requirements Violate Rights. https://www.hrw.org/news/2021/12/13/kenya-vaccine-requirements-violate-rights
- Josphat, M., Moraro, R., Omogi, J., Alasmari, A., Kanyangi, L., Mwema, R., Simiyu, S., & Kosgei, S. (2023). Behavioral and Social Predictors of COVID-19 Vaccine Uptake among Persons with Disabilities in Kenya. https://doi.org/10.1101/2023.10.03.23296513
- Karanja-Chege, C. M. (2022). HPV vaccination in Kenya: The Challenges Faced and Strategies to Increase Uptake. Frontiers in Public Health, 10. doi:10.3389/fpubh.2022.802947
- Kilima, J. I., Morema, E. N., & Ochieng, E. O. (2023). Uptake of COVID-19 Vaccination among Healthcare Providers in Busia County in Kenya. Evidence-Based Nursing Research, 5(4), 46–57. https://doi.org/10.47104/ebnrojs3.v5i4.312
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- Mills, M., Rahal, C., Brazel, D., Yan, J., & Gieysztor, S. (2020). COVID-19 Vaccine Deployment: Behaviour, Ethics, Misinformation, and Policy Strategies. London: https://royalsociety.org/-/media/policy/projects/set-c/set-c-vaccine-deployment.pdf
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- Muinga, E., Chengo, R., Muinga, E., Kemboi, J., Sidibe, M., & Rarieya, M. (2022). Determinants of COVID-19 Vaccine Behaviour Intentions among the Youth in Kenya: A Cross-Sectional Study. Archives of Public Health, 80(1). https://doi.org/10.1186/s13690-022-00904-4
- Mutua, P. M., Mutiso, J. M., Simabuni, J. A., & Gicheru, M. M. (2021). Teachers’ Perception on COVID-19 Vaccine: Implications on COVID-19 Prevention in Kenya. https://www.vaccinologyjournal.com/articles/teachers-perception-on-covid-19-vaccine-implications-on-covid-19-prevention-in-kenya.html
- Muturi, N. (2022). The Influence of Information Source on COVID-19 Vaccine Efficacy and Motivation for Self-Protective Behavior. Journal of Health Communication, 27(4), 241–249. https://doi.org/10.1080/10810730.2022.2096729
- Nasimiyu, C., Audi, A., Oduor, C., Ombok, C., Oketch, D., Aol, G., Ouma, A., Osoro, E., Ngere, I., Njoroge, R., Munyua, P., Lo, T., Herman-Roloff, A., Bigogo, G., & Munywoki, P. K. (2022). Covid-19 Knowledge, Attitudes and Practices and Vaccine Acceptability in Rural Western Kenya and an Urban Informal Settlement in Nairobi, Kenya: A Cross-Sectional Survey. COVID, 2(10), 1491–1508. https://doi.org/10.3390/covid2100107
- Njoki, P. K., & Motari, O. (2021). Uptake of COVID-19 Vaccine among Nurses in a Sub-County Hospital in Nyamira County, Kenya. British Journal of Medical and Health Research, 8(12). https://doi.org/10.46624/bjmhr.2021.v8.i12.002
- Orangi, S., Pinchoff, J., Mwanga, D., Abuya, T., Hamaluba, M., Warimwe, G., Austrian, K., & Barasa, E. (2021). Assessing the Level and Determinants of COVID-19 vaccine Confidence in Kenya. Vaccines, 9(8), 936. https://doi.org/10.3390/vaccines9080936
- Osur, J., Muinga, E., Carter, J., Kuria, S., Hussein, S., & Ireri, E. M. (2022). Covid-19 Vaccine Hesitancy: Vaccination Intention and Attitudes of Community Health Volunteers in Kenya. PLOS Global Public Health, 2(3). https://doi.org/10.1371/journal.pgph.0000233
- Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The Prisma 2020 statement: An Updated Guideline for Reporting Systematic Reviews. BMJ. https://doi.org/10.1136/bmj.n71
- Path, Kenya. (2022). Kenya vaccine hesitancy report - updates. Kenya Vaccine Hesitancy Report - Updates. https://media.path.org/documents/Kenya_Vaccine_Hesitancy_Report_-_Updates_.pdf
- Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., Tricco, A. C., Evans, C., de Moraes, É. B., Godfrey, C. M., Pieper, D., Saran, A., Stern, C., & Munn, Z. (2022). Recommendations for the Extraction, Analysis, and Presentation of Results in Scoping Reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/jbies-22-00123
- Rajshekhar, N., Pinchoff, J., Boyer, C. B., Barasa, E., Abuya, T., Muluve, E., Mwanga, D., Mbushi, F., & Austrian, K. (2023). Exploring Covid-19 Vaccine Hesitancy and Uptake in Nairobi’s Urban Informal Settlements: An Unsupervised Machine Learning Analysis of a Longitudinal Prospective Cohort Study from 2021 to 2022. BMJ Open, 13(9). https://doi.org/10.1136/bmjopen-2022-071032
- Rego, R. T., Kenney, B., Ngugi, A. K., Espira, L., Orwa, J., Siwo, G. H., Sefa, C., Shah, J., Weinheimer-Haus, E., Sophie Delius, A. J., Pape, U. J., Irfan, F. B., Abubakar, A., Shah, R., Wagner, A., Kolars, J., Boulton, M. L., Hofer, T., & Waljee, A. K. (2023). Covid-19 Vaccination Refusal Trends in Kenya Over 2021. Vaccine, 41(5), 1161–1168. https://doi.org/10.1016/j.vaccine.2022.12.066
- Scientific Advisory Group for Emergencies. (2021). Factors influencing COVID-19 vaccine uptake among minority ethnic groups, 17 December 2020. GOV.UK. https://www.gov.uk/government/publications/factors-influencing-covid-19-vaccine-uptake-among-minority-ethnic-groups-17-december-2020
- Shah, J., Abeid, A., Sharma, K., Manji, S., Nambafu, J., Korom, R., Patel, K., Said, M., Mohamed, M. A., Sood, M., Karani, V., Kamandi, P., Kiptinness, S., Rego, R. T., Patel, R., Shah, R., Talib, Z., & Ali, S. K. (2022). Perceptions and Knowledge Towards Covid-19 Vaccine Hesitancy among a Subpopulation of Adults in Kenya: An English Survey at Six Healthcare Facilities. Vaccines, 10(5), 705. https://doi.org/10.3390/vaccines10050705
- Wasike, A. (2021). Resistance to Vaccine in Kenya Hampers COVID-19 Fight. https://www.aa.com.tr/en/africa/resistance-to-vaccine-in-kenya-hampers-covid-19-fight/2177486#
- World Health Organization. (2021). Kenya Increases Uptake and Equity for COVID-19 Vaccinations. https://www.who.int/news-room/feature-stories/detail/kenya-increases-uptake-and-equity-for-covid-19-vaccinations
References
Abdulle, H.M., Masika, M., & Oyugi, J. (2022). COVID-19: Knowledge, Perception of Risk, Preparedness and Vaccine Acceptability among Healthcare Workers in Kenya. medRxiv (Cold Spring Harbor Laboratory). https://doi.org/10.1101/2021.10.19.21264712
Anino, C. O., Wandera, I., Ondicho, Z. M., Kirui, C. K., Makero, C. S., Omari, P. K., & Sanga, P. (2023). Determinants of Covid-19 Vaccine Uptake among the Elderly Aged 58 Years and above in Kericho County, Kenya: Institution Based Cross-Sectional Survey. https://doi.org/10.1101/2023.01.16.23284598
Aswani, D. R. (2021). Perceptions Towards Government Communication Strategies on COVID-19 Vaccination in Kenya. Asian Journal of Humanities and Social Studies, 9(5). https://doi.org/10.24203/ajhss.v9i5.675
Al Jazeera. (2021). Kenya’s High Court Suspends Mandatory Covid Vaccination Order. https://www.aljazeera.com/news/2021/12/14/kenyan-court-suspends-mandatory-vaccination-order
Bodine, F. (2021, May 28). Report: Covid-19 Vaccine Perceptions and Hesitancy in Sub-Saharan Africa. GeoPoll. https://www.geopoll.com/blog/covid-vaccine-perceptions/
Bosire, E., Cho, A., Kamau, L. W., Bosire, V. K., & Mendenhall, E. (2023). Views on COVID-19 Vaccination among Residents of Eldoret, Kenya During the 2021 Vaccine Rollout. Global Public Health, 18(1). https://doi.org/10.1080/17441692.2023.2278877
Colgrove, J. (2023). Coercion and its discontents: The Promise and Peril of Increasingly Restrictive Vaccination Mandates Comment on “Convergence on Coercion: Functional and Political Pressures as Drivers of Global Childhood Vaccine Mandates.” International Journal of Health Policy and Management, 12, 7617. https://doi.org/10.34172/ijhpm.2023.7617
Dena, S. (2022). Assessing the Public Perceptions Around COVID-19 Vaccine within the University of Eldoret Community Using WhatsApp Focus Groups. https://doi.org/10.14293/s2199-1006.1.sor-.ppv0kmd.v1
Eriksson, J., Andisi, Dr., Kiyuka, Dr., & Hörnqvist, Prof. (2023). COVID-19 vaccine uptake among female students at Pwani University in Kilifi, Kenya. https://www.diva-portal.org/smash/get/diva2:1737629/FULLTEXT01.pdf
Fick, M. (2021). Vaccine Hesitancy Slows Africa’s COVID-19 Inoculation Drive. Reuters. https://www.reuters.com
Hasanzad, M., Namazi, H., & Larijani, B. (2022). Covid-19 Anti-Vaccine Attitude and Hesitancy. Journal of Diabetes & Metabolic Disorders, 22(1), 1–4. https://doi:10.1007/s40200-022-01018-y
Human Rights Watch. (2022). Kenya: Vaccine Requirements Violate Rights. https://www.hrw.org/news/2021/12/13/kenya-vaccine-requirements-violate-rights
Josphat, M., Moraro, R., Omogi, J., Alasmari, A., Kanyangi, L., Mwema, R., Simiyu, S., & Kosgei, S. (2023). Behavioral and Social Predictors of COVID-19 Vaccine Uptake among Persons with Disabilities in Kenya. https://doi.org/10.1101/2023.10.03.23296513
Karanja-Chege, C. M. (2022). HPV vaccination in Kenya: The Challenges Faced and Strategies to Increase Uptake. Frontiers in Public Health, 10. doi:10.3389/fpubh.2022.802947
Kilima, J. I., Morema, E. N., & Ochieng, E. O. (2023). Uptake of COVID-19 Vaccination among Healthcare Providers in Busia County in Kenya. Evidence-Based Nursing Research, 5(4), 46–57. https://doi.org/10.47104/ebnrojs3.v5i4.312
Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the Methodology - Implementation Science. https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-5-69
Macharia, J. M., Gakenye, G. W., Rozmann, N., Onchonga, D., Mwangi, R. W., Kaposztas, Z., Mathenge, J. M., Pusztai, D., Pinter, M., Sugar, M., & Raposa, B. L. (2022). An Empirical Assessment of the Factors Influencing Acceptance of COVID-19 Vaccine Uptake Between Kenyan and Hungarian Residing Populations: A cross-sectional study. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-26824-5
Mills, M., Rahal, C., Brazel, D., Yan, J., & Gieysztor, S. (2020). COVID-19 Vaccine Deployment: Behaviour, Ethics, Misinformation, and Policy Strategies. London: https://royalsociety.org/-/media/policy/projects/set-c/set-c-vaccine-deployment.pdf
Muchiri, S. K., Muthee, R., Kiarie, H., Sitienei, J., Agweyu, A., Atkinson, P. M., Edson Utazi, C., Tatem, A. J., & Alegana, V. A. (2022). Unmet Need for COVID-19 Vaccination Coverage in Kenya. Vaccine, 40(13), 2011–2019. https://doi.org/10.1016/j.vaccine.2022.02.035
Muinga, E., Chengo, R., Muinga, E., Kemboi, J., Sidibe, M., & Rarieya, M. (2022). Determinants of COVID-19 Vaccine Behaviour Intentions among the Youth in Kenya: A Cross-Sectional Study. Archives of Public Health, 80(1). https://doi.org/10.1186/s13690-022-00904-4
Mutua, P. M., Mutiso, J. M., Simabuni, J. A., & Gicheru, M. M. (2021). Teachers’ Perception on COVID-19 Vaccine: Implications on COVID-19 Prevention in Kenya. https://www.vaccinologyjournal.com/articles/teachers-perception-on-covid-19-vaccine-implications-on-covid-19-prevention-in-kenya.html
Muturi, N. (2022). The Influence of Information Source on COVID-19 Vaccine Efficacy and Motivation for Self-Protective Behavior. Journal of Health Communication, 27(4), 241–249. https://doi.org/10.1080/10810730.2022.2096729
Nasimiyu, C., Audi, A., Oduor, C., Ombok, C., Oketch, D., Aol, G., Ouma, A., Osoro, E., Ngere, I., Njoroge, R., Munyua, P., Lo, T., Herman-Roloff, A., Bigogo, G., & Munywoki, P. K. (2022). Covid-19 Knowledge, Attitudes and Practices and Vaccine Acceptability in Rural Western Kenya and an Urban Informal Settlement in Nairobi, Kenya: A Cross-Sectional Survey. COVID, 2(10), 1491–1508. https://doi.org/10.3390/covid2100107
Njoki, P. K., & Motari, O. (2021). Uptake of COVID-19 Vaccine among Nurses in a Sub-County Hospital in Nyamira County, Kenya. British Journal of Medical and Health Research, 8(12). https://doi.org/10.46624/bjmhr.2021.v8.i12.002
Orangi, S., Pinchoff, J., Mwanga, D., Abuya, T., Hamaluba, M., Warimwe, G., Austrian, K., & Barasa, E. (2021). Assessing the Level and Determinants of COVID-19 vaccine Confidence in Kenya. Vaccines, 9(8), 936. https://doi.org/10.3390/vaccines9080936
Osur, J., Muinga, E., Carter, J., Kuria, S., Hussein, S., & Ireri, E. M. (2022). Covid-19 Vaccine Hesitancy: Vaccination Intention and Attitudes of Community Health Volunteers in Kenya. PLOS Global Public Health, 2(3). https://doi.org/10.1371/journal.pgph.0000233
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The Prisma 2020 statement: An Updated Guideline for Reporting Systematic Reviews. BMJ. https://doi.org/10.1136/bmj.n71
Path, Kenya. (2022). Kenya vaccine hesitancy report - updates. Kenya Vaccine Hesitancy Report - Updates. https://media.path.org/documents/Kenya_Vaccine_Hesitancy_Report_-_Updates_.pdf
Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., Tricco, A. C., Evans, C., de Moraes, É. B., Godfrey, C. M., Pieper, D., Saran, A., Stern, C., & Munn, Z. (2022). Recommendations for the Extraction, Analysis, and Presentation of Results in Scoping Reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/jbies-22-00123
Rajshekhar, N., Pinchoff, J., Boyer, C. B., Barasa, E., Abuya, T., Muluve, E., Mwanga, D., Mbushi, F., & Austrian, K. (2023). Exploring Covid-19 Vaccine Hesitancy and Uptake in Nairobi’s Urban Informal Settlements: An Unsupervised Machine Learning Analysis of a Longitudinal Prospective Cohort Study from 2021 to 2022. BMJ Open, 13(9). https://doi.org/10.1136/bmjopen-2022-071032
Rego, R. T., Kenney, B., Ngugi, A. K., Espira, L., Orwa, J., Siwo, G. H., Sefa, C., Shah, J., Weinheimer-Haus, E., Sophie Delius, A. J., Pape, U. J., Irfan, F. B., Abubakar, A., Shah, R., Wagner, A., Kolars, J., Boulton, M. L., Hofer, T., & Waljee, A. K. (2023). Covid-19 Vaccination Refusal Trends in Kenya Over 2021. Vaccine, 41(5), 1161–1168. https://doi.org/10.1016/j.vaccine.2022.12.066
Scientific Advisory Group for Emergencies. (2021). Factors influencing COVID-19 vaccine uptake among minority ethnic groups, 17 December 2020. GOV.UK. https://www.gov.uk/government/publications/factors-influencing-covid-19-vaccine-uptake-among-minority-ethnic-groups-17-december-2020
Shah, J., Abeid, A., Sharma, K., Manji, S., Nambafu, J., Korom, R., Patel, K., Said, M., Mohamed, M. A., Sood, M., Karani, V., Kamandi, P., Kiptinness, S., Rego, R. T., Patel, R., Shah, R., Talib, Z., & Ali, S. K. (2022). Perceptions and Knowledge Towards Covid-19 Vaccine Hesitancy among a Subpopulation of Adults in Kenya: An English Survey at Six Healthcare Facilities. Vaccines, 10(5), 705. https://doi.org/10.3390/vaccines10050705
Wasike, A. (2021). Resistance to Vaccine in Kenya Hampers COVID-19 Fight. https://www.aa.com.tr/en/africa/resistance-to-vaccine-in-kenya-hampers-covid-19-fight/2177486#
World Health Organization. (2021). Kenya Increases Uptake and Equity for COVID-19 Vaccinations. https://www.who.int/news-room/feature-stories/detail/kenya-increases-uptake-and-equity-for-covid-19-vaccinations