Most countries are currently gravitating towards vaccination as mainstay strategy to quell COVID-19 transmission. Between December 2020 and January 2021, we conducted a follow-up online survey in Somalia to monitor adherence to COVID-19 preventive measures, and COVID-19 vaccine acceptability and reasons for vaccine hesitancy. Adherence was measured via a composite adherence score based on four measures (physical distancing, face mask use, hand hygiene, and mouth covering when coughing/sneezing). We analyzed 4543 responses (mean age: 23.5 ± 6.4 years, 62.4% males). The mean adherence score during this survey was lower than the score during a similar survey in April 2020. A total of 76.8% of respondents were willing to receive the COVID-19 vaccine. Flu-like symptoms were more frequently reported in the current survey compared to previous surveys. Multiple logistic regression showed that participants who experienced flu-like symptoms, those in the healthcare sector, and those with higher adherence scores had higher odds for vaccine acceptability while being a female reduced the willingness to be vaccinated. In conclusion, our data suggest that the decreasing adherence to COVID-19 preventive measures may have caused increased flu-like symptoms over time. COVID-19 vaccine acceptance in Somalia is relatively high but could be improved by addressing factors that contribute to vaccine hesitancy.
【저자키워드】 COVID-19, adherence, preventive measures, Vaccination hesitancy, Somalia, 【초록키워드】 Vaccine, COVID-19 vaccine, vaccination, Symptom, Vaccine hesitancy, response, healthcare, female, physical distancing, Follow-up, Face mask, hygiene, COVID-19 transmission, preventive measure, Factor, flu-like symptoms, measure, participant, multiple logistic regression, MONITOR, MOST, country, males, was measured, analyzed, caused, reported, conducted, reduced, contribute, receive, flu-like symptom, higher odd, 【제목키워드】 survey, acceptability, measure, Result,