BMJ Open · 8 authors, 1 centre
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This qualitative cross-sectional study conducted 15 in-depth interviews and 2 key informant interviews with rural adults and health workers in Bangladesh, finding that participants held a favourable attitude toward COVID-19 vaccination but lacked sufficient knowledge about vaccine efficacy, side effects, and recommended usage.
Thematic analysis yielded four main themes: knowledge and perception, myths and misconceptions, practice and attitude, and barriers and challenges. Participants demonstrated widespread recognition of the COVID-19 vaccine but had gaps in understanding efficacy, adverse effects, and recommended usage. Social relationships and personal beliefs significantly influenced vaccination decision-making. Misconceptions and concerns about side effects were primary reasons for vaccine avoidance. Barriers included work schedules of day labourers, difficulty taking time off, and the burden of multiple required doses, though the vaccine being free of cost was noted as a motivator. The study is limited by potential selection bias, its cross-sectional design limiting generalizability, and data collection from a limited range of locations.
